Chapters 12 - 17: Miscellaneous Topics Flashcards
4 key points in airway and breathing post-resus care
Maintain sats
Insert airway
Waveform capnography
Ventilate lungs to normocapnia
6 key points in circulation management in post-resus care
ECG
IV access
Systolic BP >100
Fluids
Aterial BP monitoring
Vasopressors/intotropes
6 main tests for post-resus care
PCI
CTPA
Bloods
ABG
CXR
ECHO
CT brain
Components of GCS soring system
E - closed, pain, voice, automatic
V - nothing, noises, incoherient words, confused, normal
M - nothing, extension, abnormal flexion, normal flexion, localises, follows commands.
What to watch out for with bag valve masks
Hyperventilation as can cause haemodynamic instability and low CO2 can cause cerebral vasoconstriction and ischaemia
When NOT to start resuscitation
Decapitation
Massive cranial destricution
Incineration - excessive burns
Decompensation
Rigor mortis
Known and physical DNAR in place
How to handover during cardiac arrest
ATMIST -
Age and name
Time of onset
Medical history
Investigations
Vital signs
Treatment
What does a base excess of >-2 indicate
Metabolic acidosis
What does a base excess of >+2 indicate
Metabolic alkalosis
Causes of potential source error with pulse oximetry
Other Hb’s - carboxyhaemoblobin
Surgical imaging dyes
Nail varnish
Motion artefact
Reduced pulse volume - hypotension, low cardiac output, vasoconstriction, hypothermia
Two scenarios where it is acceptable to not discuss a DNAR scenario with someone
When they dont have capacity and contact NOK
When having a conversation such as this will cause psychological harm
If this is the case - make a decision with the medical team in their best interests
When is it suitable to stop CPR
Asystole for >20 mins with reversible causes treated or none identified
