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Cardiac Arrest, Emergency Medicine

Reviewed 06/2017
 


Basics

  • NOTE: The following information is based on 2010 Advanced Cardiac Life Support (ACLS) Guidelines. Any revisions made by the American Heart Association since then are not available at time of pu...

Diagnosis

Signs and Symptoms

  • Unresponsiveness

  • Pulselessness

  • Shallow, gasping respirations may persist for a few minutes

  • Occasionally preceded by:

    • Chest pain

    • Dyspnea

    • Palpitations

    • Seizure activity

  • Immediately pr...

Treatment

Pre-Hospital

  • Prompt initiation of standard CPR

  • Confirm underlying rhythm

  • Early defibrillation of pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF)

  • Secure airway and provide...

Follow-Up

Disposition

Admission Criteria

ROSC: 
  • Intensive care unit

  • Postresuscitation care

  • Treatment of underlying cause of arrest

Discharge Criteria

None 

Issues for Referral

May consider referral to regional...

Pearls and Pitfalls

  • Provide targeted temperature management in comatose post arrest patients.

  • Expect recurrent cardiac arrest and provide close monitoring and appropriate postresuscitative treatment, w...

Additional Reading

  • Field  JM, Hazinski  MF, Vanden Hoek  TL, et al. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Circulation....

Codes

ICD9

427.5 Cardiac arrest 

ICD10

I46.9 Cardiac arrest, cause unspecified 

SNOMED

  • 410429000 cardiac arrest (disorder)

  • 422970001 Cardiac arrest due to trauma (disorder)

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