Adult Cardiac Arrest Flashcards
What is the rate of chest compression in adult cardiac arrest?
100-120 bpm
What is the depth of chest compression in cardiac compressions?
5cm or 1/3 of the chest with full recoil
What is the rate of ventilations in cardiac arrest for an adult once an advanced airway is place?
6 per minute or 15:1 with compressions
What should you do immediately after defibrillation?
ECC for a further 2 mins
What are the 4 reversible H’s in cardiac arrest?
- hypoxia
- hypovolaemia
- hyper/hypokalemia
- hyper/hypothermia
What are the 4 reversible T’s in cardiac arrest?
- Tension pneumo
- tamponade (cardiac)
- toxins (overdose/poisoning)
- thrombosis (STEMI or PE)
What are the priorities in Traumatic cardiac arrest?
- haemorrhage control
- restoration circulating volume
- opening the airway
- decompress tension pneumo
What are we trying to achieve once we get ROSC?
- respiratory support
- maintain cerebral perfusion
- treat arrhythmias and other causes of arrest
What are the steps in medical cardiac arrest?
- compressions 30:2
- attach defib and monitor
- assess rhythm
- if shockable shock (BIG A after every 2nd shock) , if not shockable BIG A immediately, then every 2nd loop
What is post ROSC care in SAAS?
- re-evaluate ABCDE
- 12 lead ECG
- treat precipitating causes
- SpO2 94-98%
- Check BGL
- Manage temp
How often do we give adrenaline when the rhythm is shockable?
After every 2nd shock
How often do we give amiodarone when the rhythm is shockable?
300mg, once only, after 3 shocks
Outline the treatment of a traumatic cardiac arrest
- primary survey
- Control haemorrhage - direct pressure, arterial torniquet, pelvic binder, fracture management and splint
- control airway - open and early SGA
- chest decompression - bilat
- fluid resus 20ml, then 10ml PRN
