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Cardiac arrest, also known as sudden cardiac arrest, is when the heart suddenly and unexpectedly stops beating. [ 11 ][ 1 ] As a result, blood cannot properly circulate around the body and there is diminished blood flow to the brain and other organs. When the brain does not receive enough blood, this can cause a person to lose consciousness.
Hs and Ts. The Hs and Ts is a mnemonic used to aid in remembering the possible reversible causes of cardiac arrest. [1] A variety of disease processes can lead to a cardiac arrest; however, they usually boil down to one or more of the "Hs and Ts". [2][3][4]
Traumatic cardiac arrest can occur in patients following any severe blunt or penetrating injury to the chest. Following the traumatic event, the heart ceases to pump blood through the body. Unlike medical cardiac arrest, there are several potentially reversible causes that may result in cardiac arrest in the setting of trauma.
The causal pathology of the cardiac arrest is thought to be reversible with an available medical or surgical intervention. The ECPR guidelines produced by Alfred Health provides a more detailed series of indications which considers the specific indications for both out-of-hospital cardiac arrest (OOHCA) and in-hospital cardiac arrest (IHCA ...
While CPR is performed (which may involve either manual chest compressions or the use of automated equipment such as the AutoPulse or LUCAS device), members of the team consider eight forms of potentially reversible causes for cardiac arrest, commonly abbreviated as "6Hs & 5Ts" according to 2005/2010 AHA Advanced Cardiac Life Support (ACLS).
Clinical death. Clinical death is the medical term for cessation of blood circulation and breathing, the two criteria necessary to sustain the lives of human beings and of many other organisms. [1] It occurs when the heart stops beating in a regular rhythm, a condition called cardiac arrest. The term is also sometimes used in resuscitation ...
Pulseless electrical activity. Pulseless electrical activity (PEA) is a form of cardiac arrest in which the electrocardiogram shows a heart rhythm that should produce a pulse, but does not. Pulseless electrical activity is found initially in about 20% of out-of-hospital cardiac arrests [1] and about 50% of in-hospital cardiac arrests. [2]
Post-cardiac arrest syndrome. Post-cardiac arrest syndrome (PCAS) is an inflammatory state of pathophysiology that can occur after a patient is resuscitated from a cardiac arrest. [1] While in a state of cardiac arrest, the body experiences a unique state of global ischemia. This ischemia results in the accumulation of metabolic waste which ...
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