CMGS

Question 1

What are the goals of patient centred care?

Answer 1

Safe effective patient care by:

• treating all patients, carers and family’s with dignity and respect
• encouraging shared decision making
• communicating information about condition/treatment
• obtaining consent and considering pts wishes and values in all decisions

Question 2

What is the stepwise approach to pain management?

Answer 2

1. Non pharmacological options (position, reassurance, cooling of burns, temp control)
2. Inhalation/enteral medication (methoxy, GTN, provide advice on and assistance with OTC medications with caution)
3. Parenteral medication (morphine, fentanyl)

Question 3

What are the 3 goals of airway management in order?

Answer 3

1. Oxygenation
2. Ventilation
3. Airway protection

Question 4

What is the adult ratio (>12) of compressions:ventilations?

Answer 4

30:2

Question 5

What does COACHED stand for?

Answer 5

Compressions continue
Oxygen away 
All else clear
Charge
Hands off
Evaluate
Defib or dump

Question 6

What are the 4 reversible H’s and Ts?

Answer 6

Hypoxia
Hypovolameia
Hyper/hypokalaemia
Hyper/hypothermia

Tension pneumo
Tamponade
Toxins
Thrombus

Question 7

In an adult SHOCKABLE cardiac arrest, when is IV adrenaline given?

Answer 7

After 2nd shock and then in every second loop

Question 8

In an adult NON-SHOCKABLE cardiac arrest, when is adrenaline given?

Answer 8

Immediately and then in every second loop

Question 9

What are the 4 respiratory goals in the ROSC patient?

Answer 9

1. Consider advanced airway if deceased LOC
2. Maintain SpO2 94-98%
3. Ventilation 8-10/min titrated to SpO2 and etCO2 (do not hyperventilate)
4. EtCO2 between 35-40mmHg

Question 10

In regards to ROSC pts what are your goals with temperature and blood sugar

Answer 10

1. Maintain normothermia
2. No active rewarding unless profoundly hypothermic (<32)
3. Do not allow pt to shiver
4. Avoid hypoglycaemia but do not over correct it

Question 11

What are the cardiac/perfusion goals in a ROSC patient?

Answer 11

12 lead

Maintain cerebral perfusion. Aim for BP >100mmhg by any means (posture/ fluids)