Sandbox

Condition	Common clinical settings	Corrective actions
Acidosis	*Preexisting acidosis, DM, diarrhea, drugs and toxins, prolonged resuscitation, renal disease, shock	"*Reassess adequacy of oxygenation, and ventilation; reconfirm endotracheal-tube placement
*Hyperventilate
*Consider intravenous bicarbonate if pH <7.20 after above actions have been taken"
Cardiac tamponade	Hemorrhagic diathesis, cancer, pericarditis, trauma, after cardiac surgery or MI	"*Give fluids; obtain bedside echocardiogram
*Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected."
Hypothermia	Alcohol abuse, burns, CNS disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma	"*If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.
*If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas"