ACLS

Question 1

ventilation and compressions

Answer 1

-30:2 unless airway -> 1 breath q 6s
-ventilations over 1s
-never stop compressions for intubation
-<10CO2 consider terminating CPR -> goal is 15

Question 2

Aspirin

Answer 2

162-325mg

Question 3

defib

Answer 3

-VF pulseless VT
-remove O2 before shock
-highest joules for VF

Question 4

bradycardia

Answer 4

-hypotension, AMS, shock, chest pain, acute HF -> TREAT

-1. atropine 0.5mg (try 2x and move on)
-2. pacing OR dopamine OR epinephrine

Question 5

tachycardia

Answer 5

-1. vagal maneuvers

-2.
-narrow regular- adenosine 6mg -> adenosine 12mg
-DO NOT GIVE ADENOSINE TO A WIDE COMPLEX (VTACH)
-narrow irregular- cardiazem
-wide complex- (vtach with pulse)- amiodarone
-unstable- synchronized cardioversion 100j -> double it

Question 6

V tach (with pulse)

Answer 6

-1. amiodarone 150mg in 100cc of normal saline over 10 mins
-2. lidocaine
-3. synchronize cardiovert

Question 7

ROSC protocol: post MI

Answer 7

-A- if not breathing on their own -> ET tube
-B- if abn -> 92-98% O2, 35-45 CO2
-C- if abn -> systolic BP 90, MAP 65
-D - if not responding or moving -> targeted temperature management- 32-36 degrees C for at least 24 hrs
-E - 12 lead, CT scan, etc.

-dont treat post MI rhythms (brady/tachy) until you done this !!!!!!!!!!!!!!!!

Question 8

BLS

Answer 8

-1. scene safety
-2. shake and shout
-3. call four help
-4. pulse (<10s)
-5. no breathing/agonal/gasping

-2inch
-100-120 / min
-never stop for >10s
-get help before compressions for adults

-kids:
-witnessed -> get help
-not witnessed -> CPR for 2 mins
-1 breath q 2-3s
-2 rescuers -> 15:2