4H          4T
  .
Pavel Štětka, MD
ARK FNUSA Brno

4H          4T
  H-K, Ca , Mg            T-toxiny
Pavel Štětka, MD
ARK FNUSA Brno

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72year men with DM II type-insulin depend., CKD on chronic haemodialysis
emergency bcs.- dyspnoe, 2 min CPR
•A+B :oti+VCV
•C :PEA
•D : coma













27 year men , psoriasis
emergency bcs.- coma, hypotension, bradycardia
•A+B : spont ventilation-RF 10, spo293%,
•C : BP 75/45   HR sinus.bradycardia 42/min
•D : GCS E1 V2 M5

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cardiac arrest and intoxication
•Rare cause
•Young people
•Cause of CPR- cardiotoxicity +secondary insult- airway obstruction , aspiration, hypotension
•Prolonged CPR –how long?
•Toxicology center in CR

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