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Cardiac Arrest: Difference between revisions
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==Special circumstances== | ==Special circumstances== | ||
In all circumstances the normal protocol for BLS and ALS is the cornerstone in the treatment of cardiac arrest. However some conditions encountered during resuscitation or as a cause of cardiac arrest, can affect the procedure. | In all circumstances the normal protocol for BLS and ALS is the cornerstone in the treatment of cardiac arrest. However some conditions encountered during resuscitation or as a cause of cardiac arrest, can affect the procedure. <cite>Soar8</cite> | ||
* <b>Anaphylaxis:</b> Anaphylaxis is a life-threatening hypersensitivity reaction and can be accompanied by airway/breathing/circulation problems due to swelling of the mucosa. The cause of the anaphylaxis should be identified and patients should receive intramuscular adrenaline before an intravenous route is established and anti-inflammatory drugs (steroids, anti-histamines) should be initiated. | * <b>Anaphylaxis:</b> Anaphylaxis is a life-threatening hypersensitivity reaction and can be accompanied by airway/breathing/circulation problems due to swelling of the mucosa. The cause of the anaphylaxis should be identified and patients should receive intramuscular adrenaline before an intravenous route is established and anti-inflammatory drugs (steroids, anti-histamines) should be initiated. | ||
* <b>Asthma:</b> The main troubles encountered in the resuscitation of patients with asthma relates to the underlying lung disease. In general increased lung resistance makes ventilation of these patients difficult and can increase the risk of gastric inflation. Early intubation is indicated in these patients. Due to the hyperinflation of the lungs more energy might be required in defibrillating these patients, as the heart is isolated by air. | * <b>Asthma:</b> The main troubles encountered in the resuscitation of patients with asthma relates to the underlying lung disease. In general increased lung resistance makes ventilation of these patients difficult and can increase the risk of gastric inflation. Early intubation is indicated in these patients. Due to the hyperinflation of the lungs more energy might be required in defibrillating these patients, as the heart is isolated by air. | ||