Airway / BLS Flashcards
Proper compressions per minute?
100
Proper compression depth?
2 inches
Compression to breath ratio?
30:2
How long to do CPR after initial shock?
2 minutes
Which are the shockable rhythms?
- V fib
2. Pulseless V-tach
Strength in biphasic and monophasic?
- Mono: 360
2. Biphasic: 120
Epinephrine dosing in ALS?
1 mg every 3- 5 minutes
Amiodarone dosing ALS?
First dose: 300mg
Second dose: 150 Mg
Bag ventilation rate?
8 - 10 breaths per minutes
How to shock asystole or pulseless electrical activity?
DO NOT shock
How to confirm ET placement?
Waveform capnography: end tidal Co2
Rx persistent symptomatic bradycardia?
Atropine 0.5 mg every 3 - 5 minutes
- 3 mg max dose
- Dopamine or epinephrine can be used
- Transvenous pacing can also be used
Rx persistent symptomatic tachycardia?
- Sedated synchronized cardioversion
2. Adenosine 6mg: if regular and narrow (monomorphic)
How to open airway if no trauma?
Head tilt chin lift
How to open airway if trauma?
- C spine
2. Jaw thrust
How long to check carotids?
5 - 10 seconds
Which drugs can be given via NT tube?
"Navel" Naloxone Atropine Vasopressin Epinephrine Lidocaine
What to do if a problem encountered during survey?
Any problem should be addressed before moving on
Downside of longitudinal US?
Cannot see surrounding structures
GCS of what requires intubation?
9 or less
What does stridor indicate?
Inspiratory stridor (supraglottic) Expiratory stridor (subglottic)
What do hyperresonance and dullness indicate in chest percussion?
Hyperresonance: pneumothorax
Dullness: Hemothorax
Treatment tension pneumothorax?
Needle decompression using 14-16 gauge angiocath inserted at midclavicular line in the 2nd intercostal space, over the rib to avoid the neurovascular bundle
What to consider in in patients in shock with no breath sounds and/or percussion dullness?
Massive hemothorax
Rx hemothorax?
Large (36 f) chest tube and possibly a trip to OR
When to add blood to fluids in suspected hemorrhage?
AMS
What does a blown pupil suggest?
Uncal herniation
- From paralysis of PS fibers of pupillary constrictors of CN III
- Will see a dilated pupil due to unopposed sympathetic
What is necessary to remove C-spine?
Alert, not intoxicated Absence of neck pain Absence of midline neck tenderness Absence of distracting injury Absence of sensory or motor complaint
How much blood can hide in pelvis?
5 liters
Signs of compartment syndrome?
"5 P's" Pallor Pain Paresthesia Poikilothermic Pulseless: late finding
What type of blood is immediately available?
O Negative
- Males may receive O Positive blood
Imaging done in primary survey?
FAST
Xrays
What does tracheal deviation indicate?
Tension pneumothorax
