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ClearRounds Health · Cardiology · Quick Reference
Cardiac Arrest
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Arrhythmias & DevicesAdvancedIn progressAlgorithm
Shockable vs nonshockable rhythms, reversible causes, post-arrest cardiac evaluation, cath considerations, TTM concepts, and ICD evaluation.
Last reviewed
Pending initial clinical review
Sources / guidelines to verify
- Current AHA ACLS & Post-Cardiac-Arrest Care Guidelines
- AHA/ACC SCD prevention guidelines
Disclaimer: Educational reference only. Not a substitute for clinician judgment, local protocols, or current guideline review.
One-page reference
Draft content pending the site owner’s clinical review. Verify against the sources above and local protocol before clinical use.
1
What it is / why it matters
- Cessation of effective circulation — shockable (VF/pVT) vs non-shockable (PEA/asystole).
- Survival depends on early high-quality CPR and defibrillation.
2
Key diagnostic clues
- Unresponsive, no pulse, not breathing normally.
3
Initial workup
Reversible causes — H’s and T’s
- Hypoxia, Hypovolemia, H⁺ (acidosis), Hypo/Hyperkalemia, Hypothermia · Tension pneumothorax, Tamponade, Toxins, Thrombosis (coronary/pulmonary).
- High-quality CPR, early defibrillation for VF/pVT, epinephrine; identify and treat the reversible cause.
4
Management framework
- Post-ROSC 12-lead → emergent cath if STEMI or likely cardiac cause.
- Targeted temperature management (avoid fever); hemodynamic and ventilatory support.
- Delay neuro-prognostication; evaluate for ICD after reversible causes are excluded.
5
Red flags / escalate now
- Refractory VF / recurrent arrest → consider ECPR; activate the team.
6
Follow-up / monitoring
- Etiology workup; ICD evaluation when the cause is not fully reversible.
7
Clinic pearls
- Shockable rhythms have the best outcomes — defibrillate fast.
- Always hunt the H’s & T’s; post-arrest STEMI → cath lab.
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