Cardiac Arrest

Question 1

post sudden cardiac arrest temperature management lasts for:

Answer 1

body temp of <36 C for 24-48 hrs post SCA
(avoid fever)

decreases mortality and improves neurological recovery

Question 2

When to do temperature management

Answer 2

unreponsive or lack purposeful movements following SCA as soon as possible

Question 3

Absolute contraindications to temperature management

Answer 3

pt wishes against aggressive care or scenario where care would be futile

Question 4

how to do temperature management

Answer 4

cold saline, topical cooling blankets

Question 5

SCA stands for

Answer 5

sudden cardiac death

Question 6

targe blood sugar in post SCA

Answer 6

140-180

helps improve neurological recovery

Question 7

target BP in post SCA

Answer 7

MAP >80

Question 8

Capnography is measurement of

Answer 8

CO2 partial pressure in exhaled breath overtime. Max Co2 concetnration at end of each tidal breath (end tidal CO2) provides information about ventilation and perfusion in pts undergoing CPR.

Question 9

What causes sudden increase in end tidal CO2?

Answer 9

return of spontaneous circulation and rapid transport of CO2 and see this in sudden rise in EtCO2

stop CPR’

If EtCO2 can help determine prognosis if <10mmHg after 20 minutes of CPR unlikely to achieve ROSC.

Question 10

can put IO or intraosseus cannulation in the following areas:

Answer 10

bone marrow of the long bones, proximal femur, tibia, proximal humerus, distal tibia, and sternal manubrium) and they provid IV acess via the medullary sinuses. These veins are in the boney matrix and unlike peripheral central veins, these do not collapse in hypovolumia or profound shock. This allows for rapid IV access or veins