ALS 2.0

Question 1

What’s are the 4 H’s

Answer 1

1. Hypoxia
2. Hypo/Hyperthermia
3. Hypo/hyperkalaemia,hypoglycaemia,hypocalcaemia, metabolic disorders
4. Hypo/hyperthermia

Question 2

What are the 4 T’s

Answer 2

1. Tension pneumothorax
2. Tamponade
3. Thrombosis
4. Toxins

Question 3

Interventions in CA for Hypoxia

Answer 3

O2 (non rebreather 15L/ BVM) airway adjuncts & manoveors, check ETT placement( if applicable)

Question 4

Interventions in CA for Hypovolaemia

Answer 4

IVT + blood replacement, expose pt, check wounds/ distension (internal bleeding), drains

Question 5

Hypovolaemic arrests commonly present with what cardiac rhythm

Answer 5

PEA

Question 6

Interventions in CA for HyperKalaemia

Answer 6

• VBG
• calcium chloride 10% in 10mls
• glucose 25g + 10u short acting insulin
• sodium bicarbonate 50mmol Iv

Question 7

Interventions in CA for Hypokalaemia

Answer 7

Potassium 5mmol Iv boils
Mag 2g IV

Question 8

Causes of Hypokalemia

Answer 8

Drugs
Gastrointestinal
Renal/dialysis
Poor intake

Question 9

Interventions in CA for Hypothermia

Answer 9

Rewarming (Warm IVT, bear hugger) IDC temp prob if able

Question 10

Interventions in CA for Hyperthermia

Answer 10

Active cooling (Cold IVT, Ice packs)

Question 11

Interventions in CA for Thrombosis suspected PE

Answer 11

Fibrinolysis
*Risk of bleeding

Question 12

Interventions in CA for Thrombosis suspected coronary thrombosis

Answer 12

PCI & obtain automatic CPR machine during

Question 13

Interventions in CA for Tension Pneumothorax

Answer 13

US
Decompress - Thoracostomy/ Thoracocentasis
Chest drain

Question 14

Peri arrest signs/symptoms

Answer 14

Chest pain
Respiratory distress
RR Increase then decrease
Air hunger
Tachycardia
Low/falling spo2
Hypotension
ALOC