ALS

Question 1

non-shockable rhythms

Answer 1

• pulseless-electrical activity
• asystole

Question 2

What does pulseless electrical activity look like?

Answer 2

sinus or non-specific rhtyhm should be compatible with life, but no pulse

Question 3

Shockable rhythm

Answer 3

• ventricular fibrillation (VF)
• pulseless ventricular tachycardia (VT)

Question 4

Reversible causes of arrest - H’s

Answer 4

• Hypoxia
• Hypovolaemia
• Hyperkalaemia; hypokalaemia, hypoglycaemia, hypocalcaemia, acidaemia and other metabolic disorders
• Hypothermia

Question 5

Reversible causes of arrest - Ts

Answer 5

Thrombosis (coronary or pulmonary)
Tension pneumothorax
Tamponade – cardiac
Toxins

Question 6

Consideration if giving thrombolytic drug

Answer 6

CPR should be continued for 60-90mins

Question 7

Timing of adrenaline use

Answer 7

• ASAP if non-shockable
• 1st after 3rd shock, then every 3-5mins

Question 8

Timing of amiodarone use

Answer 8

shockable = 300mg after 3rd shock; 150mg after 5th shock

Question 9

Adrenaline dose resus

Answer 9

1mg