Cardiac arrest

Question 1

What is the first branching of the cardiac arrest pathway?

Answer 1

is the rythm shockable or not

meaning VT/VF– SHOCK
PEA/Asystole- cant shock

Question 2

shockable rythm ressuss guidelines

Answer 2

VF/VT

call 2222 CCU/Cardiac arrest
CRP until defibrillator is there
1 shock- 2 min cpr-1shock-2min cpr-1 shock

after 3rd shock if not back give AMIODARONE 300mg and Adrenaline 1mg 1in 10 000 IV

repeat the 2min CPR -shock sequence
with adrenaline every 3-5min (between each alternative shock)
and IV 150 amiodarone after 5th shock

manage in non shock rythm if no improve

assess and correct 4t and 4h of cardiac arrest during

Question 3

Non-shockable rythm ressus guidelines

Answer 3

call 2222 CCU/Cardiac arrest
PEA/Asytole

CPR until IV acess- then give 1mg adrenaline 1:10 000
then 2min CPR, check
adrenaline repeat each 3-5 mins

get airway acess/protect

go to shockbale if rythm back
or continue

assess and correct 4t and 4h of cardiac arrest during

Question 4

What are the reversible causes of cardiac arrest

Answer 4

4h and 4t

4h-
Hypothermia, Hypo/hyperkalemia, hypoxia, hypovalemia

4t-
tamponade, tension pneumo, toxins, thrombosis

Question 5

Post cardiac arrest ressus care

Answer 5

start after ROSC at any point
BP >65
Sodium valporate/seizure control
hypothermia (32-36)
avoid fevers
ITU support