ACLS Flashcards
What is your reaction when you encounter an asystole patient?
Check pulse
Call for help
CPR immediately
VT/VF
Shockable
PEA/Asystole
Not shockable
What signs do we evaluate in The Cincinnati Prehospital Stroke Scale?
Facial droop
Arm drift
Abnormal speech
What is the dose of Streptokinase?
1.5 million units in a 1 hour infusion
How do we interpret The Cincinnati Prehospital Stroke Scale?
If any 1 of 3 signs is abnormal, the probability of stroke is 72%
What are the absolute contraindications of fibrinolytic therapy?
Prior intracranial hemorrhage
Known structural cerebral vascular lesion
Known malignant intracranial neoplasm
Ischemic stroke within 3 months, EXCEPT acute ischemix stroke within 3 hours
Suspected aortic dissection
Active bleeding or bleeding diathesis (excluding menses)
Significant closed head trauma or facial trauma within 3 months
What are the RELATIVE contraindications of fibrinolytic therapy?
History of chronic, severe, poorly controlled hypertension
SBP > 180 mmHg or DBP > 110 mmHg on presentation
History of prior ischemic stroke > 3 months, dementia, or other intracranial pathology
Traumatic or prolonged (>10 min) CPR or major surgery (5 days ago) or prior allergic reaction to these agents
Pregnancy
Active peptic ulcer
Current use of anticoagulants: higher INR, higher risk
What does TIMI Risk Score stands for?
Thrombolysis In Myocardial Infarction
Who founded the TIMI Study Group?
Eugene Braunwald, MD in 1984
What are the predictors of TIMI Risk Score for UAP/NSTEMI?
Age >64 years (1)
>2 risk factors for CAD (1)
Aspirin use in last 7 days (1)
Recent, severe symptoms of angina (1)
Elevated cardiac markers (1)
ST deviation > 0.4 mm (1)
Prior coronary artery stenosis >49 % (1)
How do we interpret the TIMI Risk Score for UAP/NSTEMI?
TIMI Risk Score Risk of >=1 PEP in death, new or recurrent MI, need for urgent revascularization
