Cardiac Arrest Flashcards
Causes of cardiac arrest where immediate transport is appropriate are __________ and __________
Anaphylaxis and Hemorrhage
a rapid transport with en-route management is the expectation; call CliniCall if you require assistance but in these cases transport is key
The purpose of the first (15 minute) call to Clinicall in cardiac arrest is to ___________
determine if transport of the patient is warranted at this time
The final call to clinicall (30 minutes) in cardiac arrest is to __________
consult for likely discontinuation orders
If an order is received to discontinue CPR confirm the patient has absent vital signs by taking the following steps: (list 3)
- ensure the absence of a carotid pulse
- ensure the absence of any respiratory effort
- auscultate the left anterior chest to confirm the absence of any heart sounds
List the 5 principles of high quality CPR
- Optimum compression rate (100-120 per minute)
- Optimum depth (2” or 5cm)
- Complete chest recoil
- Optimum ventilation rate (1 breath every 6 seconds)
- Infrequent compression pauses (no pause >10 seconds)
Once cardiac arrest is confirmed and chest compressions are intiated, the next priority should be __________ (ventilate with BVM / apply AED pads)
apply AED pads
Ventilations should be delivered to an adult in cardiac arrest once every ___ seconds
6
The volume of air delivered per ventilation by BVM to an adult is ___mL
500-600mL
Suspected treatable causes of cardiac arrest may warrant an early call to clinicall. The 5 “H”s of cardiac arrest are:
- Hypoxia
- Hypovolemia
- H+ (Known Acidosis)
- Hyperkalemia
- Hypothermia
Suspected treatable causes of cardiac arrest may warrant an early call to clinicall. The 5 “T”s of cardiac arrest are:
- Toxins
- Tamponade
- Tension Pneumothorax
- Thrombosis - pulmonary
- Thrombosis - Coronary
Possible causes of obvious death in traumatic arrest where resuscitation should not be attempted include: (list 4)
- transsection
- decapitation
- incinceration
- open skull fracture with exposed brain matter
Treatable causes of traumatic cardiac arrest include: (list 3)
- tension pneumothorax
- hypovolemia
- cardiac tamponade
In cardiac arrest with a clear etiology of blunt trauma, the situation is likely ___________ (survivable / non-survivable) and clinicall should be contacted for __________.
non-survivable and clinicall should be contacted for likely discontinue orders
In the case of ______ (blunt / penetrating) trauma-induced cardiac arrest, initiate rapid transport if 15 minutes or less will elapse between time of arrest and emergency department arrival
Penetrating
Rapid transport and notification is indicated. If time delay is greater than 15 minutes contact CliniCall for likely discontinue orders.
In the case of blunt or pentrating traumatic arrest where time to the ED is greater than 15 minutes and you are unable to contact clinicall, you should:
discontinue resuscitation
One of the goals of care in traumatic arrest is recognizing special circumstances, such as: (list 4)
- medical cardiac arrest patient who then sustained some trauma
- electric shock
- hypothermia
- minor direct blunt trauma to the chest-induced cardiac arrest (commotio cordis)
In the case of traumatic arrest, PCPs may attempt a fluid challenge up to ___ mL
2000 mL
You are called to an anaphylactic patient who is found in cardiac arrest. You should __________ (work on scene / transport / call for orders)
transport
In cases of cardiac arrest likely caused by hemorrhage or anaphylaxis, a rapid transport with en-route management is the expectation; call CliniCall if you require assistance but in these cases transport is key.
You are called to a “man down” and find a profoundly hypothermic individual in cardiac arrest. You should __________ (work on scene / transport / call for orders)
call for orders
For cardiac arrest situations where you suspect another treatable cause such as PE, sepsis, overdose, hypothermia etc. call CliniCall early – do not wait 15 minutes.
You are called to a pedestrian struck and find your patient in cardiac arrest with obvious massive external hemorrhage. You should __________ (work on scene / transport / call for orders)
transport
In cases of cardiac arrest likely caused by hemorrhage or anaphylaxis, a rapid transport with en-route management is the expectation; call CliniCall if you require assistance but in these cases transport is key.
