• Am J Emerg Med · Sep 2020

    Case Reports

    Hypoglycemic cardiac arrest and rapid return-of-spontaneous circulation (ROSC) with dextrose - A case report.

    • Joan Rui Shan Fun and Chia Michael Yih Chong MYC Department of Emergency Medicine, Tan Tock Seng Hospital, Singapore. Electronic address: michael_yc_chia@ttsh.com.sg..
    • Department of Emergency Medicine, Tan Tock Seng Hospital, Singapore.
    • Am J Emerg Med. 2020 Sep 1; 38 (9): 1981.e1-1981.e3.

    AbstractHypoglycemia was part of the "H's and T's" in the 2005 American Heart Association ACLS guidelines for reversible causes of cardiac arrest but was removed in subsequent editions. We present a case of return of spontaneous circulation in a patient with cardiac arrest after administration of dextrose for hypoglycemia. Routine administration of dextrose to patients in cardiac arrest has been shown to be associated with increased mortality and worse neurological outcomes. However, this case reminds the clinician to consider hypoglycemia in patients with cardiac arrest, and to attempt correcting a low blood glucose if noted.Copyright © 2020 Elsevier Inc. All rights reserved.

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