Sandbox
Revision as of 20:34, 31 May 2023 by Rossdonaldson1 (talk | contribs)
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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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| 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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