C: Circulation
Consider the following points:
- Are you titrating adrenaline yet?
- Weigh up whether your patient is best positioned sitting up (breathless) or flat with leg elevation (shocked)
- Crystalloid not colloid (as colloids are allergenic)
- Give 1000 ml fluid challenges if the patient is hypotensive; half that in patients with known cardiac failure, listening carefully for lung crepitations in between boluses
- 4-8 litres of crystalloid may be required in the peri-arrest or arrest case. Worth repeating that: 4-8 litres
- Consider inserting an arterial line