Als Wuestions

Question 1

Role criteria

Answer 1

Rigour mortis
Hypostasis
Decomposition
Cranial distraction
Decapitation
Incineration over 95%
Hemicorporectomy (below wait amputation)

Question 2

Causes of FBAO in adults

Answer 2

Eating food
Playing with toys

Question 3

Procedure for a an adult chocking who is conscious

Answer 3

5 back blows, looking at the pt after each one
5 abdominal thrusts, looking after each one
Alternate until object is moved or pt becomes unconscious

Question 4

Procedure for a infant

Answer 4

5 back blows checking after each
5 chest thrusts with 2 fingers
Repeat until dislodged

Question 5

Special considerations relating to life support

Answer 5

Pregnancy
Drowning
Asthma
Opiate overdose
Baristric patients
Trauma

Question 6

Considerations for performing CPR on laryngectomy

Answer 6

Remove inner cannula
Clean and replace it if possible
Asses weather it’s fenstrated or non frustrated
Measure how far to suction
150 suction

Question 7

Unconscious trachy

Answer 7

Cover stoma hole with hand
Ventilate via the nose and mouth

Use size 6ET tube by inserting bougee tube and inflate the ballon,

Question 8

Unconscious laryg

Answer 8

Ventilate stoma hole with pead mask

Insert bougee and use size 6ET tube to help ventilate
Open hole with fingers if it starts to close

Question 9

Considerations for cpr pregnancy

Answer 9

Left lateral tilt 15-30 degrees
Higher up cpr
Anterior / posterior pad placement

Question 10

Considerations for cpr and hypothermic patients

Answer 10

Check temperature
WMAS temperature check will show Low or 34 - 35 continue defibs and request enhanced care

Temp between 30 - 35 double drug intervals
No drugs if temp is below 30
Limit to 3 shocks if temp is below 30

Question 11

Considerations for traumatic arrests

Answer 11

HOTT principles
Hyopvalemia
Oxygen therapy
Tension pneumothorax
Tamponade

Question 12

Cpr ratio for newborn

Answer 12

5 inflation breaths
No movement repeat 5 again
Ventilate for 30 secs
3:1 ratio, cpr with 2 fingers

Question 13

Cpr,ratio for infant / child

Answer 13

5 inflation breaths
15:2 ratio, one hand cpr for right size

Question 14

How to optimise resources for cardiac arrest

Answer 14

Checklists
Team leader
Team work
Communication
Report back to team leader

Question 15

When can cpr be discontinued

Answer 15

DNR
Submission for longer than 90 mins
Advance illness
30 mins of aystole
15 mins of downtime with no cpr started

Question 16

Conditions except from discontinuing cpr

Answer 16

Hypothermia
Overdose
Maternity
Children

Question 17

When does als start

Answer 17

When bls has been completed and a trained als arrives on scene

Question 18

Pt in persistent vf qrrest

Answer 18

Amiodrone administration
Good cpr, high oxygen
Check pad placement
Early transportation
Merit called

Question 19

Stack shocks

Answer 19

Pads already on
Oxygenated witnessed arrest
Less than 20 seconds
Check pulse between each shock
120,150,200
3 counts as one shock .