The acronym 5H-5T directs the search for
the problem.
Problem |
Assess
|
Possible
Interventions |
TEP |
No pulse w/ CPR, JVD (Ecografia) |
Thrombolytics, surgery |
Tension
neumotorax |
No pulse w/ CPR, JVD, tracheal
deviation |
Needle thoracostomy |
cTnI+
(SCA) |
History, EKG |
Acute Coronary Syndrome
algorithm |
Toxicos
Drug
Overdose |
Medications, illicit drug
use |
Treat accordingly |
Tamponade cardiac |
No pulse w/ CPR, JVD, narrow
pulse pressure prior to arrest |
Pericardiocentesis |
H+Acidosis
(preexisting) |
Diabetic/renal patient,
ABGs |
Sodium bicarbonate,
hyperventilation |
Hyperkalemia
(preexisting) |
Renal patient, EKG, serum
K level |
Manejo |
Hypothermia |
Core temperature |
Hypothermia Algorithm |
Hypovolemia |
Collapsed vasculature |
Fluids (fisiologico) |
Hypoxia |
Airway, cyanosis, ABGs |
Oxygen, ventilation |
|