How high is too high of a potassium to treat it with calcium chloride? I don't think I've seen the ER do dialysis during an arrest.What is the etiology of arrest?
A massive LCA occlusion isn’t going to get fixed outside of cath lab.
A kidney patient with a K of 11 isn’t going to live without emergent dialysis.
A uterine rupture or ruptured eptopic isn’t going to survive without emergency surgery.
A ductal dependent heart that is closing isn’t going to live without PGE.
There are many arrest calls that are clearly non-survivable, and there isn’t a good reason to transport those. Some arrests however are only viable in the presence of a major hospital, and pretending that the handfull of resuscitation medication on the ambulance is equivalent is quite presumptuous.
I am not knowledgeable on catherization during cardiac arrest. Do most STEMI facilities do this or just some? While the the arrest may have been caused by the occlude MI, it is possible to treat the arrhythmia without having to treat for the MI further? I know it wouldn't work in all cases, and sometimes an arrhythmia isn't the cause of the arrest from an MI, but wouldn't that work in some cases? Would it be reasonable to work the patient for 20+ minutes before making the decision to transport, if the cause is an MI?