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Jason's MD4 Transition To Practice > ALS Level1 > Flashcards

ALS Level1 Flashcards

1
Q

What are the 4Hs of correctable things during Advanced life support?

A

Hypoxia
Hypovolaemia
Hyper/hypo kalaemia
Hypothermia

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2
Q

What are the 4Ts of correctable things during Advanced life support?

A

Tension Pneumonia
Tamponade
Toxins
Thrombosis (pulmonary and coronary)

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3
Q

Non-shockable rhythms?

A

Pulseless Electrical Activity

Asystole

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4
Q

Causes of Airway Obstruction?

A 
CNS depression
Blood
Vomitus
Foreign Body
Direct Trauma
Epiglottitis
Pharyngeal swelling, infection/oedema
Laryngospasm
Broncos past
Bronchial secretions
Blocked tracheostomy or laryngectomy
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5
Q

Causes of VF

A 
ACS
Hypertensive heart disease
Drugs: antiarrythmics, tricyclics, digoxin
Inherited heart diseases: eg. Long QT
Acidosis
Abnormal K+, Mg2+, Ca2+
Hypothermia
Electrocution
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6
Q

Airway Obstruction causes

A 
CNS depression
Inflammation
Broncospasm
Laryngospasm
Blocked trach

Foreign body
Direct trauma
Infection

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7
Q

Recognition of airway obstruction

A 
Can't talk
Noisy breathing(stridor, wheeze)
Choking
Silent chest
Paradoxical chest movements
Splinting
Use of accessory muscles
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8
Q

Treatment of airway obstruction

A

High flow obstruction

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9
Q

How to open airway?

Simple, adjuncts, advanced?

A

Head tilt
Chin lift
Jaw thrust (lift soft tissues away from airway)

Oropharyngeal device

Supraglottic airway device, tracheal tube

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10
Q

Causes of breathing problems

A

CNS Resp:

  • drive
  • effort
  • pain

Lung disorders: asthma, COPD, embolus, oedema, pneumonia, haemothorax

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11
Q

Recognition of breathing problems

A

Look
Listen
Feel: expansion, tracheal position

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12
Q

Treatment of breathing problems

A

High flow oxygen guided by Sp02 (94-98%)

  • support breathing: bag, mask
  • treat underlying cause
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13
Q

Circulation problems

A

Pump
-structure, valvular, electrical
Bucket-hole
Bucket - became larger

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14
Q

Zipzag approach for 4 Hs and 4Ts

A

Hypoxia
Hyperkalaemia-metabolic
Hypothermia
Hypovolaemia

Tamponade
Thrombus
Toxins
Tension pneumo

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15
Q

Circulation approach

A

Syncope
SOB
Poor peripheral perfusion, temp, cap refill
Pulse-rate/regularity/volume

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16
Q

Treatment for circulation problems

A 
Position, Trendelenberg
Check for overt bleeding
O2
IV access
Fluid challenge
Referral
17
Q

Disability

A 
Neuro
AVPU
Pupils
TEMPERATURE
Hypoglycaemia (DEFG)

Hypothermia
Intracranial haemorrhage

Documentation, drugs, diabetes

18
Q

Exposure: causes?

A 
Occult bleeding
Medication patches
Implants
Track marks
RASH - anaphylaxis/meningococcal
Record temperature
19
Q

02, IV, Monitor

A

Reasonable to start with this with most ALS patients

Jason's MD4 Transition To Practice (12 decks)

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