ILS

Question 1

Within how long should defibrillation be attempted after identifying cardiorespiratory arrest?

(ILS Quality Standards)

Answer 1

3 Minutes

Question 2

What does SBAR /RSVPmean?

Answer 2

Situation/Reason - Introduce yourself, identify patient, what is the problem, what advice is required

Backround/Story - Patient Information, Admission details, PMH

Assessment/Vital Signs - ABCDE assessment, specific signs/observations

Recommendation/ Plan - State what you want done and what you are planning to do yourself

Question 3

Causes of airway obstruction

Answer 3

Central nervous system depression

Blood

Vomitus

Foreign body

Direct trauma to face or throat

Epiglottitis

Pharyngeal Swelling

Laryngospasm

Bronchospasm

Bronchial secretions

Blocked tracheostomy/laryngectomy

Question 4

Describe seesaw breathing features

Answer 4

Inspiration:

Chest is drawn in and abdomen expands

Expiration:

Chest is pushed out and abdomen is sucked in

Question 5

Causes of ventricular fibrillation

Answer 5

Acute Coronary Syndrome

Hypertensive Heart Disease

Valve Disease

Drugs (antiarrhythmics, TCAs, digoxin)

Inherited Cardiac Disease (long QT syndrome

ACidosis

Electrolytes (K+, Mg2+, Ca2+)

Hypothermia

Electrocution

Question 6

When to initiate oxygen therapy in ACS?

Answer 6

Sats: <94% / <88% in COPD patients