CPCR Flashcards
which patients are most at risk of arrest?
trauma
systemically unwell
paediatrics and geriatrics
iatrogenic (anaesthetic overdose)
recently arrested
what is respiratory arrest?
apnoea - where the patient is not breathing
what is cardiac arrest?
where the patient has no cardiac output
patient will also not be breathing
what does CPCR stand for?
cardiopulmonary cerebral resuscitation
what are we aiming to achieve through CPCR?
perfusion of the heart, lungs and brain
return of spontaneous circulation (ROSC)
when do we start CPCR?
as soon as we think the patient has crashed
remember respiratory arrest will quickly lead to cardiac arrest
who can help with CPCR?
anyone - ideally personnel trained in CPCR
what are the key 3 preparation steps for effective CPCR?
regular CPCR training
well-stocked crash kit/box/trolley
crash alarm (call for help!)
what is involved in basic life support?
CPCR cycle
oxygen therapy
what is involved in advance life support?
drug therapy
fluid therapy
cardioversion
should all crash trolleys/boxes be the same?
no - reflects the case load that it represents, always evolving
whose responsibility is the crash trolley/box?
one person’s primary responsibility to check stock and equipment
everyone’s responsibility to ensure stock is replaced as soon as it has been used
how often should the crash trolley/box be checked?
once a month at least - contents, expiry dates
what sections should be included in the crash trolley/box?
airway access
IV/IO access
ventilation
drugs
what could be included in the airway access section?
ET tubes (cuffed, whole sizes) and ties laryngoscope cuff inflator guide wire plain gauze swabs (slippery tongue) lidocaine (cats) dog urinary catheter with ET tube connector
