PHỤC HỒI THẦN KINH HOÀN TOÀN SAU NGỪNG TIM DO TAI NẠN KÉP: ĐIỆN GIẬT VÀ ĐUỐI NƯỚC ¬¬¬¬- MỘT CA LÂM SÀNG HIẾM GẶP

Abstract

Out-of-hospital cardiac arrest (OHCA) is a life-threatening emergency with a high mortality rate. Complete neurological recovery after OHCA is extremely rare, especially in complex situations involving multiple mechanisms of injury. We report the case of a 30-year-old male who experienced cardiac arrest due to a dual accident: electrocution and drowning. The patient received chest compressions and rescue breaths performed by relatives immediately at the scene, followed by transportation to the hospital. At the Emergency Department, early defibrillation was delivered, endotracheal intubation was performed, bag-valve ventilation via an endotracheal tube with supplemental oxygen was provided, advanced cardiac life support medications were administered, and return of spontaneous circulation (ROSC) was achieved. During advanced resuscitative management in the Intensive Care Unit (ICU), the patient underwent targeted temperature management (TTM), received multidisciplinary critical care, timely interventions, and treatment of complications. The patient improved favorably, was extubated after 4 days, achieved complete neurological recovery, and was discharged in stable condition on day 11 of hospitalization. This case highlights the decisive role of high-quality cardiopulmonary resuscitation (CPR) initiated promptly at the scene, early defibrillation, and a comprehensive post-resuscitation care strategy in optimizing neurological outcomes in complex OHCA patients.