Advanced Life Support

Question 1

What is the transcutaneous pacing amp you need?

Answer 1

50 - 100 mA

Question 2

What electrolyte disorder can affect the effectiveness of transcutaneous pacing?

Answer 2

Hyperkalaemia

Question 3

Where should the 3 lead adhesive electrodes be placed during cardiac arrest?

Answer 3

Over bone

Question 4

During drowning does cardiac or respiratory arrest occur first?

Answer 4

Respiratory Arrest

Question 5

What prevents the immediate entry of water into the victims lungs?

Answer 5

Laryngospasm

Question 6

What are the 3 indications for 10mls of 10% Calcium chloride during cardiac arrest PEA?

Answer 6

Hyperkalaemia + Hypocalcaemia + Overdose of calcium channel blockers

Question 7

What is Pulseless electrical activity?

Answer 7

is characterised by evidence of ventricular activity on the ECG that would normally be associated with a pulse.

Question 8

T/F if someone is ‘DNA-CPR’ you always switch of there ICD?

Answer 8

False - some people may not be for cpr but still want the treatment the ICD can offer

Question 9

In bradycardia what is the rate of adrenaline infusion?

Answer 9

2-10 mcg/min

Question 10

T/F defibrillation in asthma may require higher energies due to thoracic impedance?

Answer 10

True

Question 11

T/F seizures occur in about one third of patients who remain comatose after ROSC?

Answer 11

True

Question 12

What are the shockable rhythms?

Answer 12

Ventricular Fibrillation + pulseless Ventricular Tachycardia

Question 13

IS adenosine contrainidicated in asthma?

Answer 13

Yes

Question 14

For broad complex tachycardia what energy do you start at for your first synchronised shock?

Answer 14

120 - 150j

Question 15

What shock do you give in AF?

Answer 15

Maximum defibrillator energy

Question 16

Dose of atropine?

Answer 16

500 mcg upto max of 3 grams

Question 17

Isoprenaline starting dose?

Answer 17

5mcg/min

Question 18

Adrenaline starting dose?

Answer 18

2-10 mcg/min

Question 19

BB overdose what do you give?

Answer 19

Glucagon

Question 20

Anaphylaxis dose Adrenaline (1:1000)? Adult and child over 12? 6 years to 12? 6 months to 6 years? Less than 6 months?

Answer 20

> 12 years = 500mcg IM (0.5ml)
6 years to 12 years = 300 mcg (0.3ml)
6 months to 6 years = 150 mcg (0.15mls)
Less than 6 months = 100mcg (0.1mls)

Question 21

Tx for Hyperkalaemia emergency?

Answer 21

1) 10mls 10% Calcium chloride
2) 10 units short acting insulin in 25G glucose IV
3) 50mla of 8.4% sodium bicarbonate (If severely acidotic)

Question 22

CPR in pregancy? right or left lateral tilt

Answer 22

Left lateral tilt

Question 23

What week gestation should urgent perimortem delviery be considered in obstetric cardiac arrest?

Answer 23

Over 20 weeks

Question 24

1) 400 mcg
2) 800 mcg
3) 800 mcg

Answer 24

Initial doses of Naloxone for opioid overdose?

Question 25

Asthma Treatment?

Answer 25

1) 5mg oxygen delivered salbutamol Nebs every 30 mins 2) Ipratropium bromide 500mcg every 4 hourly 3) Prednisolone 50mg OD or 100mg Hydrocortisone QDS 4) 2g IV magnesium sulfate over 20 minutes 5)

Question 26

In refractory Anaphylaxis (no response to two shots of 0.5mg IM adrenaline)what are the next steps?

Answer 26

Adrenaline infusion (1ml/kg/hour) +/- Nebulised adrenaline 5ml of 1mg/ml)

Question 27

What is commotio cordis?

Answer 27

Actual or near cardiac arrest caused by blunt impact to the chest wall over the heart

Question 28

In hypothermia, what core temperature do you have to achieve before giving adrenaline?

Answer 28

>30 degrees

Question 29

Between 30-35 degrees, als in hypothermia says the intervals of adrenaline should be?

Answer 29

Double normal intervals (between 6-10 minutes)

Question 30

How many cm does defib pads need to be from ICD?

Answer 30

> 8cm