Adult Cardiac

Question 1

Unstable Bradycardia

Answer 1

-Scene safe > BSI > Unstable? > ABC’s > Vitals

1) O2, Monitor, IV
2) Atropine
3) Pace OR Dopamine OR Epi

Question 2

Stable SVT

Answer 2

Scene safe > BSI > ABC’s > Vitals

1) O2, Monitor, IV
2) Vagal Maneuver
3) Adenosine
4) Diltiazem or Verapamil
5) Propranolol

Question 3

Stable Irregular SVT

Answer 3

Scene safe > BSI > ABC’s > Vitals

1) O2, Monitor, IV
2) CMC
3) Diltiazem
4) Propranolol

Question 4

Unstable SVT

Answer 4

Scene safe > BSI > ABC’s > Vitals

1) O2, Monitor, IV
2) Synchronized cardioversion (Afib vs AFlutter)
3) CMC

Question 5

Stable Monomorphic VTach

Answer 5

Scene safe > BSI > ABC’s > Vitals

1) O2, Monitor, IV
2) CMC
3) Adenosine (Diagnostic)
4) Amiodarone OR Sotalol OR Procainamide
5) Lidocaine
6) Consider synchronized cardioversion

Question 6

Stable Polymorphic VTach

Answer 6

Scene safe > BSI > ABC’s > Vitals

1) O2, Monitor, IV
2) CMC
3) Short QT: Amiodarone, Beta blockers
Long QT: Magnesium sulfate
4) Consider cardioversion

Question 7

Unstable VTach

Answer 7

Scene safe > BSI > ABC’s > Vitals

1) O2, Monitor, IV
2) Cardioversion
Monomorphic: Synchronized 100J BiP
Polymorphic: Unsynchronized Defib
3) Reassess
4) CMC

Question 8

Pulseless Vfib/VTach

Answer 8

Scene safe > BSI > ABC’s

1) CPR, BVM, Monitor, Defib
2) CPR, IV/IO, Defib
3) CPR, Epi, Intubate w/ capno, Defib
4) CPR, Amiodarone, Causes/Asystole, Defib
5) CPR, Epi, Defib
6) CPR, Amiodarone, Defib
7) CPR, consider termination

Question 9

Asystole/PEA

Answer 9

Scene safe > BSI > ABC’s

1) CPR, BVM, Monitor
2) CPR, IV/IO, Epi, Intubate
3) CPR, Causes
4) CPR, EPI

Question 10

ROSC

Answer 10

1) O2, Capno between 35-40
2) Treat hypotension if less than 90
Epi or Dopamine drip
H’s and T’s
3) 12 lead (check for MI and treat)
Temp control