For the last lesson of 2019, we will be taking a look at our reversible causes of cardiac arrest. When our patient codes, we quickly react, calling a code, starting compressions and beginning to work the ACLS algorithm. But what happens when they don’t come back right away? We need to start looking at what may have caused this.
Some causes are reversible and if we fix the problem we can also fix what was causing the arrest. We have grouped these causes in to 2 groups of the same first letter to try and help you remember them. These are what we call the H’s and T’s.
The H’s are hypovolemia, hypoxia, hydrogen ions (acidosis), hypo/hyperkalemia, hypoglycemia, and hypothermia. The T’s consist of toxins, tamponade, tension pneumothorax, thrombus (coronary vs. pulmonary), and trauma. We take a look at each of these, including underlying causes, what to assess for and possible treatments.
Finally we finish up looking another other way to remember these by looking at them in groups of findings based on either the monitor, labs, thinking of the heart and lungs, and then overall the whole body.
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