DOI: 10.36347/sjmcr.2019.v07i02.006

Pages: 121-123

A 40-year-old military man experienced a severe coughing fit after running 3000 meters and collapsed at the base. His colleagues used an automated external defibrillator (AED) and called a general ambulance, and a fire department requested the dispatch of a doctor helicopter (DH). When a doctor-helicopter (DH) staff checked him, he was in a restless unconscious state and his systolic blood pressure was 80 mmHg. A venous route was secured, drugs were administered and tracheal intubation was performed. Twelve-lead electrocardiography showed precordial ST elevation. After arrival at hospital, a coronary arteriogram showed complete occlusion at segment No 6 and coronary angioplasty resulted in recanalization. Sequentially, he underwent normothermic therapy in a coronary care unit. On the 2nd day, he could obey orders, and his circulation and respiration function were stable; thus, extubation was performed. He was discharged without cardiac or cerebral sequelae after rehabilitation. A seamless chain of survival including the application of the AED, early medical intervention and transportation provided by the DH, early radical treatment, and neuroprotective intensive care was the key to obtaining social rehabilitation in the present case.