Cardiac Arrest Flashcards
4 Hs
Hypoxia
Hypothermia
Hypovolaemia
Hyper/Hypokalaemia
4 Ts
Tension Pneumothorax
Tamponade (Cardiac)
Thrombus (Pulmonary)
Toxins
Considerations in SCA secondary to Drowning
ETT High priority
15:2 CPR ratio
Considerations in SCA secondary to Anaphylaxis
If PEA - escalating adrenaline doses - 1,3,5 mg’s
2-3L of NaCl - High priority
Considerations in SCA secondary to Hanging
Prioritise ventilations, 15:2 ratio
IV drugs have very low priority
Prolonged resus in aystole is inappropriate
Considerations in SCA secondary to Hypothermia
If no ROSC in 10 minutes consult for transport under CPR
Considerations in SCA secondary to Trycyclic OD
2-3L of NaCl
Sodium Bicarbonate - if can be at scene within 10 minutes
No Amiodarone
Clear reasons not to start resisting
Rigid mortis/post mortem rigidity Clear advanced directive to not resus Resus futile or clearly not in best interests of the patient -Unwitnessed arrest with asystole - Patients dying from cancer - Severe co-morbidities
Severe Co morbidities
Dementia Severe COPD CHF with reduced exercise tolerance Aged residential care Metastatic cancer with weight loss
Cardiac arrest during pregnancy
Displace uterus to left, or tilt patient 30 degrees - impeded venous return due to pressure on vena cava
If able to reach hospital within 10 minutes consider transport under CPR for emergency C section
Cardiac Arrest secondary to Trauma
No CPR Ventilate via LMA or ETT Bilateral thoracotomies Compress external bleeding 2-3l of NaCl Splint pelvis Align long bones if significant displacement Begin transport ASAP Asytole for more than a few minutes - Cease resus
Considerations in SCA secondary to Asthma
Ventilate at 6 BPM
High priority for IV adrenaline
Exclude tension pneumo (clear difference in breath sounds and percussion note)
