A cardiac arrest is presumed to be of the following aetiology if deterioration can be primarily attributed to the following: |
Ventilation |
|
Intubated |
Hypoxemia which may be due to known pulmonary disease (pneumonia, chronic obstructive pulmonary disease, asthma, etc.) or with airway obstruction that accompanies a decrease in mental status (due to analgesia/sedation, sleep apnea, hypoglycemia, etc.). Patients are further divided based on airway access prior to the arrest. |
Non-intubated |
Tracheostomy |
Rapid sequence intubation |
Includes cardiac arrest as a complication following airway management initiation |
Circulation |
|
Sepsis |
Hypoperfusion which may be due to loss of intravascular volume (including blood loss or fluid shift into the interstitial space), obstruction of forward flow, or secondary to impaired cardiac function. |
Clinical syndrome that results from a dysregulated inflammatory response to infection |
Hemorrhage |
Includes gastrointestinal bleeding and postoperative blood loss |
Pulmonary embolus |
Cardiac dysfunction |
Includes congestive heart failure and constrictive disease (ie. pericardial effusion) |
Dysrhythmia |
|
Ventricular fibrillation/ventricular tachycardia |
Abnormality in the rate, regularity, or rhythm of cardiac electrical activity as the primary cause of cardiac arrest. |
Vagal |
Identified as cardiac arrests preceded by bradycardia in the setting of an identifiable vagal stimulus (i.e. micturation, defecation, deep oral suctioning, position change, etc.) |
Neurological |
Acute neurological deficits or alteration in mental status, not attributable to hypoperfusion, hypoxemia, or hypoglycemia, which may include cerebrovascular accident or intracranial hemorrhage. |
Unknown |
Cause of arrest is not know n or could not be classified as any of the options above. |