Day 2 - Defib

Question 1

What is a cardiac arrest?

Answer 1

An unexpected loss of heart function

Question 2

What is a heart attack?

Answer 2

Blockage of a coronary artery leading to cardiac muscle death.

Acute myocardial function

Can lead to cardiac arrest

Question 3

What are risk factors?

Answer 3

Smoking
Obesity 
Cholesterol 
Cardiac history 
Family history 
High BP

Question 4

What are some causes?

Answer 4

Ischemic heart disease 
Congestive heart failure 
Cardiomyopathy 
Drownings 
Tension pneumothorax 
Cardiac temponade 
Envenomations 
Lethal dysrhythmias

Question 5

Ventricular Fibrillation

Answer 5

Quivering ventricles must DEFIB!

Question 6

Pulse less Ventricular Tachycardia

VT

Answer 6

Looks like a saw!
Firing really fast
Faster than 100bpm (150-250)
Wide QRS complexes

Question 7

What must you do before you defibrillate?

Answer 7

No conductive environment

Ensure a non-explosive environment

Ensure no contact - ALL CLEAR

Ensure no movement

Question 8

How many joules?

Answer 8

200
300
360

If you get a return of spontaneous circulation (ROSC) you just charge to the last energy setting for successful defibrillation

9yo and above also use adult setting

Question 9

Defibrillation for paediatrics?

Answer 9

Apply pads
8 years and below = 4J/kg

(3 X age ) + 7

Question 10

6 second method

Answer 10

Counting how many QRS complexes in a 6 second interval then X by 10

9 QRS complexes X 10 = 90BPM