ALS

Question 1

If cant get IV access in resus, where use as access point

Answer 1

Intra-osseous in proximal tibia

Question 2

If patient becomes unresponsive and not breathing properly what do

Answer 2

2222
CPR 30/2 and attach defibrillator

Question 3

What are 4 cardiac arrest rhythms

Answer 3

PEA
Asystole
Pulseless VT
VF

Question 4

What are shockable vs non shockable rhythms

Answer 4

Shockable
- pulseless VT
- VF
Non-shockable
- PEA
- asystole

Question 5

What do if shockable rhythm

Answer 5

1 shock then CPR for 2 mins before reassessing rhythm

Question 6

What do if non-shockable rhythm

Answer 6

Immediate CPR for 2 mins

Question 7

When give adrenaline in cardiac arrest

Answer 7

Every 3-5 mins

Question 8

When give amiodarone in cardiac arrest

Answer 8

Every 3 shocks

Question 9

What do if witnessed cardiac arrest due to pulseless VT or VF where patient on cardiac monitoring

Answer 9

Give 3 shocks instead of 1

Question 10

When give adrenaline in CPR

Answer 10

non-shockable
- ASAP
Shockable
- once chest compressions resumed after 3rd shock

Question 11

When give amiodarone in CPR

Answer 11

Give 300mg after 3 shocks
Give 150mg after 5 shocks

Question 12

What dose amiodarone used in CPR

Answer 12

300mg after 3 shocks
150mg after 5 shocks

Question 13

What is alternative to amiodarone in ALS

Answer 13

Lidocaine

Question 14

Dose of adrenaline in ALS

Answer 14

1mg 1 in 10,000

Question 15

If cardiac arrest due to PE what can give

Answer 15

Thrombolytic drugs

Question 16

How long continue CPR if think PE cause

Answer 16

60-90minutes

Question 17

Do you give compressions whilst defibrillator is charging

Answer 17

Yes

Question 18

In cases of hypothermia how continue with ALS

Answer 18

Continue CPR but do not give more than 3 shocks whilst temperature is below 30^C
Avoid IV drugs

Question 19

Management of hypothermia

Answer 19

Use warming blankets and remove wet/cold clothing
Secure airway
If not responding to passive warming give warm IV fluids