ILS Flashcards
Which rhythms are shockable
Ventricular tachycardia
Ventricular fibrillation
Which rhythms are non-shockable
Pulseless Electrical Activity
Asystole
How would you manage VF/VT
After CPR 30:2 and assess rhythm Shock - 150J Continue CPR for 2 mins and reassess 2nd Shock 150J CPR for 2 mins and reassess 3rd shock and give 1mg Adrenaline IV and 300mg amiodarone if no ROSC continue CPR 1mg of adrenaline 5th, 7th and 9th shock
How to manage PEA and Asystole
Start compressions 30:2 and put on defib and assess rhythm and take pulse
Continue compressions and gain IV access
Give 1mg adrenaline IV as soon access obtained
Continue CPR and reassess rhythm
Recheck rhythm every 2 mins of CPR
Give adrenaline 1mg IV every 3-5 mins
What are the signs of Return of Spontaneous Circulation
ROSC signs
- eye opening
- arterial BP waveform
- Breathing movements and efforts
- increase in end tidal CO2
What are the causes of cardiac arrest
5Hs and 4Ts Hypoxia Hyperkalaemia and hypokalaemia Hypocalcaemia Hypothermia hyopvolaemia
Tamponade
Tension Pneumothorax
Thrombosis
Toxins
Treatment for hypoxia
High flow oxygen 15L non rebreathe
Intubate
Nebs if asthma attack
Treatment for hyperkalaemia
Calcium gluconate
IV insulin in dextrose - 10 units of actrapid in 50ml of 50% dextrose
ECG monitoring
What are the ECG changes in hyperkalaemia
Tall tented T waves
Increased PR interval
Wide QRS complex
Treatment for hypokalaemia
Potassium chloride 20mmol IV over 10 mins
Potassium chloride 10mmol over 5-10mins
Treatment for hypocalcaemia
Calcium carbonate 10ml of 10% IV
Treatment for tension pneumothorax
Wide bore cannula in 2nd ICS MCL
Chest drain
Signs of tension pneumothorax
Hyper resonance
Reduced air entry
Deviated trachea
Reduced expansion on affected side
Treatment for thrombosis
PCI within 120 mins
Fibrinolysis - alteplase
Treatment for tamponade
Ultrasound guided for pericardiocentesis
