(|Some_DD| |patient_NN2| |convert_VVN| |from_II| |ventricular_JJ| |fibrillation_NN1| |to_II| |organized_JJ| |rhythm_NN2| |by_II| |defibrillation-trained_JJ| |ambulance_NN1| |technician_NN2| |will_VM| |refibrillate_VV0| |before_II| |hospital_NN1| |arrival_NN1|) 1 ; () (|ncsubj| |refibrillate| |patient| _) (|iobj| |before| |refibrillate| |arrival|) (|iobj| |from| |convert| |fibrillation|) (|ncmod| _ |fibrillation| |ventricular|) (|ncmod| _ |rhythm| |organized|) (|ncmod| |to| |convert| |rhythm|) (|ncmod| _ |technician| |ambulance|) (|ncmod| _ |technician| |defibrillation-trained|) (|ncmod| |by| |convert| |technician|) (|mod| _ |patient| |convert|) (|detmod| _ |patient| |Some|) (|ncmod| _ |arrival| |hospital|) (|aux| _ |refibrillate| |will|) (|The_AT| |author_NN2| |analyze_VVN| 271_MC-MC |case_NN2| |of_IO| |ventricular_JJ| |fibrillation_NN1| |manage_VVD| |by_II| |EMT-Ds_NP1| |work_VVG| |without_IW| |paramedic_JJ| |back-up_NN1|) 1 ; () (|ncsubj| |work| |EMT-Ds| _) (|iobj| |without| |work| |back-up|) (|ncsubj| |manage| |author| _) (|ncsubj| |analyze| |author| |obj|) (|obj2| |analyze| |271|) (|obj| |analyze| |case|) (|ncmod| _ |fibrillation| |ventricular|) (|ncmod| |of| |case| |fibrillation|) (|mod| _ |author| |analyze|) (|detmod| _ |author| |The|) (|ncmod| _ |back-up| |paramedic|) (|xmod| _ |EMT-Ds| |work|) (|ncmod| |by| |manage| |EMT-Ds|) (|Of_IO| 111_MC-MC |patient_NN2| |initially_RR| |convert_VVN| |to_II| |organized_JJ| |rhythm_NN2| |,_,| 19_MC-MC |refibrillate_VVD| |,_,| 11_MC-MC |of_IO| |whom_PNQO| |be_VBDR| |reconvert_VVN| |to_II| |perfuse_VVG| |rhythm_NN2| |,_,| |including_II| |nine_MC| |of_IO| 11_MC-MC |who_PNQS| |have_VHD| |spontaneous_JJ| |pulse_NN2| |prior_RR| |to_II| |refibrillation_NN1|) 1 ; () (|ccomp| |to| |convert| |refibrillate|) (|ncsubj| |reconvert| |11| |obj|) (|clausal| |reconvert| |perfuse|) (|ncsubj| |perfuse| |11| _) (|clausal| |perfuse| |have|) (|ncsubj| |have| |who| _) (|dobj| |have| |pulse| _) (|ncsubj| |refibrillate| |19| _) (|ncmod| _ |rhythm| |organized|) (|cmod| _ |rhythm| |refibrillate|) (|ncmod| |of| |11| |whom|) (|ncmod| |of| |nine| |11|) (|ncmod| _ |pulse| |spontaneous|) (|mod| _ |have| |prior|) (|ncmod| |to| |have| |refibrillation|) (|ncmod| |including| |have| |nine|) (|mod| _ |rhythm| |have|) (|aux| _ |reconvert| |be|) (|cmod| _ |refibrillate| |reconvert|) (|ncmod| _ |refibrillate| |to|) (|mod| _ |convert| |initially|) (|mod| _ |patient| |convert|) (|ncmod| _ |patient| |111|) (|Among_II| |patient_NN2| |initially_RR| |convert_VVN| |to_II| |organized_JJ| |rhythm_NN2| |,_,| |hospital_NN1| |admission_NN1| |rate_NN2| |be_VBDR| |lower_JJR| |for_IF| |patient_NN2| |who_PNQS| |refibrillate_VVD| |than_RR| |for_IF| |patient_NN2| |who_PNQS| |do_VDD| |not_XX| |,_,| |although_CS| |discharge_NN1| |rate_NN2| |be_VBDR| |virtually_RR| |identical_JJ|) 