Day 2 - CPR

Question 1

When do you start CPR?

Answer 1

Anyone who is:

• unresponsive
• no pulse/not breathing normally
• no signs of obvious death

Question 2

When don’t I start?

Answer 2

• obvious signs of death
• hypostasis
• rigor mortis (stiff)
• decomposition
• danger

Question 3

What are the injuries incompatible with life?

Answer 3

Decapitation 
Cranial and Cerebral destruction 
Hemicorporectomy 
Incineration 
Fetal Maceration  (still born)

Question 4

What are the lawful directions on knowing when you can’t do CPR?

Answer 4

Verbal from GP at the time
Written direction from actual GP
Verbal decision by health attorney
A valid health directive regarding patients wishes from the GP

Question 5

When can you stop?

General Discontinuation Criteria

Answer 5

After 20 mins of continuous resuscitation

ROLE criteria satisfied

Asystole or PEA rate of <10

Refractory VF

Question 6

When can I stop?

Rapid Discontinuation Criteria

Answer 6

Patient is unresponsive and pulse less for at least 10 mins prior to paramedic arrival

No CPR prior to paramedic arrival

Role criteria satisfied

Asystole

Question 7

ROLE criteria is what?

Answer 7

Recognition of life extinct criteria

Question 8

What does ROLE mean?

Answer 8

No palpable carotid pulse 
No heart sounds heart for 30 sec
No breath sounds for 30 secs 
Fixed & dilated pupils 
No response to centralised stimuli

Question 9

CPR with a pulse?

Answer 9

Must be unconscious and not breathing normally

Cardiac arrest
OR
Unconscious, inadequate perfusion with heart rate under 40 (adults)

Question 10

What is does ROSC mean?

Answer 10

Return of spontaneous circulation

Question 11

What is ROSC?

Answer 11

Return of any signs of life
Pulse

With or without

Some respirations
Increasing level of consciousness

Question 12

When does CPR commence until?

Answer 12

HR above 40
Respiration rate 8-12 
SPO2 above 94% 
High flow O2 
(Regular vital signs) 
Posture 
12LD ECG/ETCO2/Adrenaline 
Make sure backup is on the way 
Start planning extrication