Hypoglycemic cardiac arrest and rapid return-of-spontaneous circulation (ROSC) with dextrose

Autor:	Michael Yih Chong Chia, Joan Rui Shan Fun
Rok vydání:	2020
Předmět:	03 medical and health sciences 0302 clinical medicine business.industry Anesthesia Emergency Medicine Medicine 030208 emergency & critical care medicine In patient General Medicine Hypoglycemia Return of spontaneous circulation business medicine.disease
Zdroj:	The American Journal of Emergency Medicine. 38:1981.e1-1981.e3
ISSN:	0735-6757
DOI:	10.1016/j.ajem.2020.05.025
Popis:	Hypoglycemia was part of the "H's and T's" in the 2005 American Heart Association ACLS guidelines for reversible causes of cardiac arrest but was removed in subsequent editions. We present a case of return of spontaneous circulation in a patient with cardiac arrest after administration of dextrose for hypoglycemia. Routine administration of dextrose to patients in cardiac arrest has been shown to be associated with increased mortality and worse neurological outcomes. However, this case reminds the clinician to consider hypoglycemia in patients with cardiac arrest, and to attempt correcting a low blood glucose if noted.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::161090b967f001c2f573d85b9ff4b82b https://doi.org/10.1016/j.ajem.2020.05.025 Zobrazit plný text záznamu Full Text from ScienceDirect