1 ; () (|ncsubj| |be| |rate| _) (|xcomp| _ |be| |identical|) (|ncsubj| |do| |admission| _) (|ncsubj| |refibrillate| |who| _) (|iobj| |for| |refibrillate| |patient|) (|dobj| |refibrillate| |who| _) (|ncsubj| |be| |rate| _) (|xcomp| _ |be| |lower|) (|iobj| |to| |convert| |rhythm|) (|ncmod| _ |rhythm| |organized|) (|mod| _ |convert| |initially|) (|mod| _ |patient| |convert|) (|mod| _ |for| |than|) (|cmod| |who| |patient| |refibrillate|) (|ncmod| |for| |be| |patient|) (|mod| _ |admission| |be|) (|ncmod| _ |admission| |hospital|) (|ncmod| |Among| |do| |patient|) (|ncmod| _ |rate| |discharge|) (|mod| _ |identical| |virtually|) (|ncmod| _ |be| |although|) (|Scene-to-hospital_JB| |transport_NN1| |time_NNT2| |be_VBDR| |not_XX| |predictively_RR| |associate_VVN| |with_IW| |either_RR| |the_AT| |frequency_NN1| |of_IO| |refibrillation_NN1| |or_CC| |patient_JJ| |outcome_NN1|) 1 ; () (|ncsubj| |associate| |time| |obj|) (|iobj| |with| |associate| |frequency|) (|ncmod| _ |time| |transport|) (|ncmod| _ |time| |Scene-to-hospital|) (|ncmod| _ |predictively| |not|) (|ncmod| _ |outcome| |patient|) (|conj| _ |refibrillation| |outcome|) (|ncmod| |of| |frequency| |refibrillation|) (|ncmod| |of| |frequency| |outcome|) (|detmod| _ |frequency| |the|) (|mod| _ |frequency| |either|) (|mod| _ |associate| |predictively|) (|aux| _ |associate| |be|) (|Defibrillation-trained_NP1| |EMTs_NP1| |can_VM| |effectively_RR| |manage_VV0| |refibrillation_NN1| |with_IW| |additional_JJ| |shock_NN2| |and_CC| |be_VBR| |not_XX| |at_II| |a_AT1| |significant_JJ| |disadvantage_NN1| |when_CS| |paramedic_JJ| |back-up_NN1| |be_VBZ| |not_XX| |available_JJ|) 1 ; () (|ncsubj| |be| |back-up| _) (|xcomp| _ |be| |available|) (|ncsubj| |be| |EMTs| _) (|xcomp| |at| |be| |disadvantage|) (|ncsubj| |manage| |EMTs| _) (|dobj| |manage| |refibrillation| _) (|ncmod| _ |EMTs| |Defibrillation-trained|) (|mod| _ |manage| |effectively|) (|aux| _ |manage| |can|) (|ncmod| _ |shock| |additional|) (|ncmod| |with| |manage| |shock|) (|ncmod| _ |disadvantage| |significant|) (|detmod| _ |disadvantage| |a|) (|ncmod| _ |be| |not|) (|ncmod| _ |back-up| |paramedic|) (|xcomp| _ |be| |available|) (|ncmod| _ |available| |not|) (|ncmod| _ |be| |when|) (|mod| |when| |be| |be|) (|conj| _ |manage| |be|) (|There_EX| |be_VBZ| |controversy_NN1| |regarding_II| |the_AT| |appropriate_JJ| |utilization_NN1| |of_IO| |health_NN1| |care_NN1| |resource_NN2| |in_II| |the_AT| |management_NN1| |of_IO| |tricyclic_JJ| |antidepressant_JJ| |overdosage_NN1|) 1 ; () (|ncsubj| |be| |There| _) (|xcomp| _ |be| |controversy|) (|ncmod| _ |overdosage| |antidepressant|) (|ncmod| _ |overdosage| |tricyclic|) (|ncmod| |of| |management| |overdosage|) (|detmod| _ |management| |the|) (|ncmod| |in| |resource| |management|) (|ncmod| _ |resource| |care|) (|ncmod| _ |resource| |health|) (|ncmod| |of| |utilization| |resource|) (|ncmod| _ |utilization| |appropriate|) (|detmod| _ |utilization| |the|) (|ncmod| |regarding| |controversy| |utilization|) (|Antidepressant_JJ| |overdose_NN1| |patient_NN2| |present_VVG| |to_II| |the_AT| |emergency_JJ| |department_NN1| |be_VBR| |routinely_RR| |admit_VVN| |to_II| |intensive_JJ| |care_NN1| |unit_NN2| |,_,| |but_CCB| |only_RR| |a_AT1| |small_JJ| |proportion_NN1| |develop_VV0| |cardiac_JJ| |arrhythmia_NN2| |or_CC| |other_JJ| |complication_NN2| |require_VVG| |such_DA| |an_AT1| |environment_NN1|) 1 ; () (|ncsubj| |develop| |proportion| _) (|dobj| |develop| |arrhythmia| _) (|dobj| |develop| |complication| _) (|subj| |admit| |present| |obj|) (|iobj| |to| |admit| |unit|) (|ncsubj| |present| |patient| _) (|iobj| |to| |present| |department|) (|ncmod| _ |patient| |overdose|) (|ncmod| _ |patient| |Antidepressant|) (|ncmod| _ |department| |emergency|) (|detmod| _ |department| |the|) (|ncmod| _ |present| |patient|) (|ncmod| _ |unit| |care|) (|ncmod| _ |unit| |intensive|) (|mod| _ |admit| |routinely|) (|aux| _ |admit| |be|) (|ncmod| _ |proportion| |small|) (|detmod| _ |proportion| |a|) (|mod| _ |proportion| |only|) (|ncmod| _ |arrhythmia| |cardiac|) (|detmod| _ |environment| |an|) (|detmod| _ |environment| |such|) (|ncsubj| |require| |complication| _) (|mod| _ |complication| |require|) (|ncmod| _ |complication| |other|) (|conj| _ |arrhythmia| |complication|) (|conj| _ |admit| |develop|) (|The_AT| |author_NN2| |review_VVN| |the_AT| |finding_NN2| |in_II| 165_MC-MC |patient_NN2| |present_VVG| |to_II| |an_AT1| ED_NP1 |with_IW| |antidepressant_JJ| |overdose_NN1|) 1 ; () (|ncsubj| |review| |author| _) (|dobj| |review| |finding| _) (|clausal| |review| |present|) (|iobj| |to| |review| ED) (|ncsubj| |present| |finding| _) (|detmod| _ |author| |The|) (|ncmod| _ |patient| |165|) (|ncmod| |in| |finding| |patient|) (|detmod| _ |finding| |the|) (|detmod| _ ED |an|) (|ncmod| _ |overdose| |antidepressant|) (|ncmod| |with| |review| |overdose|) (|They_PPHS2| |find_VVD| |that_CST| |major_JJ| |manifestation_NN2| |of_IO| |toxicity_NN1| |on_II| ED_NP1 |evaluation_NN1| |be_VBDR| |commonly_RR| |associate_VVN| |with_IW| |a_AT1| |complicated_JJ| |hospital_NN1| |course_NN1|) 1 ; () (|ncsubj| |find| |They| _) (|clausal| |find| |associate|) (|ncsubj| |associate| |manifestation| |obj|) (|iobj| |with| |associate| |course|) (|ncmod| |of| |manifestation| |toxicity|) (|ncmod| _ |manifestation| |major|) (|ncmod| _ |evaluation| ED) (|ncmod| |on| |manifestation| |evaluation|) (|ncmod| _ |course| |hospital|) (|ncmod| _ |course| |complicated|) (|detmod| _ |course| |a|) (|mod| _ |associate| |commonly|) (|aux| _ |associate| |be|) (|patient_NN2| |with_IW| |the_AT| |isolated_JJ| |finding_NN2| |of_IO| |sinus_NN2| |tachycardia_NN2| |or_CC| |QTc_NP1| |prolongation_NN1| |have_VHD| |no_AT| |complication_NN2|) 1 ; () (|ncsubj| |have| |patient| _) (|ncsubj| |have| |prolongation| _) (|dobj| |have| |complication| _) (|ncmod| _ |tachycardia| |sinus|) (|ncmod| |of| |finding| |tachycardia|) (|ncmod| _ |finding| |isolated|) (|detmod| _ |finding| |the|) (|ncmod| |with| |patient| |finding|) (|ncmod| _ |prolongation| |QTc|) (|conj| _ |patient| |prolongation|) (|detmod| _ |complication| |no|) (|No_AT| |patient_NN1| |experience_VVD| |a_AT1| |serious_JJ| |toxic_JJ| |event_NN1| |without_IW| |major_JJ| |evidence_NN1| |of_IO| |toxicity_NN1| |on_II| ED_NP1 |evaluation_NN1| |and_CC| |continued_JJ| |evidence_NN1| |of_IO| |toxicity_NN1| |during_II| |the_AT| |hospital_NN1| |course_NN1|) 1 ; () (|ncsubj| |experience| |patient| _) (|dobj| |experience| |event| _) (|detmod| _ |patient| |No|) (|ncmod| _ |event| |toxic|) (|ncmod| _ |event| |serious|) (|detmod| _ |event| |a|) (|ncmod| _ |evaluation| ED) (|ncmod| |on| |toxicity| |evaluation|) (|ncmod| _ |course| |hospital|) (|detmod| _ |course| |the|) (|ncmod| |during| |toxicity| |course|) (|ncmod| |of| |evidence| |toxicity|) (|ncmod| _ |evidence| |continued|) (|conj| _ |toxicity| |evidence|) (|ncmod| |of| |evidence| |toxicity|) (|ncmod| |of| |evidence| |evidence|) (|ncmod| _ |evidence| |major|) (|ncmod| |without| |experience| |evidence|) (|These_DD2| |datum_NN| |support_VV0| |the_AT| |concept_NN1| |that_CST| |proper_JJ| ED_NP1 |evaluation_NN1| |can_VM| |identify_VV0| |a_AT1| |large_JJ| |body_NN1| |of_IO| |patient_NN2| |with_IW| |trivial_JJ| |ingestion_NN2| |who_PNQS| |may_VM| |not_XX| |require_VV0| |hospital_NN1| |observation_NN1|) 1 ; () (|ncsubj| |support| |datum| _) (|dobj| |support| |concept| _) (|ncsubj| |require| |who| _) (|dobj| |require| |observation| _) (|ncsubj| |identify| |evaluation| _) (|dobj| |identify| |body| _) (|detmod| _ |datum| |These|) (|ncmod| _ ED |proper|) (|ncmod| _ |evaluation| ED) (|ncmod| |of| |body| |patient|) (|ncmod| _ |body| |large|) (|detmod| _ |body| |a|) (|aux| _ |identify| |can|) (|ncmod| _ |observation| |hospital|) (|ncmod| _ |require| |not|) (|aux| _ |not| |may|) (|cmod| |who| |ingestion| |require|) (|ncmod| _ |ingestion| |trivial|) (|ncmod| |with| |identify| |ingestion|) (|mod| _ |concept| |identify|) (|detmod| _ |concept| |the|)