Advanced Life Support

Question 1

effective chest compressions are done at what rate per min?

Answer 1

100-120 per minute

Question 2

what depth should chest compressions be?

Answer 2

5-6cm

Question 3

what should you make sure you do after pushing down on the chest?

Answer 3

allow effective recoil of the chest after the compression

Question 4

what oxygen flow rate should be administered for a pocket mask?

Answer 4

6-8l per minute

Question 5

when is the only time oxygen should be removed during CPR

Answer 5

when standing clear for defibrillation

Question 6

name the 4 H reversible causes of cardiac arrest

Answer 6

hypoxia
hypovolaemia
hypo/hyperkalaemia
hypothermia

Question 7

name the 4 T reversible causes of cardiac arrest

Answer 7

thrombosis
tamponade
toxins
tension pneumothorax

Question 8

Ix for hypothermia

Answer 8

low reading thermometer

Question 9

Tx for hypothermia

Answer 9

dry clothes

warm up fluids

Question 10

name becks triad for cardiac tamponade

Answer 10

hypotension
raised JVP
muffled heart sounds

Question 11

“pinpoint pupils”

Answer 11

opioid pupils

Question 12

symptoms of opioid toxicity

Answer 12

respiratory depression

pinpoint pupils

Question 13

symptoms of carbon monoxide poisoning

Answer 13

tachycardia
hyper/hypotension
pallor

Question 14

symptoms of cyanide poisoning

Answer 14

bradycardia + hypertension

then tachycardia, hypotension and red skin

Question 15

“cherry red skin”

Answer 15

cyanide poisoning

Question 16

when should IV adrenaline be started if the patient is in VF/VT?

Answer 16

after 3rd shock during chest compressions

Question 17

when should IV adrenaline be started if the patient is in asystole

Answer 17

as soon as IV access is achieved

Question 18

how often should IV adrenaline be given if treatment is decided?

Answer 18

every 3-5mins during alternate cycles of CPR

Question 19

why do you give adrenaline in an unconscious patient

Answer 19

increases chance of restoring circulation by vasoconstricting BVs to increase perfusion and augment venous return

Question 20

what ventilation rate should be given using an advanced airway?

Answer 20

10 breaths per min

Question 21

when are the only times that chest compressions should be interrupted?

Answer 21

when standing back for defibrillation

when the patient shows signs of spontaneous circulation

Question 22

the dial on the defibrillator should be set to __J

Answer 22

150

Question 23

the 2 shockable rhythms are…

Answer 23

VF

pulseless VT

Question 24

what number on the defibrillator should be pressed to shock the patient

Answer 24

3

Question 25

the 2 non-shockable rhythms are…

Answer 25

pulseless electrical activity

asystole

Question 26

outline the METHANE mnemonic for emergency handover

Answer 26

Major incident
Exact location
Type of incident
Hazards
Access
Number, type, severity of casualties
Emergency services present and needed