II. Conditions
- Cardiopulmonary Arrest
- Arrhythmia
- Pulseless Electrical Activity
- Ventricular Tachycardia
- Ventricular Fibrillation
- Supreventricular Tachycardia
III. Background
- Mnemonic: 6H 6T
IV. Causes: Six H's
- Hypovolemia
- Hypoxia
- Hydrogen Ion (Metabolic Acidosis)
- Hyperkalemia
- Hypokalemia
- Hypothermia
V. Causes: Six T's
- Tablets or Toxins (Unknown Ingestion)
- Tamponade (Cardiac Tamponade)
- Tension Pneumothorax
- Thrombosis: Myocardial Infarction
- Thrombosis: Pulmonary Embolism
- Trauma
VI. Causes: Other
-
Subarachnoid Hemorrhage (5% of Cardiac Arrests)
- Cardiac Arrest triggered by Catecholamine surge with Macrophage infiltration into left ventricle
VII. Management: Empiric Therapies
- Six empiric therapies to consider in Cardiac Arrest
- Mnemonic: "Never Carry Bling Through Gloomy Antwerp"
- Needle
- Calcium
- Calcium Chloride stabilizes Myocardium (e.g. Hyperkalemia)
- Blood (or fluid Resuscitation)
- NS or LR bolus (Hypovolemic Shock)
- Thrombolytics (e.g. tPA 50 mg)
- Massive Pulmonary Embolism
- Glucose
- Antidote
- See Toxin Antidote
- References
- Strayer in Herbert (2015) EM:Rap 15(8): 4-5