Podcast 520: Approach to the arresting patient
Emergency Medical Minute · medicalminute
December 3, 20197m 37s
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Show Notes
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