Key result
Spontaneous subarachnoid hemorrhage should be considered as a differential diagnosis in patients presenting with pre-hospital cardiac arrest to facilitate early identification and improve survival.
Physicians should consider spontaneous subarachnoid hemorrhage as a differential diagnosis in patients presenting with pre-hospital cardiac arrest to avoid delayed treatment.
May support considering subarachnoid hemorrhage in pre-hospital arrest differentials; leaves open prospective validation of survival impact.
Spontaneous subarachnoid hemorrhage is the most common neurological disorder leading to pre-hospital cardiac arrest. ECG changes in SAH may mimic myocardial infarction or ischemia, and thus lead to delayed treatment of the primary problem. Early identification of SAH-induced cardiac arrest with the use of computed tomography scan of the brain obtained immediately after resuscitation will aid emergency physicians make further decisions. The overall prognosis of patients who are resuscitated is extremely poor. But, prompt neurosurgical referral and multidisciplinary intensive care management can improve the survival rate and the functional outcome. Thus, physicians should consider SAH as a differential diagnosis in patients presenting with pre-hospital cardiac arrest.
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Sohil Pothiawala (2012) conducted a review in Pre-hospital cardiac arrest and spontaneous subarachnoid hemorrhage. Spontaneous subarachnoid hemorrhage was evaluated. Spontaneous subarachnoid hemorrhage should be considered as a differential diagnosis in patients presenting with pre-hospital cardiac arrest to facilitate early identification and improve survival.
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