In-hospital Cardiac Arrest Flashcards
1
Q
What poportion of those who experience an in-hospital cardiac arrests survive to go home?
A
20%
2
Q
What is the most common initial cardiac arrythmia?
A
VF
3
Q
What are causes of VF?
A
- ACS
- Hypertensive heart disease
- Valve disease
- Drugs
- Inherited heart disease
- Acidosis
- Abnormal electrolyte concentration
- Hypothermia
- Electrocution
4
Q
What features can indicate arrythmic syncope?
A
- Syncope in supine position
- Syncope during/after exercise
- Syncope with no/brief prodrome
- Repeated episodes of unexplained syncope
- FH of sudden death/inherited cardiac problem
5
Q
What is the minimum monitoring that should be attached to a responsive patient who has collapsed?
A
- Pulse oximetry
- ECG
- BP monitor
6
Q
What is agonal breathing?
A
Occassional, irregular gasps
7
Q
When does agonal breathing commonly occur in someone having a cardiac arrest?
A
Early stages of cardiac arrest
8
Q
What does ROSC stand for?
A
Return of spontaneous circulation
9
Q
What general rules are used to ensure high quality chest compressions?
A
- Depth of 5-6cm
- Rate - 100-120 compressions per minute
- Allow complete recoil of chest after each compression
- Take approximately same amount of time for compression and relaxation
- Minimise hands off time
10
Q
A