in some patients, pulse detection may be difficult even when the patient is not in a severe shock state (e.g.treat hyperK with 10% calcium chloride and NaHCO3 the former will treat a low calcium and the latter will also help overcome sodium channel blockade.consider hyperkalaemia, hypocalcaemia or cardiotoxicity.treat the cause of obstructive shock, administer fluids and inopressors.tamponade, tension, dynamic hyperinflation or PE) or underfilling (e.g. early echocardiography, provides additional information regarding intravascular volume status (ventricular volume), cardiac tamponade, mass lesions (tumour, clot), left ventricular contractility and regional wall motion.early arterial line placement and ETCO2 monitoring.Survival upon hospital discharge and after 180 days occurred only in patients in pseudo-EMD (22.2% and 14.8%, respectively).rates of ROSC were 70.4% for those in pseudo-EMD, 20.0% for those in EMD, and 23.5% for those in asystole.94% of patients received ROSC and 50% had good neurological outcomes.
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