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He also had a history of chronic kidneydisease, stage III. Angio had shown some acute disease in the saphenous vein graft to the posterior descending artery off of the RCA. Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? If the patient is at 1.8,
2] Curiously, ACLS does not include consideration of calcium in its bradycardia algorithm, which could have prevented the arrest and which along with the epi produced ROSC. HyperKalemia with CardiacArrest. Acute hyperkalemia in the emergency department: a summary from a KidneyDisease: Improving Global Outcomes conference.
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