Cardiac Arrest Flashcards
Unresponsive and not breathing normally…………………
-> call ? team -> CPR ?:? -> attach ? -> assess ?
resus
30:2
defib
rhythm
Rhythm
Shockable (??/? ??) -> ? shock -> ? resume CPR for ? mins -> assess ?
Non-shockable (???/?) -> ? resume cpr for ? mins -> assess ?
Return of spont circulation (ROSC) -> immediate post cardiac treatment • Use ? approach • Aim for SpO2, of 9?-98% • Aim for ? PaCO2 • ?-lead ECG • Treat precipitating cause • Targeted ? management
VF/pulseless VT 1 immediately 2 rhythm PEA/asystole immediately 2 rhythm abcde 94 normal 12 temperature
During CPR • Ensure high quality compressions • minimise ? to compressions • give ? • Use waveform ? • ? compressions when advanced ? in place • Vascular access (? or intra-?) • give ? every 3-5 min • Give ? after 3 shocks
interruptions O2 capnography continuous airway Iv osseous adrenaline amiodarone
shockable rhythms
After ? shocks, administer ? and ?.
o Adrenaline: ? ? IV.
o Amiodarone: ? IV.
rpt adrenaline every ? mins
3 adrenaline amiodarone 10ml 1:10000 300mg 3-5
NON-SHOCKABLE RHYTHMS;
Give ? ? ? IV as soon as access secured.
Continue 30:2 compressions until the ? is secured.
o I.e. with an advanced airway.
Once the airway is secured, do ? compressions with continuous ?
10ml 1:10000 adrenaline
airway
continuous
ventilation
NON-SHOCKABLE RHYTHMS;
Recheck the ? after 2 minutes.
o If compatible with cardiac output, check for a ? or signs of ?.
o If no pulse/signs of life, continue ?.
o Recheck the rhythm at ? minute intervals.
o Give further ? every ? minutes.
• I.e. Every ? cycles of CPR.
rhythm pulse life cpr 2 adrenaline 3-5 two
Treat reversible causes
4 H’s
4 T’s
H - hypo/er-kalaemia, Hypothermia, hypovolaemia, hypoxia
T - tamponade, toxins, thrombus, tension pneumothorax
Consider
- ? imaging
- ? compressions to facilitate transfer/trt
- ? ? and PCI
us
mechanical
coronary angiography
