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Cardiac Arrest: Reversible Hs and Ts
When dealing with non-shockable rhythms such as pulseless electrical activity and asystole, it is crucial to focus on specific factors known as the "H's and T's to enhance the likelihood of a successful resuscitation.
The H's:
Hypovolemia: Addressing fluid and blood volume levels
Hypoxia: Ensuring proper oxygenation and ventilation
Hypo-/Hyperkalemia: Managing potassium imbalances
Hypo-/Hyperthermia: Proper management during resuscitation
The T's:
Toxins: Administering antidotes and facilitating elimination
Thrombosis Cardiac/Pulmonary: Considering thrombolytic therapy
Tension pneumothorax: Performing needle decompression when needed
Cardiac tamponade: Conducting pericardiocentesis promptly
By systematically addressing these H's and T's during resuscitation efforts, healthcare providers can significantly improve outcomes for patients experiencing non-shockable rhythms. Understanding and promptly managing these reversible Hs and Ts are key to enhancing resuscitation success rates.
Reference
Van den Bempt S, Wauters L, Dewold P. Med Princ Pract. 2021 Jun; 30(3): 212–222.
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