Advanced Life Support

Question 1

what is asystole?

Answer 1

cardiac arrest rhythm with no discernible electrical activity on the ECG monitor

Question 2

what is pulseless electrical activity?

Answer 2

ECG shows electrical activity that should produce a pulse, but where cardiac output is absent, or insufficient, such that a pulse is not clinically detectable

Question 3

what are non-shockable rhythms?

Answer 3

• asystole
• pulseless electrical activity

Question 4

what is the management of non-shockable rhythms?

Answer 4

• CPR!!!
• adrenaline 1mg IV given in 1st cycle
• adrenaline every other cycle whilst rhythm persists

Question 5

what are shockable rhythms?

Answer 5

• ventricular fibrillation
• pulseless ventricular tachycardia

Question 6

what is ventricular tachycardia?

Answer 6

regular broad complex tachycardia

Question 7

what is ventricular fibrillation?

Answer 7

chaotic irregular deflections of varying amplitude

Question 8

how are shockable rhythms managed?

Answer 8

1. CPR + shock
2. CPR + shock
3. CPR + shock
   amiodarone 300mg IV + adrenaline 1mg IV
4. CPR + shock
5. CPR + shock
   adrenaline 1mg IV
   ….