Adult Resus - Cardiac Arrest - 2023/12/01 Protocols

Question 1

In the adult arrest victim, which medications may be considered after 15 minutes of resuscitation?

Answer 1

• 50 mEq sodium bicarbonate - 1 gm calcium chloride

Question 2

In the adult arrest patient with a hypoxic or unknown etiology, how is airway management performed?

Answer 2

BVM ventilations q3-5 seconds

Question 3

In the adult arrest patient with a non-hypoxic etiology, how is initial airway management performed?

Answer 3

NRB at 15 LPM

Question 4

In the adult arrest patient with a non-hypoxic etiology, how is airway management changed after 660 compressions?

Answer 4

Switch to BVM ventilations and/or ETT/iGEL

Question 5

You are on scene of an adult cardiac arrest. At rhythm check, you find the following. How will you manage it?

Answer 5

Torsades de Points:

1 mg IV magnesium sulfate

Defibrillate at 200 J

Question 6

You are on scene of an adult cardiac arrest. At rhythm check, you find the following. How will you manage it?

Answer 6

Asystole:

1 mg 1:10,000 epinephrine IV

No shock advised

Continue chest compressions

Question 7

You are on scene of an adult cardiac arrest. At rhythm check, you find the following, after having seen this rhythm once previously. How will you manage it?

Answer 7

Ventricular fibrillation:

150 mg IV amiodarone

1 mg 1:10,000 IV epinephrine

Defibrilate at 200 J

Continue chest compressions for 2 minutes

Question 8

You are on scene of an adult cardiac arrest. At rhythm check, you find the following, after having seen asystole at prior checks. How will you manage it?

Answer 8

Ventricular fibrillation:

300 mg IV amiodarone

1 mg 1:10,000 IV epinephrine

Defibrilate at 200 J

Continue chest compressions for 2 minutes

Question 9

You are on scene of an adult cardiac arrest. At rhythm check, you find the following. You have given a total of 450 mg IV amiodarone, an initial dose of 1 mg/kg IV lidocaine. and the pt remains in this rhythm. How will you manage it?

Answer 9

V-Fib:

Subsequent 0.5-0.75 mg/kg IV lidocaine

1 mg 1:10,000 IV epinephrine

Defibrillate at 200 J

Continue chest compressions

Question 10

You are on scene of an adult cardiac arrest. At rhythm check, you find the following. You have given a total of 450 mg IV amiodarone and the pt remains in this rhythm. How will you manage it?

Answer 10

V-Fib:

1 mg/kg IV lidocaine

1 mg 1:10,000 IV epinephrine

Defibrillate at 200 J

Continue chest compressions

Question 11

In the adult cardiac arrest patient with suspected opioid overdose, what is the dose of Narcan administered?

Answer 11

2 mg IV/IO

Question 12

In the adult cardiac arrest patient with suspected opioid overdose, when is Narcan administered?

Answer 12

q2 min, repeated x2 for a total of 3 doses