Hyperkalaemic Cardiac Arrest

Calcium + insulin/dextrose + dialysis

First 30 seconds

  1. 1Standard ACLS
  2. 2Calcium chloride 10 mL 10% (or calcium gluconate 30 mL 10%) IV push
  3. 3Insulin 10 U + 25 g dextrose IV
  4. 4Sodium bicarbonate 50 mmol IV if acidotic
A

Airway

  • Patency, protect
  • Adjuncts / definitive airway
B

Breathing

  • RR, SpO₂
  • O₂ to target sats
C

Circulation

  • HR, BP, IV access
  • Fluids/vasopressors
D

Disability

  • AVPU/GCS, pupils, glucose
E

Exposure

  • Full exposure, bleeding, source
View flowchart algorithm

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Clinical Decisions in Seconds