Electric shock and lightning strike injuries result from the Lightning can also have widespread effects on the cardio- direct effects of current on the heart and brain and on cell vascular system, producing extensive catecholamine release membranes and vascular smooth muscle. Additional injuries or autonomic

D urovidertemapve es usfeation aiea p rege m r and Defibrillation Defibrillate using standard ACls defibrillation doses the fetus. The best hope of fetal survival is maternal survival. Class Ila).5 Review the ACLS Pulseless Arrest Algo- For the critically ill patient who is pregnant

lectrolyte abnormalities are commonly associated with inflammatory agents). Additional treatment is based on the cardiovascular emergencies. These abnormalities may everity of the hyperkalemia and its clinical consequences cause or contribute to cardiac arrest and may hinder resusci-

Anaphylaxis is a severe, systemic allergic reaction char- fatal reaction occurs within 10 to 15 minutes. Cardiovas- acterized by multisystem involvement, including cular collapse is the most common mechanism. 3-5 skin, airway, vascular system, and gastrointestinal trac

Asthma accounts for >2 million emergency department Primary Therapy visits and 5000 to 6000 deaths annually in the United Orygen States, many occurring in the prehospital setting. Severe Provide oxygen to all patients with severe asthma, even those

intentional hypothermia is a serious and preventable Severe(30C <30C [86. is associated with marked depression of (86F), provide active internal rewarming

wning is a leading preventable cause of unintentional been found to be clinically significant. The most important morbidity and mortality. Although this chapter focuses factors that determine outcome of drowning are the duration on treatment, prevention is possible, and pool fencing has and severity of the hypoxia

Part 10.2: Toxicology in ECC ients, but it is a leading cause of cardiac arrest Opiate poisoning causes respiratory depression victims <40 years of age. I-4 When a patient with poisoning followed by respiratory ins cy or arrest. Heroin over is in cardiac

asic and advanced life support for the trauma patient are effective and whether they adversely delay transport to, and fundamentally the same as that for the patient with a definitive management at, a hospital or emergency depart primary cardiac arrest, with focus on support of airway, ment(ED)

This section highlights recommendations for the support maximize arterial oxygen saturation and, in turn, arterial of ventilation and oxygenation during resuscitation and oxygen content. This will help support oxygen delivery the periarrest period. The purpose of ventilation during CPR (cardiac output x arterial oxygen content) when cardiac