Recognising cardiac arrest

I attended a cardiac arrest recently with a Graduate Paramedic who commented that our patient’s agonal respirations made it challenging to palpate their carotid pulse (or lack thereof).

This led me to reflect on the difficulty the general public encounter when trying to figure out if a person who suddenly collapses is just ‘having a turn’ or something more sinister is at play – and what a fantastic job our call-takers do sorting this out without being in front of the patient.

(Un)fortunately I’ve witnessed more than one cardiac arrest, and no two have presented identically.

Almost 18 months ago, I linked to this fantastic article on EMS 12-Lead that takes you through 10 cardiac arrests which have been caught on video;

I think it’s worth reviewing these videos (and their associated dialogue) semi-regularly, and for those who are relatively new to the profession, remember that experience is what you get when you don’t have any !

Apparently, prior to arrival, our case looked something like this..