Critical Care

Question 1

Cardiac Resuscitation

Answer 1

1. BLS basics - danger etc
2. Chest Compressions (Good Quality)
   - Presumed cardiac arrest if unresponsive and not breathing
   - Good Quality
   - 30:2
   - ~100/min
3. Early Defibrillation/Rhythm Check
   # Shockable - VT, VF
   - Shock
   - 1mg of Adrenalin after 2nd shock
   - 300mg of Amioderone after 3rd shock
   # Non-shockable - PEA, Asystole
   - 1mg of IV adrenalin if non-shockable
   - 1mg of IV adrenalin every 2nd loop
4. Consider Airway
   - End tidal CO2 confirms placement
5. Treat Reversible Causes

Question 2

Reversible Causes in ALS

Answer 2

• Hypothermic
• Hypovolaemic
• Hyper/Hypokaemaemia
• Hypoxia
• Tamponade
• Tension Pneumothorax
• Toxins
• Thrombosis - PE/DVT

Question 3

Post Arrest Syndrome

Answer 3

• Temperature Management - 36C