ALS

Question 1

What are the criteria to indicate CPR should be commenced?

Answer 1

Not conscious, not responsive, not breathing normally. Consider listening for pulse centrally.

Question 2

When do you give adrenaline in SHOCKABLE rhythms?

Answer 2

After the SECOND cycle/ shock, then every second cycle

Question 3

When do you give adrenaline in NON-shockable rhythms?

Answer 3

after the FIRST cycle

Question 4

When do you give amiodarone in ALS?

Answer 4

Only for shockable rhythms, after the THIRD cycle/ shock

Question 5

What dose of ADRENALINE do you give in resuscitation?

Answer 5

1mg (1 in 10,000, i.e. 1ml)

Question 6

What dose of AMIODARONE do you give in resuscitation?

Answer 6

300mg

Question 7

What are the 4 ‘H’s and Ts in ALS?

Answer 7

Hypoxia
Hypovolaemia
Hyper/ HypoKalaemia, metabolic disturbances
Hypo/Hyperthermia

Tension Pneumothorax
Tamponade
Thrombosis
Toxins

Question 8

What oxygen saturation range should you aim for in resuscitation?

Answer 8

15L high flow initially, then aim for 94-98% once more stable.

Question 9

What oxygen saturation should you aim for in a known CO2 retainer/

Answer 9

89-92%

Question 10

What imediate treatment for ACS should be considered?

Answer 10

Morphine
Oxygen
Aspirin (300mg dissolvable)
Nitroglycerin

Question 11

If a patients BSL is <4.0 in a resuscitation scenario, what should you give?

Answer 11

50ml of 10% glucose. Keep giving every minute if needed.

Question 12

What should you do during initially during ALS, prior to starting compression.

Answer 12

D - Ensure no immediate danger.

R - Assess for response, verbal then shake

S - send for help

A

• Open airway using head tilt + chin lift
• If risk of cervical spine injury then just use jaw thrust,

B
- assess for breathing (cheek next to airway + looking at chest), feel carotid at same time

C
- start compressions

Question 13

What rate should you perform chest compressions at?

Answer 13

100-120 BPM

Question 14

What does COACHED in ALS stand for?

Answer 14

Compression continues
Oxygen Away
All Clear
Charging
Hands Off
Evaluating
Discharging/ Dumping

Question 15

When are stacked shocks acceptable:

Answer 15

If patient monitored and witnessed cardiac arrest
Well oxygenated prior
Shock can be delivered with in 20 seconds (needs manual defibrillator)

Question 16

When is a praecordial thump used?

Answer 16

Cardiac arrest, with in 20 seconds, has VT (or VF maybe)