Als

Question 1

Depth and rate of compressions

Answer 1

1/3 of chest and 100-120 rate

Question 2

Adult and paeds breath Per min during CPR

Answer 2

8-10 breath per min during cpr

Question 3

Post resus observation goals

• sa02
• temp
• bp
• bsl

Answer 3

94-98%
Bp >100
32-36 temp
BSL 4-10mmol

Question 4

5 h’s

Answer 4

Hypoxia
Hypovolemia
Hyper/hypokalcemia
Hypothermia /hyperthermia

Question 5

4 T’s

Answer 5

Tension pneumothorax
Toxin
Tamponade
Thrombosis

Question 6

ETT cuff size paeds

Answer 6

Age/4 + 4

Question 7

Paeds ETT length

Answer 7

Age/2 + 12

Question 8

Adult and paeds adrenaline dose

Answer 8

Adults : 1mg every 3-5min

Paeds : 10mcg/kg

Question 9

Amiodarone dose

Answer 9

300mg after 3rd shock

5mg/kg after 3rd shock

Question 10

Nsaline dose

Answer 10

Adult : 20ml/kg

Question 11

Sodi bic NaHCo3 dose

Answer 11

Adults 50mmol
Paeds
0.5-1 mmol/kg

Question 12

KCL dose

Answer 12

Adult 5mmol

Paeds 0.05 mmol/kg

Question 13

What type of blade for paeds

Answer 13

Straight blade

Question 14

How do you inset a oropharyngeal airway for paeds

Answer 14

Right way Up or sideways then invert to right way due to their hard palate and compressible floor of mouth

Question 15

3 differences between adult and paed cardiovascular system

Answer 15

1 fixed stroke volume

2. Faster normal hr
3. Greater oxygen demand

Question 16

Majority of paeds arrests from

Answer 16

Hypoxia

Hypovolemia

Question 17

How many joules?

Answer 17

200j or 4j/kg

Question 18

What is breaths per min when intubated?

Answer 18

Adults 10 per min (1/15 compressions)

Paeds 1/10

Question 19

Depth of compressions

Answer 19

1/3 chest
Adults: 5
Child 5
Infant 4cm

Question 20

Interruptions… how long?

Answer 20

<5sec

Question 21

Co2 levels indicating cpr effectiveness

Answer 21

<10 poor cpr
>15 effective
>50 rosc

Normal is 35-45

Question 22

Sudden loss of waveform

•

Answer 22

•
ET tube disconnected,
dislodged, kinked or obstructed
Loss of circulatory function

Question 23

Decreasing EtCO2

Answer 23

ET tube cuff leak
ET tube in hypopharynx
Partial obstruction

Question 24

Sudden increase in EtCO2

Answer 24

Return of spontaneous

circulation (ROSC)

Question 25

Cardio version. When do you shock?

Answer 25

On r wave

Question 26

Electrical capture mean

Answer 26

QRS complex following each pacing spike

Question 27

Mechanical capture

Answer 27

Pulse with each paced beat

Question 28

Failure to capture

Answer 28

Absence of pacing spike on ecg

Question 29

Loss of capture

Answer 29

No QRS after pacing spike

Question 30

Cacl dose

Answer 30

10mls 10% 0.2ml/kg

Question 31

Glucose dose

Answer 31

50% 50mls 2.5ml/kg

Question 32

Shockable rhythms

Answer 32

VT VF torsades

Question 33

Non shockable

Answer 33

Astoyle Pea Organised rhythm

Question 34

Atrial rate

Answer 34

Count p waves x 10

Question 35

Ventricular rate

Answer 35

Count QRS complexes x 10

Question 36

What is SNAPPI

Answer 36

Stop and prioritise Notify the team of the situation Assess what is going on Plan Prioritise Invite ideas

Question 37

What is this Rhythm? Shockable or not?

Answer 37

VF shock

Question 38

What is this Rhythm? Shockable or not?

Answer 38

Fine VF shock

Question 39

Answer 39

Oesophageal intubation

Question 40

How to insert a OPA? Adult vs paed

Answer 40

Adult: Insert inside down. Rotate 180 once behind the tongue Kid: insert right way up may need tongue depressor

Question 41

What is this? Shock or not?

Answer 41

VT Shock if unconscious

Question 42

What weight for paeds pads?

Answer 42

<25kg

Question 43

What is this? Shock or not?

Answer 43

Astoyle. Don’t shock

Question 44

What is this? Shock or not?

Answer 44

PEA non shockable