CPR Flashcards
4 Hs 4 Ts
hypoxia
hypovolaemia
hyper/hypokalemia/ or metbolic disorders
hypo/hyperthermia
tension pneumo
tamponade
toxins
thrombosis
When to do stacked shocks
Paramedic witnessed
well oxygenated and perfused prior to arrest
in a shockable rhythm
first shock delivered within 20 seconds of arrest
manual mode available and charging can be within 10 seconds
what is a persistent shockable rhythm
VF or VT persisting post 3 shocks
What can be done in a persistent shockable rhythm
Ensure joules 200
administer amiodarone 300 (2 vials) after 3rd shock
consider AP pad placement
further ami of 150mg after 5th shock
consider ECMO
consider double sequential shock if 2 defibs and CSP on scene
consider lignocaine
Maternal CRP considerations
Manual uterine displacement
If unable pad under right hip to tilt hips approx 15-30 degrees
consider rapid extrication for hystorotomy
consider ECMO
What is CPR induced consciousness
when pts move or show signs of life in cardiac arrest due to good cerebral perfusion.
What to do with CPRIC
pause CPR briefly to confirm pt is still in cardiac arrest
continue CPR
Call ASMA for sedation
Drugs in shockable ALS
Adrenaline 1mg/ml after 2nd shock then every second loop
Amiodarone 300mg (2 vials) after 3rd shock
Amiodarone 150mg (1 vial) after 5th shock
Drugs in non shockable ALS
Adrenaline 1mg immediately and every 2nd loop
EtCO2 aim
35-45mmHg
Post ROSC hypotension numbers
<100mmHg in adults
<80mmHg in peads
Post ROSC considerations
go slow
keep warm
ventilation rate
12 lead
hypotension management
hypoglycemia- altered readings initially
consider naloxone
Paed cause of arrest
respiratory
Age of Paed CPR guidelines
3 hours to 12 years
Pulse rate in paeds to commence compressions
<60 bpm with unconscious and signs of poor perfusion
