ACLS

Question 1

Situations that warrant asynchronized high energy defibrillation

Answer 1

• VF
• Pulseless V tach
• Polymorphic ventricular tachycardia (torsades de pointes)

Start with 100 joules in all synchronized cardioversions, except in AF you will give 200 joules from the start. You may start with 50 joules in SVT and atrial flutter.

Question 2

Drugs that can be given via ETT

Answer 2

NAVEL

• Naloxone
• Atropine
• Valium
• Epinephrine
• Lidocaine

Note: double the dose

Question 3

Reversible causes of cardiac arrest

Answer 3

5 Hs, 5 Ts

• Hypovolemia
• Hypoxia
• Hydrogen ion (acidosis)
• Hypoglycemia
• Hypo-/hyperkalemia
• Hypothermia
• Tension pneumothorax
• Tamponade, cardiac
• Toxins
• Thrombosis, pulmonary
• Thrombosis, coronary