ILS

Question 1

What actions would you do on the way to hospital with a ROSC?

Answer 1

Ensure an open airway 
Support with ventilations 
Position (postural drainage) 
Oxygen 
Pre-alert 
Full observations 
Don't allow them to sit up

Question 2

Why would you stop CPR?

Answer 2

Spontaneous breathing
Death has been certified
Exhaustion
Someone is there to takeover

Question 3

What would you do for CPR in pregnancy?

Answer 3

Incline the patient 15-30degrees to the left (left lateral position)
Manual displacement of the uterus (assistant to the left and up to the head)
Normal rates for ventilation and compression
Defibrillation settings remain the same

Question 4

What would you do for CPR in children, and how the technique is adapted?

Answer 4

Lower energy selection for defibrillator (4j/kg) 
Paddle placement (front and back) 
Maintain effective CPR (5 rescue breaths, 15:2, 3:1)

Question 5

CPR in presence of a pacemaker?

Answer 5

Pad position changes to front and back- avoid pacemaker

Question 6

Conditions unequivocally associated with death?

Answer 6

Decapitation 
Decomposition 
Incineration 
Foetal masceration 
Mass cranial damage 
Rigor mortis 
Hypostasis 
Hemicorporectomy

Question 7

Changes for paediatric life support?

Answer 7

Neonate- 3:1, encircling method
Infant <1- 15:2, 2 fingers, 5 rescue breaths, <60bpm CC, brachial pulse
Child >1 15:2, one hand, 5 rescue breaths, <60bpm CC