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Home > Emergency Medical Minute > Podcast 845: Hyperkalemic Cardiac Arrest
Podcast: Emergency Medical Minute
Episode:

Podcast 845: Hyperkalemic Cardiac Arrest
Category: Science & Medicine
Duration: 00:04:27
Publish Date: 2023-01-16 14:50:00
Description:

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. 
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