ALS is Best LS

Question 1

What kind of rhythm are VF and pulseless VT?

Answer 1

Shockable

Question 2

What kind of rhythm is PEA/asystole?

Answer 2

Non-shockable

Question 3

What should you initially do for shockable rhythms?

Answer 3

1 shock most places

3 shocks if witnessed in cardiac monitoring setting

Question 4

When do you give adrenaline in
Shockable rhythms
Non shockable rhythms

Answer 4

After 3 shocks with chest compressions, then every 3-5 mins

Immediately for non-shockable

Question 5

What circumstances do you give amiodarone? How much of you give?

Answer 5

Shockable rhythms
300mg after 3 shocks
150mg after 5 shocks

Question 6

If amiodarone is not available, what can you give?

Answer 6

Lidocaine

Question 7

If an arrest patient is suspected PE, what should you give? How does this affect CPR?

Answer 7

Alteplase
Extended CPR for 60-90 mins
(improves delivery of drug during pro-thrombotic agent)

Question 8

What are the 4Hs

Answer 8

Hypoxia
Hypovolaemia
Hypothermia
Hypo/hyperkalaemia

Question 9

What are the 4Ts

Answer 9

Thrombosis
Tension pneumothorax
Tamponade
Toxins

Question 10

How should oxygen be altered once the patient is stabilised?

Answer 10

Titrate to achieve sats 94-98%

Prevent hyperoxaemia