8- Cardiac Survival

Question 1

5 step chain of survival

Answer 1

1- Recognition and EMS activation
2- Early CPR
3- Rapid Defib
4- Effective ALS
5- Integrated post-cardiac arrest care

Question 2

Building blocks of CPR from ok to great

Answer 2

• Chest compressions
• 30:2 CPR
• Multi-rescuer coordinated CPR

Question 3

What is the best treatment for Vfib

Answer 3

Defib

Question 4

What is the goal of CPR

Answer 4

To prolong Vfib to increase the chance of survival

Question 5

Indicator for a Precordial Thump

Answer 5

Witness Vfib without defib immediately available

From the elbow with the fist

Question 6

When to defib 1st vs CPR 1st

Answer 6

Defib 1st- Witnessed arrest, CPR until defib is ready

CPR 1st- Unwitnessed arrest, 5 cycle of 30:2

Question 7

What is the GOLD standard for CPR

Answer 7

CPR with ONE defib

Question 8

What is transthoracic impedance

Answer 8

The energy needed to defibrillate across the body

Question 9

Indications of synchronized cardioversion

ALL MUST APPLY

Answer 9

• TachyC (wide or narrow)
• Organized QRS
• Pulses present
• Hemodynamically unstable
  
  • ALOC, Ongoing CP, HypoT

Question 10

Contraindications of cardioversion

Answer 10

• Junctional Tach
• Multifocal atrial tach
• Vfib/VTach

Question 11

SVT cardioversion Joules

Answer 11

Afib- 100-120 J BiP

AFlutter- 50-100 J BiP

Question 12

VTach cardioversion Joules

Answer 12

Monomorphic- 100 > 200 > 300 > 360 J BiP, Increase dosage if you want

Polymorphic- Treat as Vfib