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Differential Diagnosis Table The acronym “PATCH(4) MD’s” provides a guide to problem search Problem Assessment Possible Interventions Pulmonary Embolism No pulse w/ CPR JVD Thrombolytics Surgery Acidosis (preexisting) Diabetics/renal ABG’s, bicarbonate Sodium Hyperventilation Tension pneumothorax No pulse w/ CPR JVD Tracheal deviation Needle thoracotomy Cardiac Tamponade No pulse w/ CPR JVD Narrow pulse pressure prior to arrest Pericardioentisis Hyperkalemia (preexisting) Renal patient EKG Serum K level Sodium bicarbonate, calcium chloride, Albuterol, nebulizer, insulin/glucose, Dialysis, diuresis, Hypokalemia EKG, serum K level Treat with great prudence after careful assessment of the cause. (K can kill) Hypovolemia Collapsed vasculature Fluids Hypoxia Airway Cyanosis, ABG’s Oxygen Ventilation Myocardial infarct History EKG Acute Coronary Syndrome algorithm Drugs Medications Toxins, illicit drug use Treat accordingly Shivering Low core temperature Hypothermia Algorithm ©AmericanHeartClasses.com - CPR 3G - (877) 311-4CPR (4277) BLS ACLS PALS - FACEBOOK: CPR3G