???????(out-of-hospital cardiac arrest) - PowerPoint PPT Presentation

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???????(out-of-hospital cardiac arrest)

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66 (out-of-hospital cardiac arrest) Sudden collapse during ... – PowerPoint PPT presentation

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Title: ???????(out-of-hospital cardiac arrest)


1
??????
  • ???
  • ????????? ????

2
  • 66????
  • ???????(out-of-hospital cardiac arrest)
  • Sudden collapse during sexual intercourse
  • PH HTN without control

3
  • Initial ECG

4
During resuscitation
5
??????(ROSC)
  • ROSC after 21 minutes of CPR in the ED
  • BP 175/76 mmHg, pulse rate 67 beats/min
  • PE unconscious with GCS of 2T
  • symmetrical pupils without light reflex
    breath sound clear
  • heart sound no murmur
  • abdomen np
  • extremities areflexia and hypotonia

6
12-lead ECG
7
  • ?????????
  • ???????????

8
Cardiac catheterization
9
Cranial CT
10
Final diagnosis
Subarachnoid hemorrhage
11
OHCA ?????
  • ACLS guidelines for resuscitation
  • Examinations after ROSC
  • Vital signs
  • Physical examinations
  • CBC, BCS, cardiac enzyme, ABG
  • Infection workups
  • ECG CXR
  • Cardiac catheterization
  • Cranial CT

12
????
  • Identify the causes of OHCA
  • Intensive care after ROSC
  • Treatments focused on etiology of cardiac arrests

13
????
14
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  • 45????4????,??????,???????,?????????,?????????????
    ,??????

15
(No Transcript)
16
????????
  • Advanced Trauma Life Support
  • ABCDE
  • Check the airway
  • Stop bleeding
  • Restore blood volume
  • Special consideration
  • EKG monitor?CVP?Pulse oximetry

17
?????????
  • Spine extremities fractures
  • Pneumohemothorax
  • Internal bleeding
  • ????????

18
(No Transcript)
19
(No Transcript)
20
(No Transcript)
21
(No Transcript)
22
??????????
  • Right tibia fracture???????
  • ????

23
????????????? ???????
24
(No Transcript)
25
(No Transcript)
26
???????????
  • Spine extremities fractures
  • Pneumohemothorax
  • Internal bleeding
  • fractures

27
???
  • 3???????????,????????
  • ????????,?????39C
  • ????????
  • ??????,???????????????????. ?????????????????.

28
???? (1 of 2)
  • ??????
  • ????,????,????
  • ????
  • ?? 110, ?? 28, ?? 85/70, ?? 39.9C, ??14 kg, ????
    95

29
???? (2 of 2)
  • A ??
  • B ??,??????
  • C ?????. ????????
  • ??????? 2 sec.
  • D ??????????
  • E ?????

30
???????
  • ?????
  • ?? ??
  • ?? ??????,????
  • ?? ??, ???, ??
  • ?????????????, ????????

31
??
  • ??????,??????????????? ?????????

32
????
  • ??
  • ????????????????
  • ???,??????????? ???????????

33
???????
  • ABCs
  • ??????????????
  • ??????????
  • ????6????5 ?
  • ????(?? 15 ??)
  • ????????

34
????
  • ??????
  • ???,?????????.
  • ?????????????.
  • ???????????????
  • ??????????????????

35
????
  • ?????????????????
  • ?????????????????????

36
????
  • ???????????????
  • ???????????????????

37
??? vs. ??????
??? ???
???? lt 15 ?? ??????????? 24??????? ????gt 15 ?? ????????????? ???24??????
38
?????????
  • ???????????????????
  • ??????????, ?????????????
  • ?????????,????????????????.?????????????.

39
?????????,???????????
  • ??????
  • ??????
  • ??

40
??
  • ???????,???????
  • ???????????
  • ?????????????
  • ???????????????????????
  • ?????
  • ???

41
??????
  • ??????
  • ???????,?????????
  • ???????
  • ???????
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