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This is the most common electrolyte disorder associated with cardiac arrest.It is usually caused by impaired excretion by the kidneys, drugs or increased potassium release from cells and metabolic acidosis.Hyperkalaemia occurs in up to 10% of hospitalised patients.; in practice, hyperkalaemia is a continuum.

When possible, identify and treat life-threatening electrolyte abnormalities before cardiac arrest occurs.The following guidelines for resuscitation in special circumstances are divided into three parts: special causes, special environments and special patients.The first part covers treatment of potentially reversible causes of cardiac arrest, for which specific treatment exists, and which must be identified or excluded during any resuscitation.In one third (89; 31%) of these 286 patients, rescuers were able to achieve ROSC – thus when CPR is attempted, ROSC is not uncommon but subsequent neurologically intact survival is rare.Those who are unconscious but have not progressed to a cardiac arrest are much more likely to make a good neurological recovery.

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