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Older children will often squat instinctively during a tet spell. [17] This increases systemic vascular resistance and allows for a temporary reversal of the shunt. It increases pressure on the left side of the heart, decreasing the right to left shunt, thus decreasing the amount of deoxygenated blood entering the systemic circulation. [21] [22]
Return of spontaneous circulation (ROSC) is the resumption of a sustained heart rhythm that perfuses the body after cardiac arrest. It is commonly associated with significant respiratory effort. Signs of return of spontaneous circulation include breathing, coughing, or movement and a palpable pulse or a measurable blood pressure.
Acidosis (hydrogen cation excess) is an abnormal pH in the body as a result of lactic acidosis which occurs in prolonged hypoxia and in severe infection, diabetic ketoacidosis, kidney failure causing uremia, or ingestion of toxic agents or overdose of pharmacological agents, such as aspirin and other salicylates, ethanol, ethylene glycol and other alcohols, tricyclic antidepressants, isoniazid ...
According to the CDC, the specific objectives of the project are: [7]. To quantify the incidence and location of cardiac arrest events; To track the performance of each component of the Emergency Medical Services system (e.g., 9-1-1 dispatching and pre-arrival phone instructions, bystander care, first responder, ALS ambulance and definitive care)
Shock is a medical emergency and requires urgent medical care. If shock is suspected, emergency help should be called immediately. While waiting for medical care, the individual should be, if safe, laid down (except in cases of suspected head or back injuries). The legs should be raised if possible, and the person should be kept warm.
The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly). The primary indication for a resuscitative thoracotomy is a patient with penetrating chest trauma who has entered or is about to enter cardiac arrest. [4]
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Over the years, the American Heart Association has added two new links to the chain: post-resuscitation care in 2010, [7] [3] and physical and emotional recovery in 2020. [4] Also in 2020, the American Heart Association issued a new pediatric chain of survival for infants, children, and adolescents. [8]