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A.

Consider VA ECMO-related causes of cardiac arrest:

Severe LV overload
LV and/or aortic root thrombosis due to blood stasis
Decreased myocardial oxygen delivery (DO2) due to differential oxygenation
Lack of preload due to excessive venous drainage

B.

Consider other reversible causes of intrahospital cardiac arrest:

Electrolytes abnormalities
Metabolic disturbances
Medications-related arrhythmia
Cardiac tamponade
Tension pneumothorax
Acute myocardial infarction
Pulmonary embolism
Not bleeding-related hypovolemia

C.

Treat the immediately reversible potential cause(s) if or as detected. Plan emergent treatment of the potential causes requiring cath lab or surgery if/as detected.