Skip to main content

Cardiac Arrest

Nicholas J. Skertich, MD, Charles Fredericks, MD and James R. Yon, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • The absence of effective mechanical cardiac activity leading to tissue hypoperfusion and cell death

  • This section is not a substitute for an American Heart Association (AHA)-approved a...

DIAGNOSIS

  • Absence of pulses in large arteries

  • Apnea or agonal breathing

  • Loss of consciousness

HISTORY

  • Witnessed versus unwitnessed

  • Approximate downtime

  • Initial resuscitation efforts and response

  • History or r...

TREATMENT

  • C-A-B (circulation, airway, breathing). Use compressions and then check airway and breathing.

  • Prompt initiation of high-quality CPR, particularly chest compressions (in adults, 120 beats/min,...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Admit to intensive care unit on continuous monitoring.

  • Consider electroencephalogram (EEG) to assess for nonconvulsive status epilepticus.

PROGNOSIS

REFERENCES

1
Lipman S, Cohen S, Einav S, et al. The Society for Obstetric Anesthesia and Perinatology consensus statement on the management of cardiac arrest in pregnancy. Anesth Analg.  2014;118(...

ADDITIONAL READING

  • Holzer M. Targeted temperature management for comatose survivors of cardiac arrest. N Engl J Med.  2010;363(13):1256–1264.

  • Narasimhan M, Koenig SJ, Mayo PH. Advanced echocardiog...

SEE ALSO

Algorithm: Chest Pain/Acute Coronary Syndrome 

CODES

ICD10

  • I46.9 Cardiac arrest, cause unspecified

  • I46.2 Cardiac arrest due to underlying cardiac condition

  • I46.8 Cardiac arrest due to other underlying condition

ICD9

427.5 Cardiac arrest 

SNOMED

  • 410429000...

CLINICAL PEARLS

  • C-A-B replaces ABCs for the priority of approach to a patient with a suspected cardiac arrest.

  • Prompt initiation of CPR, particularly chest compressions (push hard, push fast, and don't...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×