Adult Advanced Life Support 2021

Question 1

Chest compression to ventilation ratio

Answer 1

30 : 2

Question 2

Shockable rhythms

Answer 2

pVT
VF

Question 3

Non shockable rhythms

Answer 3

Asystole
PEA

Question 4

Where do you place defib pads normally

Answer 4

Below R clavicle
V6 position (midaxillary line)

Question 5

Stop CPR for rhythm analysis for

Answer 5

< 5 seconds
ASAP once defib pads are on is put on

and then every other 2 mins (10 breaths on BVM)

Question 6

After every 2 minute cycle (10 breaths BVM) of CPR

Answer 6

Stop for <5s for rhythm analysis

Question 7

In VF / pVT shock at what energy for 1st shock

Answer 7

200J

Question 8

In shockable rhythms, after 3 shocks; give what?

Answer 8

Amiodarone 300mg IV
Adrenaline 1mg IV (1:10,000)

Question 9

In shockable rhythms give Adrenaline

Answer 9

after 3rd shock
Adrenaline 1mg IV
every 3-5mins

Question 10

If treating for shockable rhythms and a non-shockable rhythm shows then

Answer 10

Switch to non-shockable algorithm

Question 11

In non-shockable rhythms give Adrenaline

Answer 11

ASAP
Adrenaline 1mg IV
every 3-5mins

Question 12

During CPR try to

Answer 12

recognise and treat reversible causes (4Hs & 4Ts)

Question 13

What are the 4 Hs

Answer 13

Hypoxia
Hypovolaemia
Hypo/hyperthermia
Hypo/hyperkalaemia

Question 14

What are the 4 Ts

Answer 14

Thrombus (coronary/pulmonary)
Toxins
Tension Pneumothorax
Tamponsade (Cardiac)

Question 15

In VF / pVT shock at what energy for 2nd shock

Answer 15

300J

Question 16

In VF / pVT shock at what energy for 3rd shock

Answer 16

360J

Question 17

Don’t give adrenaline when…

Answer 17

You are coming up to a rhythm check (every 2 mins). Wait until after.

Question 18

If switching from shockable to non-shockable then continue over the…

Answer 18

adrenaline time. Continue to give 3-5 mins after previous despite a switch of algorithm.