Cardiac Arrest

Question 1

Drugs for reversible causes

Consider early for PEA

Answer 1

NS Bolus, D10, Narcan, Glucagon (CCB/BB OD), Calcium Chloride (hyperkalemia/hypocalemia), Sodium Bicarb, Epi drip, Atropine (Only organized PEA<60), Chest decompression

Question 2

Maternal arrest

Answer 2

OB & Post cardiac arrest ER, notify Medical Control, perform Manual Left Uterine Displacement

Question 3

V-fib/Pulseless V-tach medications

Answer 3

Epi push, epi drip, Amio 300, Amio 150, Mag sulfate (Torsades)

Question 4

ROSC

Answer 4

SPO2=90-99%, ETCO2=35-45, BP, 12-lead, cold fluids (non-trauma), 10 min wait before transport, Shock = Levophed drip, Treat bradycardia<60,

Question 5

PEA/Asystole vs Vfib/Vtach Fluid bolus

Answer 5

PEA/Asystole - 2L

Vfib/Vtach - 1L

Question 6

Target temp for hypothermia

Answer 6

89.6-96.8F or 32-36C

Shivering give versed or fentanyl