Managing Cardiac Arrest and Medications used in Cardiac arrest

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Cardiac arrest (CA) can be defined as the acute loss of heart function, either instantaneously or following a range of symptoms, ultimately leading to an arrest of circulation.

Clinically, the three classic characterizing features of Cardiac arrest are :

  • Pulselessness
  • Unresponsiveness and
  • Abnormal breathing — either agonal or absent.

The estimated annual incidence of out-of-hospital Cardiac arrest ranges anywhere from 250,000 to 420,000 and is still one of most common causes of death in the United States. There is a multitude of underlying etiologies with ischemic heart disease being the most common.

Common Causes of Nontraumatic Cardiac Arrest
Common Causes of Nontraumatic Cardiac Arrest

There are four main conduction rhythms of Cardiac arrest :

Shockable with a more favorable outcome:

  • Ventricular fibrillation (VF)
  • Pulseless ventricular tachycardia (pVT).

Nonshockable:

  • Pulseless electrical activity (PEA)
  • Asystole.
Emergency treatment algorithm for treatment of cardiac arrest

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