Podcast 520:  Approach to the arresting patient

Podcast 520: Approach to the arresting patient

Contributor: Peter Bakes, MD

Educational Pearls:

  • Peri-arrest patients present a particular challenge to ED providers, as the differential is broad and time is critical
  • The differential for near cardiac arrest includes the "H's and T's", just as in true cardiac arrest
  • The 6 H's include: hypoxia, hypo/hyperkalemia, hypovolemia (including shock states), hydrogen (acidosis), hypothermia
  • The 6 T's include: tension pneumothorax, cardiac tamponade, thrombus (PE/MI), toxins, trauma
  • Use your history skills to narrow down this list (i.e renal failure leads to hyperkalemia, trauma leads to tension pneumothorax or tamponade)

Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD



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