Title: Tips for the Resuscitationist - "PQRST"<br/>Author: Michael Winters<br/><a href='http://umem.org/profiles/faculty/141/'>[Click to email author]</a><hr/><p>
<u><strong>"PQRST" - Capnography in Cardiac Arrest</strong></u></p>
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Resuscitation of the patient in cardiac arrest can be stressful, chaotic, and variable depending on the setting.</li>
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Capnography is a valuable tool in the management of patients in cardiac arrest.</li>
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Heradstveit, et al. published a pneumonic for the use of capnography during cardiac arrest:
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<strong>P</strong> - Position of the tube
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The sensivity and specificity of capnography for endotracheal tube confirmation is superior to auscultation and capnometry.</li>
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<strong>Q</strong> - Quality of CPR
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Early detection of poor-quality compressions.</li>
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<strong>R</strong> - ROSC
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A sudden increase in end-tidal CO2 can indicate ROSC without interrupting CPR for pulse checks.</li>
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<strong>S</strong> - Strategy
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May assist clinicians in determining underlying etiology of cardiac arrest.</li>
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<strong>T</strong> - Termination
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An end-tidal CO2 value < 10 mm Hg after 20 min of resuscitation has been shown to be very accurate in predicting death.</li>
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<fieldset><legend>References</legend>
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Heradstveit BE, Heltne JK. PQRST - A unique aide-memoire for capnography interpretation during cardiac arrest. <em>Resuscitation</em> 2014; 85:1619-20.</p>
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