Adult Cardiac Arrest Algorithm

Question 1

How often should the compressor be rotated during an arrest?

Answer 1

q 2 minutes

Question 2

If no advanced airway, what is the compression-ventilation ratio on adults and children?

Answer 2

30:2

Question 3

What is the depth of compressions?

Answer 3

2 in

Question 4

PETCO2 < ______ mmHg indicates poor quality CPR

Answer 4

< 10mmHg

Question 5

If intra-arterial diastolic pressure < ____mmHg, CPR quality must be improved

Answer 5

< 20mmHg

Question 6

If manufacturer recommendation of initial dose is unknown for biphasic defibrillator, what dose should be selected?

Answer 6

maximum available

Question 7

monophasic defibrillator dose

Answer 7

360 J

Question 8

Which 2 rhythms are shockable in cardiac arrest?

Answer 8

VF

pVT

Question 9

Which 2 rhythms are not shockable in cardiac arrest?

Answer 9

asystole

PEA

Question 10

1st drug given after 2 rounds of shock and CPR in VF/pVT…

Answer 10

1 mg Epi IV/IO q 3-5 minutes

Question 11

What drug is given after 4 rounds of CPR, 3 shocks, and 1 dose of epi?

Answer 11

amiodarone 300mg IV/IO bolus

Question 12

1st dose of amiodarone…

Answer 12

300mg IV/IO bolus

Question 13

2nd dose of amiodarone

Answer 13

150mg IV/IO bolus

Question 14

indications for amiodarone

Answer 14

VF/pVT after epi

Question 15

Hs (5) and Ts (5) = reversible causes of arrest… what are they?

Answer 15

hypovolemia
hypoxia
hydrogen ions (acidosis)
hypo/hyperkalemia
hypothermia

Tension PTX
Tamponade
Toxins
Thrombosis pulmonary (PE)
Thrombosis coronary (MI)

Question 16

if an advanced airway is present during arrest, when should breaths be given?

Answer 16

1 breath q 6 seconds with continuous compressions

Question 17

what measure confirms and monitors ET tube placement

Answer 17

waveform capnography

Question 18

3 criteria that indicate ROSC

Answer 18

pulse + BP

abrupt increase in PETCO2 40mmHg +

spontaneous arterial pressure waves

Question 19

VF/pVT algorithm

Answer 19

1. CPR + O2
2. Defibrillator + IV/IO access
3. Shock
4. CPR + 1mg Epi
5. Shock
6. CPR + 300mg amiodarone
7. Shock and repeat

Question 20

PEA/Asystole algorithm

Answer 20

1. CPR + O2
2. Defibrillator + IV/IO Access
3. CPR + 1 mg Epi
4. Repeat with Epi q 3-5 minutes