ALS & Anaphylaxis (Including medicaments)

Question 1

ALS

Approx. how long is one cycle/round?

Adrenaline procedure

Amiodarone procedure

Unresponsive with absent or abnormal breathing
What is the next step?

Assessing rhythm - VF/Pulseless VT
What is the next step?

Assessing rhythm - PEA/Asystole
What is the next step?

Answer 1

One cycle/round consists of 2 minutes

Give 1 mg Adrenaline/Epinephrine IV every 3-5 minutes (2 cycles/rounds), then flush with 20 mL of Saline IV

Give 6 ml of Amiodarone (total 300 mg) mixed with 14 ml of 5% Glucose after 3 shocks are delivered

Question 2

Tachycardia

Answer 2

Question 3

Bradycardia

Answer 3

* Alternatives include:

• Aminophylline
• Dopamine
• Glucagon (if bradycardia is caused by beta-blocker or calcium channel blocker)
• Glycopyrrolate (may be used instead of atropine)