MC - 5 - Cardiac Arrest - Adult

Question 1

What is the defibrillation dose for adult cardiac arrest with shockable arrests (pVT/VF)?

Answer 1

360 J

Question 2

What is the preferred method of ventilation for adult cardiac arrest?

Answer 2

BLS airway/Combitube

Question 3

A patient presents with pulseless electrical activity. Every two minutes _____ should be administered.

Answer 3

1 mg 1:10,000 IV epineprine

Question 4

What are the shockable rhythms of adult cardiac arrest?

Answer 4

• pulseless ventricular tachycardia (pVT)

- ventricular fibrillation (VF)

Question 5

What are the drugs and repeat times for pVT and VF?

Answer 5

• 1 mg 1:10,000 IV epinephrine q4 minutes PRN
• 300 mg IV amiodarone x1
• Repeat 150 mg IV amiodarone x1 4 minutes after 300 mg of amiodarone

Question 6

In the absence of ROSC in the adult cardiac arrest, what should be considered?

Answer 6

A. cease resuscitation protocol

Question 7

Treatment of hypovolemia suspected in adult cardiac arrest.

Answer 7

1-2L chilled normal saline

Question 8

Treatment of suspected hypoglycemia in adult cardiac arrest.

Answer 8

25 g IV dextrose

Question 9

Treatment of suspected narcotic overdose in adult cardiac arrest.

Answer 9

2 mg IV/IM/IN naloxone*

*only if not intubated

Question 10

Treatment of Torsades de Pointes in adult cardiac arrest.

Answer 10

2 g IV magnesium sulfate

Question 11

Treatment of suspected tension pneumothorax in adult cardiac arrest.

Answer 11

needle decompression

Question 12

Treatment of suspected cyanide/smoke inhalation in adult cardiac arrest.

Answer 12

5 g IV hydroxocobalamin

Question 13

Treatment of suspected TCA overdose in adult cardiac arrest.

Answer 13

100 mEq IV sodium bicarbonate

Question 14

Outline the position of the 12-lead electrodes

Answer 14

V1 - right 4th ICS
V2 - left 4th ICS
V3 - 1/2 between V2 and V4
V4 - left 5th ICS, mid-clavicular line
V5 - Horizontal to V4, anterior axillary line
V6 - Horizontal to V5 - mid-axillary line

Question 15

Describe position 1 of the BLS triangle

Answer 15

Location: Patient right
Initiates: compressions
Switches off with position 2 in counting in 20s
Switches off with position 2 in off-cycle 20:1 BVM ventilations

Question 16

Describe position 2 of the BLS triangle

Answer 16

Location: Patient left
Initiates: Metronome; NRB mask; defib pads
Operates: AED/LP
Switches off with position 1 in counting in 20s
Switches off with position 1 in off-cycle 20:1 BVM ventilations

Question 17

Describe position 3 of the BLS triangle

Answer 17

Location: Patient head
Initiates: Airway management
Applies BVM/OPA at 660 compressions
Monitors end-tidal and assesses airway compliance.

Question 18

Describe the role of Code Commander in resuscitation.

Answer 18

• Owns the clinical care.
• Interprets and responds to ECG findings.
• Ensures accurate documentation (coordinates with BLS Team Leader)
• Owns advanced airway interventions
• Responsible for coordinating with medical command about cease resuscitation.

Question 19

Describe the role of the PM position in resuscitation.

Answer 19

• Assists code commander
• ## Initiates IV/IO access

Question 20

Describe the role of the PM position in resuscitation.

Answer 20

• Assists code commander
• Initiates IV/IO access
• Assess airway intervetions/ETCO2 monitoring