Talk:Cardiac arrest

cardiac embarrassment

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Pijkuoi

Peer Review

Great job on this article. This was an interesting read for me as I was seeing what changes you made to the article. From your original work plan, this is what I thought you did well and what you might want to add.

Introduction: I would explain what coronary artery disease, ventricular fibrillation, and a shockable rhythm (v tach and vfib) means Good work on explaining the less common causes without using jargon.

Signs and Symptoms: Good job on explaining cerebral perfusion! I would add that lack of circulation is determined by “no palpable pulse.”

Causes: I would clarify what adequate cardiac output is. Maybe say “adequate perfusion of the organs.” I would explain what v tach, v fib, PEA, and asystole mean.

Mechanism: I got this little explanation of v fib from https://www.mayoclinic.org/diseases-conditions/ventricular-fibrillation/symptoms-causes/syc-20364523. I think it would be helpful to explain this in more simple terms like this. “Ventricular fibrillation is a heart rhythm problem that occurs when the heart beats with rapid, erratic electrical impulses. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. Sometimes triggered by a heart attack, ventricular fibrillation causes your blood pressure to plummet, cutting off blood supply to your vital organs.”

Diagnosis: Good job explaining how cardiac arrest is clinically diagnosed by checking pulses.

Prevention: The only thing I might add to this section is what a “heart-healthy diet” actually is. This is a link I found for a heart-healthy diet from the American heart association https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/aha-diet-and-lifestyle-recommendations

Management: Good job adding sources!

Prognosis: I saw you added some resources from 2017 and 2018. Good job!

Epidemiology: I would add what differences there are among different ethnicities as well (e.g. African Americans, Native Americans, Latin Americans, etc.).

Sincerely,

JacknowledgeMD

About the distinctness of ventricular fibrillation and full arrest

My earlier edit was reverted, mainly because I said ventricular fibrillation "tends to lead to" cardiac arrest. The reverter claimed vfib *is* cardiac arrest proper.

This clearly isn't right. I've suffered two hard episodes of first atrial fibrillation, then ventricular tachycardia, and finally outright starting ventricular fibrillation. There was never any threat of death, even if normal heart function had to be restored by synchronized electrical cardioversion. Twice. It's asystole which counts as real death, to be resuscitated from, not vtach or even vfib. *And* it says so in the extant sources of the article, already. Decoy (talk)̃~

Peer Review

Great job editing this page and providing important information to the public. Here are my comments regarding your work and the plan you made initially!

General/Intro:

• Great edits. You added appropriate links to other articles. You also did a great job making this section concise and easy to understand.

Signs/Symptoms:

• You clarified the bystanders role if they suspect a cardiac arrest.
• You wrote that you would provide a list of common vs less common presentations. I see there is a list of nonspecific symptoms (worsening chest pain, fatigue, etc.) but I’m not sure if you meant to expand on the list.

Risk Factors:

• Great reference added with the 2021 meta-analysis.

Causes/Mechanisms:

• great addition of cardiac and non-cardiac etiologies
  • really good elaboration on the non-cardiac etiologies such as pulmonary embolus, diabetes, and medications.
• nice description of how arrhythmias cause sudden cardiac arrest

Diagnosis:

• Added more information on POCUS’ role on diagnosis
• Mentioned you wanted to expand the discussion of shockable vs non-shockable rhythms but not sure if there was more you wanted to add.

Management:

• Great additions to the management section.
• Strong reference on the dispatcher-assisted CPR study
• Great explanation of defibrillation, medications

Prognosis:

• good job providing updated information regarding hypoxic ischemic brain injury.

Strong Work! Ji119302 (talk) 23:47, 30 January 2024 (UTC)

Thank you for the review! I appreciate your comments. I restructured the medication section and added additional information about amiodarone, lidocaine, atropine, magnesium, bicarbonate, and calcium, as well as provided additional discussion regarding special conditions (dialysis patients and TCA overdose). I also added information to better define the shockable rhythms and provided additional references to support these changes. TRR2727 (talk) 20:35, 31 January 2024 (UTC)