Cardiac arrest resident survival guide: Difference between revisions
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Rim Halaby (talk | contribs) Created page with "__NOTOC__ '''For cardiac arrest physician extender algorithm click here''' {{CMG}}; '''Associate Editor-In-Chief:''' User:Rim Halaby|Ri..." |
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* [[Hypovolemia|'''H'''ypovolemia]] | * [[Hypovolemia|'''H'''ypovolemia]] | ||
* [[Hypoxia|'''H'''ypoxia]] | * [[Hypoxia|'''H'''ypoxia]] | ||
* [[Hydrogen|'''H'''ydrogen]] ions ([[ | * [[Hydrogen|'''H'''ydrogen]] ions ([[acidosis]]) | ||
* [[Hyperkalemia|'''H'''yperkalemia]] or [[Hypokalemia|'''H'''ypokalemia]] | * [[Hyperkalemia|'''H'''yperkalemia]] or [[Hypokalemia|'''H'''ypokalemia]] | ||
* [[Hypothermia|'''H'''ypothermia]] | * [[Hypothermia|'''H'''ypothermia]] | ||
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====T's==== | ====T's==== | ||
* [[Tablets|'''T'''ablets]] or [[Toxins|'''T'''oxins]]: [[ | * [[Tablets|'''T'''ablets]] or [[Toxins|'''T'''oxins]]: [[tricyclic antidepressant]]s, [[phenothiazines]], [[beta blocker]]s, [[calcium channel blocker]]s, [[cocaine]], [[digoxin]], [[aspirin]], [[acetominophen]] | ||
* [[Cardiac tamponade|Cardiac '''T'''amponade]] | * [[Cardiac tamponade|Cardiac '''T'''amponade]] | ||
* [[Tension pneumothorax|'''T'''ension pneumothorax]] | * [[Tension pneumothorax|'''T'''ension pneumothorax]] | ||
* [[Thrombosis|'''T'''hrombosis]] ([[ | * [[Thrombosis|'''T'''hrombosis]] ([[myocardial infarction]]) | ||
* [[Physical trauma|'''T'''rauma]] ([[ | * [[Physical trauma|'''T'''rauma]] ([[hypovolemia]]) | ||
==Management== | ==Management== | ||
Revision as of 22:57, 10 August 2013
For cardiac arrest physician extender algorithm click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Rim Halaby
Synonyms and keywords: cardiorespiratory arrest, cardiopulmonary arrest, circulatory arrest
Definition
A cardiac arrest is the abrupt cessation of normal circulation of the blood due to failure of the heart to contract effectively during systole.[1]
Causes
Cardiac arrest is a life threatening condition which results in immediate death if not treated.
Common Causes
Reversible Causes
H's
- Hypovolemia
- Hypoxia
- Hydrogen ions (acidosis)
- Hyperkalemia or Hypokalemia
- Hypothermia
- Hypoglycemia or Hyperglycemia
T's
- Tablets or Toxins: tricyclic antidepressants, phenothiazines, beta blockers, calcium channel blockers, cocaine, digoxin, aspirin, acetominophen
- Cardiac Tamponade
- Tension pneumothorax
- Thrombosis (myocardial infarction)
- Trauma (hypovolemia)
Management
| Adult Cardiac Arrest | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Start CPR Give oxygen Attach monitor/defibrillator | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Rhythm shockable? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| VF/VT | Asystole/PEA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Box A: CPR 2 min IV/IO access | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Rhythm shockable? | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Box B: CPR 2 min Epinephrine every 3-5 min Consider advanced airway and capnography | Box C: CPR 2 min IV/IO access Epinephrine every 3-5 min Consider advanced airway and capnography | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Rhythm shockable? | No | Rhythm shockable? | Yes | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CPR 2 min Amiodarone Treat reversible causes | Box D: CPR 2 min Treat reversible causes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Go back to box A | No | Rhythm shockable? | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shock Then, go to box A or box B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| If no signs of return of spontaneous circulation: Go to box C or box D If return of spontaneous circulation: Start post cardiac arrest care | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adapted from 2010 AHA guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.[2]
References
- ↑ Harrison's Principles of Internal Medicine 16th Edition, The McGraw-Hill Companies, ISBN 0-07-140235-7
- ↑ O'Connor RE, Brady W, Brooks SC, Diercks D, Egan J, Ghaemmaghami C; et al. (2010). "Part 10: acute coronary syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 122 (18 Suppl 3): S787–817. doi:10.1161/CIRCULATIONAHA.110.971028. PMID 20956226.