Monday, July 27, 2020

NULL PLEASE Score

Q: 48 year old male is admitted to ICU after out of hospital cardiac arrest. While giving hands-off, ED physician said his NULL Please score is high. What is NULL-PLEASE score?

 Answer: The NULL-PLEASE is a clinical risk score to predict survival after Sudden Cardiac Arrest in out of hospital settings. 

  • Nonshockable rhythm, 
  • Unwitnessed arrest, 
  • Long no-flow or Long low-flow period,  
  • PH less than 7 .2,
  • lactate more than 7.0 mmol/L, 
  • End-stage chronic kidney disease, 
  • Age ≥85 years, 
  • Still resuscitation, and 
  • Extracardiac cause

#hemodynamic
#cardiology


Reference:


Potpara TS, Mihajlovic M, Stankovic S, et al. External Validation of the Simple NULL-PLEASE Clinical Score in Predicting Outcome of Out-of-Hospital Cardiac Arrest. Am J Med 2017; 130:1464.e13.

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