Sudden death Flashcards
Reversible causes of cardiac arrest
4Hs
hypoxia
hypothermia
hypokalemia
hypovoleamia
Reversible causes of cardiac arrest
4Ts
thrombosis
tamponade
toxins
tension pneumothorax
types of shock
cardiogenic, hypovolemic
septic, anaphylactic
neurogenic
cardiogenic shock
e.g. PE
reduced BP
tachy
fluid retention - treat with dobutamide/ noradrenaline
hypovolemic shock
tachy
treatment- fluid and blood replacement
septic shock
gram =+ve bacterial
low BP
tachy
fever
sepsis 6- treatment
neurogenic shock
bradycardia - loss of sympathetic so parasympathetic takes over
treatment- vasopressors (dopamine, noradrenaline, vasopressin)
stillborn
baby dies after 24 weeks of pregnancy and before or during birth
Lifestyle advise to reduce stillbirth risk
sleep on L side in third trimester
Risk factors for stillbirth
placental abruption, infection, cord prolapse, idiopathic hypoxia–acidosis and uterine rupture
Debrief arrangements
- Skin Biopsy
- Placenta Histopathology
- Blood Results including infection screen, thromphilia screen, blood group,diabetes and thyroid screen
- Microbiology results
SUDI
all infant deaths which happen suddenly, and for which there is no apparent reason, are unexpected
2-6 months most common
SIDS
‘sudden infant death syndrome’ is occasionally used where there is no pathology or risk factors present
RF- overheating, infection, preterm
male, small for age
