In-Hospital Cardiopulmonary Arrest Symptoms

Are you evaluating a medical inpatient?

Yes

Has the patient developed the new onset of?

• difficult or labored breathing?

Yes

• increase in respiratory rate?

Yes

• shortness of breath?

Yes

• shallow breathing?

Yes

• agitation?

Yes

• lethargy?

Yes

• altered mental status?

Yes

• discomfort?

Yes

• gastrointestinal complaints?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of conditions that may be preceding a cardiopulmonary arrest

Should you be monitoring the patient more closely?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Basic Metabolic Profile (BMP) Risk Score (Intermountain Risk Score)
Other Testing
Criteria For Diagnosis
- Pediatric Advanced Warning System (PAWS)
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer

Therapy

Options
- Patient-At-Risk Early Warning Score
Selection
Failure Handling And Therapy Escalation
- Patient-At-Risk Early Warning Score
Prevention

Monitoring

Response To Therapy
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Adverse Effects
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Disease Progression
Complication Detection
- Modified Early Warning Score for a Hospital Inpatient
- Neonatal Trigger Score (NTS)

Societal Concerns

Economic Cost
- Ambulatory Severity Index (ASI)
- Patient Severity Index (PSI)
Public Health

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Societal Concerns

Objective

ICD-10

Clinical Antecedents Prior to an In-Hospital Cardiopulmonary Arrest

Purpose: To identify conditions affecting an inpatient that were reported by Schein et al as preceding a cardiopulmonary arrest.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Societal Concerns

Objective

ICD-10