NEW Causes Of Cardiac Arrest You NEVER Thought Of?! Meet The Hs & Ts & Cs!
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- Опубліковано 14 бер 2024
- A discussion of the causes of cardiac arrest, including the classic 'Hs & Ts' along with some you may not have considered
Ischemia / Structural / Electrical model from
Tamis-Holland JE, Menon V, Johnson NJ, Kern KB, Lemor A, Mason PJ, et al. Cardiac Catheterization Laboratory Management of the Comatose Adult Patient With an Out-of-Hospital Cardiac Arrest: A Scientific Statement From the American Heart Association. Circulation. 2023;
www.ahajournals.org/doi/full/...
ERC Guidelines
Soar J, Böttiger BW, Carli P, Couper K, Deakin CD, Djärv T, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021;161:115-51.
www.cprguidelines.eu/assets/g...
AHA Guidelines
Highlights of the 2020 American Heart Association's Guidelines for CPR and ECC
cpr.heart.org/-/media/cpr-fil...
The 5 C's
Mommers L, Slagt C. Introducing the C's in CPR. Resuscitation. 2022 Apr;173:101-102. doi: 10.1016/j.resuscitation.2022.02.022
www.resuscitationjournal.com/...
Hypoglycaemia
Reno CM, Daphna-Iken D, Chen YS, VanderWeele J, Jethi K, Fisher SJ. Severe Hypoglycemia-Induced Lethal Cardiac Arrhythmias Are Mediated by Sympathoadrenal Activation. Diabetes. 2013;62(10):3570-81.
www.ncbi.nlm.nih.gov/pmc/arti...
I have used the American version before the past five years, at least and hypoglycemia is a standardized differentiation that we check off regularly due to the presentation of hypoglycemia being found multiple times in a cardiac arrest. It’s a simple thing to correct during a resuscitation, and then move forward in trying to find any other reversible causes. Most interestingly, controversial use of vasopressor therapy in gross hemodynamic vasodilation with presumed PEA is an interesting case to ponder. Always love your work Cliff! Keep it up mate!
Totally agree with adding Hypoglycaemia to the Hs
waiting for the next video!
Keep it simple! It's usually one of three things. So...what I practice with is: "1 Heart, 2 Lungs, 3 Bloods." 1 heart: big MI. 2 Lungs: PE, or Tension Ptx. 3 Lungs: Too much K, Too much toxin, Not enough blood (circulating volume). Now, beyond that, I reach for my peripheral brain, and team for other suggestions.
I guess you have a logical mistake there? 3 Lungs you mean Bloods?