若病人出現Asystole和PEA，要找哪些可能的原因？
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Ans: 5H5T
5H：
- Hypothermia：嚴重低體溫
- Hypoxia：缺氧的狀況
- Hypovolemia：血管內容積不足
- Hypo/Hyperkalemia：高低血鉀都可能造成
- Hydrogen：嚴重的酸中毒
(個人記法：Vital signs + 氫鉀)
5T：
- Toxin：中毒，要問病史
- Tension pneumothorax：張力性氣胸
- Thrombosis (pulmonary)：肺栓塞
- Thrombosis (MI)：心肌梗塞
- Tamponade：心包膜填塞
(口訣：2心2肺1毒)
※複習：
Q ：張力性氣胸如何緊急處理？
Ans：在第二肋間的肋骨上緣插針降壓 -
5T: 2心2肺1毒
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@yuchi1058 謝謝補充，馬上補進去 ^^
-
分享自創口訣: 5H5T, 榮陽請呷菸(昏) 大包小包都中毒 塞塞
改變一下排序
• Hypovolemia (低血容)
• Hypoxia(低血氧)
• Hydrogen(氫離子-->酸中毒)
• Hypo/Hyperkalemia： (鉀離子-->高低血鉀)
• Hypothermia(低體溫)• Tension pneumothorax：張力性氣胸 (大包是肺-->塞氣)
• Tamponade：心包膜填塞 (小包是心包-->塞水)
• Toxin：中毒，要問病史 (都中毒)
• Thrombosis (MI)：心肌梗塞 (塞心)
• Thrombosis (pulmonary)：肺栓塞 (塞肺) -
自創口訣分享+1~
氫氧鉀乾溫，兩心兩肺一中毒(後半感謝樓上上的靈感)
鉀乾溫：真感恩的台語氫：hydrogen
氧：hypoxia
鉀：hypo/hyper-kalemia
乾：hypovolemia
溫：hypothermia兩心：AMI+temponade
兩肺：pulmonary embolism+tension pneumothorax
(兩心兩肺的順序都是thrombosis[裡面塞住]+ 外面塞住)
一中毒：toxicology -
小補充：
Tension pneumothorax的插針位置有二---- 鎖骨中線與第二肋間交叉(2nd intercostal space in the midclavicular line)
- 腋前線與第四、五肋間交叉(4th, 5th intercostal space in the ant. axillary line)
又有文章指出1.優於2.(https://www.sciencedirect.com/science/article/pii/S0020138320308883)
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