During every Cardiac Arrest, we should always consider the reversible causes! These are not just for your ACLS & PALS Provider course.
I follow a HEAD to TOE approach when considering the H’s & T’s, as it's easier to recall when following a systematic approach.
Head:
🫁 HYPOXIA: Ventilation & adequate Oxygenation is a priority! Advanced Airway if needed.
Chest:
🩺 TAMPONADE: Pericardiocentesis.
💉TENSION PNEUMO: Needle decompression, Chest Drain
🫁 THROMBOSIS (PULMONARY): Thrombolytic or Thrombectomy.
Abdomen:
🥶 HYPOTHERMIA: Warm patient.
IV Access & Draw Bloods:
📈📉HYPO/HYPERKALEMIA: EKG changes- HypoK: Flattened/inverted T waves, U wave.
HyperK: Peaked T waves, Widened QRS, Sine wave.
💊 TOXINS: Take SAMPLE Hx. Use appropriate antidote as indicated.
🫀 THROMBOSIS (CORONARY): ECG changes, Troponin. Take to PCI facility.
🤒 HYDROGEN ION (ACIDOSIS): Treat the underlying cause.
💧🩸 HYPOVOLEMIA: IV Fluids. Blood products for blood loss.
Picture: The New York Times.
Disclaimer: This post is for educational purposes and is not intended as medical advice. While we strive for 100% accuracy, errors may occur, and medications or protocols may change over time.
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