99 Medical Cardiac Arrest Flashcards
What are the INDICATIONS for the MEDICAL CARDIAC ARREST medical directive
Which cardiac arrests are 1 analyse and go
Trauma
Pregnant over 20 weeks
Hypothermia
Airway Obstruction
Non-opioid OD
Reversible causes
With repeated pulseless VT/VF when do we leave scene?
Following 3 rounds of EPI (or 3 shocks, no access)
What is refractory VF/VT
VF/VT after 3 consecutive shocks
What are the Hs in Hs/Ts
Hypoxia
Hypovolemia
Hypoglycemia
Hydrogen
Hyper/Hypokalemia
Hypo/Hyperthermia
What are the Ts in Hs/ Ts
Thrombosis (cardiac and pulmonary)
Tamponade
Tn Pneumo
Trauma
Toxins
What are the CONDITIONS for EPI in CARDIAC ARREST?
24 hours
altered
IM: anaphylaxis
What are the CONTRAINDICATIONS for EPI in CARDIAC ARREST?
allergy
What is the dose of EPI in CARDIAC ARREST for ANAPHYLAXIS
0.01mg/kg (MAX 0.5mg)
What is the dose of EPI in CARDIAC ARREST for 24 hours to 12 years IV/IO/CVAD?
0.01mg/kg (MIN 0.05 mg)
0.1ml/kg (MIN 0.5 ml)
1:10,000 epi
What is the dose of EPI in CARDIAC ARREST for 24 hours to 12 years ETT?
0.1mg,ml/kg (MAX 2mg ) (MIN 0.5mg)
1:1000 epi
What is the dose of EPI in CARDIAC ARREST for ADULT IV/IO/CVAD?
1mg
What is the dose of EPI in CARDIAC ARREST for ADULT ETT?
2mg
What is the interval between doses for EPI in CARDIAC ARREST?
4 minutes
What are the CONDITIONS for AMIO in CARDIAC ARREST?
24 hours
altered
VF/VT
How do we round epinephrine for cardiac arrest?
Nearest 0.05mg
What are the CONDITIONS for LIDO in CARDIAC ARREST?
24 hours
altered
VF/VT
What is the max initial dose of AMIO in CARDIAC ARREST?
300mg
What is the max second dose of AMIO in CARDIAC ARREST?
150mg
What are the routes for amiodarone?
IV/IO/CVAD
What is the interval between doses for AMIO in CARDIAC ARREST?
4 minutes
What is the pediatric dose (24 hours to 12 years) formula for AMIO in CARDIAC ARREST?
5mg/kg
How does amiodarone come?
150ml/3ml
How MANY doses are given of AMIO in CARDIAC ARREST?
2
What is the dose of LIDO in CARDIAC ARREST for PEDIATRIC IV/IO/CVAD?
1mg/kg
What is the dose of LIDO in CARDIAC ARREST for PEDIATRIC ETT?
2mg/kg