Emergency Medical Minute

Podcast 845: Hyperkalemic Cardiac Arrest


Listen Later

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Hyperkalemia may cause cardiac arrest
  • Treatment of suspected hyperkalemic cardiac arrest begins with typical management of cardiac arrest including high-quality CPR, defibrillation if appropriate, and resuscitation medications
    • Administer calcium products to stabilize cardiac membrane and potassium shifting medications
    • If ROSC is achieved, initiate dialysis
  • There are several case reports of patients being dialyzed while CPR is ongoing, with some success
    • Dialysis during resuscitation may be an appropriate treatment for some patients

References

Jackson MA, Lodwick R, Hutchinson SG. Hyperkalaemic cardiac arrest successfully treated with peritoneal dialysis. BMJ. 1996;312(7041):1289-1290. doi:10.1136/bmj.312.7041.1289

Kao KC, Huang CC, Tsai YH, Lin MC, Tsao TC. Hyperkalemic cardiac arrest successfully reversed by hemodialysis during cardiopulmonary resuscitation: case report. Chang Gung Med J. 2000;23(9):555-559.

Torrecilla C, de la Serna JL. Hyperkalemic cardiac arrest, prolonged heart massage and simultaneous hemodialysis. Intensive Care Med. 1989;15(5):325-326. doi:10.1007/BF00263870

Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.

...more
View all episodesView all episodes
Download on the App Store

Emergency Medical MinuteBy Emergency Medical Minute

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

261 ratings


More shows like Emergency Medical Minute

View all
EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

EMCrit FOAM Feed

1,875 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

503 Listeners

Core EM - Emergency Medicine Podcast by Core EM

Core EM - Emergency Medicine Podcast

260 Listeners

The Resus Room by Simon Laing, Rob Fenwick & James Yates

The Resus Room

96 Listeners

EM Clerkship by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

EM Clerkship

806 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,368 Listeners

Core IM | Internal Medicine Podcast by Core IM Team

Core IM | Internal Medicine Podcast

1,147 Listeners

Annals On Call Podcast by American College of Physicians

Annals On Call Podcast

194 Listeners

The Clinical Problem Solvers by The Clinical Problem Solvers

The Clinical Problem Solvers

519 Listeners

Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

Harrison's PodClass: Internal Medicine Cases and Board Prep

367 Listeners

Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Critical Care Scenarios

256 Listeners

The Curious Clinicians by The Curious Clinicians

The Curious Clinicians

375 Listeners

Ninja Nerd by Ninja Nerd

Ninja Nerd

323 Listeners

Critical Care Time by Critical Care Time Podcast

Critical Care Time

270 Listeners

The World’s Okayest Medic Podcast by Mike Carunchio

The World’s Okayest Medic Podcast

213 Listeners