Prolonged Resuscitation with Multiple Defibrillations; a Case Report

Although American Heart Association Guidelines (AHA) are practical and standardized in many aspects of car-diopulmonary resuscitation (CPR) performance, recommendations on when to terminate resuscitation are notfully understood and clear. There is not enough evidence about how long we can continue CPR in shockablerhythms and how many shocks can be delivered to patients, and if there is an end point for it or not. This is-sue is more challenging when we read papers published on survival rates and good functional and neurologicaloutcomes after prolonged CPRs. Here, we demonstrate a case of cardiac arrest receiving CPR in the emergencyroom, for whom it was hard and challenging to make a decision on when to terminate the resuscitation attempts.