Cardiac Arrest Flashcards
What artery do you check in confirmation of ROSC?
How long do you need ROSC before any next step?
After that time frame of achieving ROSC, what do you do?
If you get ROSC check femoral for 30 seconds (do not lose femoral after the 30 seconds)
After confirming ROSC and finding femoral, begin post ROSC procedures prior to moving PT
Considerations w/ a hypothermic patient in cardiac arrest
Give only one round of meds before contacting Base (asystole)
Limit defibrillation (Vfib or Vtac) to 6 times
Field determination is discouraged
Transport to hospital
Define asystole
Flatline
No electrical activity
Heart has completely stopped
Define V-fib
Lower chambers of heart quiver instead of beat
Life threatening and needs intervention
Define V Tach
Lower chambers of the heart are pumping two fast and aren’t pumping blood proficiently
What heart rate is considered V tach
150+
What is the age we use to determine which ROSC policy to follow
48hrs old
Use post ROSC or neonatal resuscitation policy
Metronome count during compressions
112 BPM
O2 Liters for full arrest
15 Liters per minute
How often do you give a breath during CAM?
Every 10th compression on the recoil
EtCO2 level that would warrant a pulse check
> 20
Organized rhythm greater than 40
Huge spike in EtCO2
What are the priorities during a cardiac arrest
High quality chest compressions
Delivery of O2
Early defibrillation
Switch compressors every 2 minutes
What are priorities post ROSC?
Immediate recognition of re-arrest
Preventing re-arrest with C-A-B management
Thorough assessment/identification of correctable causes
Movement/Transport decisions that keep patient care the highest concern
When do you check the femoral and how long would you check for?
What do you do if you use the femoral pulse?
Palpate the femoral for 10 minutes after ROSC and before moving the patient
Immediately begin chest compressions
How does O2 administration change after ROSC
One ventilation every 6 seconds (no more than 10 breaths per minute)
How long do you have to have ROSC before transporting the PT?
10 minutes
Procedure if you get ROSC and then the person re-arrests?
Begin CAM again for another 20 minutes from losing ROSC or initial re-arrest
If re-arrest occurs during movement of patient what do you do?
Resume CAM outside of ambulance
If already loaded remove outside and create workable space
What do you do if your patient re-arrests during transport?
CAM in the rig, prioritizing good compressions and effective advanced airway
When is base contacted during CAM?
Asystole/PEA for 20 minutes of CAM
Witnessed arrest 40 minutes of CAM
ROSC or one shock delivered 40 minutes of CAM
Re-arrest 20 minutes form initial re-arrest
