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| align="center" style="background:#f0f0f0;"|'''{| class="wikitable"''' | |||
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| | | ! Acidosis !! Preexisting acidosis, DM, diarrhea, drugs and toxins, prolonged resuscitation, renal disease, shock !! Reassess adequacy of oxygenation, and ventilation; reconfirm endotracheal-tube placement !! !! !! !! !! !! !! | ||
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| | | | || || Hyperventilate || || || || || || || | ||
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| | | | || || Consider intravenous bicarbonate if pH <7.20 after above actions have been taken || || || || || || || | ||
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| | | | Cardiac tamponade || Hemorrhagic diathesis, cancer, pericarditis, trauma, after cardiac surgery or MI || Give fluids; obtain bedside echocardiogram || || || || || || || | ||
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| || || Thoracotomy is appropriate when patient has cardiac arrest from penetrating trauma and a cardiac rhythm and the duration of cardiopulmonary resuscitation before thoracotomy is <10 min || || || || || || || | | | || || Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected. || || || || || || || | ||
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| | Hypothermia || Alcohol abuse, burns, CNS disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma || If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C. || || || || || || || | |||
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| | || || If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas || || || || || || || | |||
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| | Hypovolemia, hemorrhage, anemia || Major burns, DM, GI losses, hemorrhage, hemorrhagic diathesis, cancer, pregnancy, shock, trauma || Give fluids || || || || || || || | |||
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| | || || Transfuse pRBCs if hemorrhage or profound anemia is present || || || || || || || | |||
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| | || || Thoracotomy is appropriate when patient has cardiac arrest from penetrating trauma and a cardiac rhythm and the duration of cardiopulmonary resuscitation before thoracotomy is <10 min || || || || || || || | |||
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Revision as of 20:34, 31 May 2023
| {| class="wikitable" | |||||||||
| ! Acidosis !! Preexisting acidosis, DM, diarrhea, drugs and toxins, prolonged resuscitation, renal disease, shock !! Reassess adequacy of oxygenation, and ventilation; reconfirm endotracheal-tube placement !! !! !! !! !! !! !! | |||||||||
| - | |||||||||
| Hyperventilate | |||||||||
| - | |||||||||
| Consider intravenous bicarbonate if pH <7.20 after above actions have been taken | |||||||||
| - | |||||||||
| Cardiac tamponade | Hemorrhagic diathesis, cancer, pericarditis, trauma, after cardiac surgery or MI | Give fluids; obtain bedside echocardiogram | |||||||
| - | |||||||||
| Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected. | |||||||||
| - | |||||||||
| Hypothermia | Alcohol abuse, burns, CNS disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma | If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C. | |||||||
| - | |||||||||
| If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas | |||||||||
| - | |||||||||
| Hypovolemia, hemorrhage, anemia | Major burns, DM, GI losses, hemorrhage, hemorrhagic diathesis, cancer, pregnancy, shock, trauma | Give fluids | |||||||
| - | |||||||||
| Transfuse pRBCs if hemorrhage or profound anemia is present | |||||||||
| - | |||||||||
| Thoracotomy is appropriate when patient has cardiac arrest from penetrating trauma and a cardiac rhythm and the duration of cardiopulmonary resuscitation before thoracotomy is <10 min | |||||||||
| } |
