Major Changes in 2020 Flashcards
High quality CPR should focus on
- adequate chest compression rate and depth
- minimizing interruptions in CPR
- allowing complete chest recoil between compressions
- avoiding excessive ventilation
What is the target respiratory rate in infants and children? When and why?
20-30 BPM for those receiving CPR with an advanced airway in place or are receiving rescue breathing and have a pulse
Which patients would you use epinephrine for and why
For patients who are in a non shockable rhythm. The earlier epinephrine is administered after CPR initiation, the more likely the patient is going to survive
Why is using a cuffed endotracheal tube ideal?
It decreases the need for endotracheal tube changes
The routine use of cricoid pressure does not what?
It does not reduce the risk of regurgitation during bag-mask ventilation and may impede intubation success
For out of hospital cardiac arrest, bag-mask ventilation is reasonable compared with what
Advanced airway interventions such as endotracheal intubation
Resuscitation does not end with what
The return of Spontaneous circulation (ROSC)
Excellent post-cardiac arrest care is critically important because
Important to achieving the best patient outcomes
For children who do not regain consciousness after ROSC, this care includes
- targeted temperature management and continuous electroencephalography monitoring
- for all children:
- the prevention and/or treatment of hypotension, hyperoxia or hypoxia, and hypercapnia or hypocapnia is important
When is naloxone recommended
In addition to BLS, naloxone is recommended for all pediatric patients with respiratory arrest due to suspected opioid overdose
For those in septic shock, what would you use in those with fluid overload and those with fluid-refractory septic shock
- 10ml/kg or 20mg/kg of fluid for those in fluid overload with frequent reassessment
- epinephrine or norepinephrine infusion for those in fluid-refractory septic shock.
