ILS and Defib Flashcards
what are the 4 main non realistic chances of survival?
more than 15 minutes since the onset of cardiac arrest no cpr been done and asystole on the ecg monitor for more than 30 seconds.
body covered in 95% of burns
massive injury decapitation
neonatal- premature babys below 22 weeks and in cardiac arrest.
newborns with severe abnormalities
how many rescue breaths to compressions is it for a paediatric?
2:15 compressions
how many breaths to compressions is it for an adult?
30:2 breaths
what is the pad posture when putting defib pads on for adults?
the first pad should be on the upper right side below the collar bone.
the second pad should be on the patients left side below the armpit.
what is the pad posture when putting defib pads on for pediatrics?
one pad is placed on the posterior back chest wall and the other on the anterior left chest wall depending on the age and size of the child
what are the 7 ps?
peicings
pendants- jewlerry
patches
perspiration- sweaty
puddles
pacemakers
playtex-underclothing
what are the 3 shock joules you do?
150, 170 and 200
what is ventricular tachycardia??
vt is shockable, check for a pulse as it can be pulseless and have a pulse. patteren is regular and forms a tidy tall pattern
what is ventricular fibrillation?
no pulse. shockable. no consistent pattern.
what is asystole?
no electrical activity. non shockable rhythm.
what is pulseless electrical activity?
looks like a sinus rhythm, the heart does not contract despite electrical activity no pulse
what are the 4 hs reversible causes?
hypothermia- cold
hypoxia- loss of oxygen
hypovolemia- loss of fluid
hypoglycaemia- low blood glucose levels
what are the 4 ts reversable causes?
tension pneumothroax- air in the pleural space
tamponade- the build up of fluid in the pericardium
toxins- any drugs
thrombosis- an mi? or pulmonary embolism (blood clot)
what is included in the post rosc care?
check the airway. is it tolerated.
check the breathing. look listen and feel for breathing. spo2 in range.
check the circulation- bradycardia. blood pressure. 12 lead ecg results.
disability- what is the gcs, pearl
exposure- aim for the patients temperature to be 36. top to toe exam.