Medical Cardiac Arrest Medical Directive Flashcards
Medical Cardiac Arrest MD
What are the indications for the medical cardiac arrest md?
Non-traumatic cardiac arrest.
Medical Cardiac Arrest MD
What are the conditions for CPR?
LOA: Altered
Other: Performed in 2 minute intervals.
Medical Cardiac Arrest MD
What are the conditions for Manual Defibrillation?
Age: ≥24 hours
LOA: Altered
Other: VF OR pulseless VT
Medical Cardiac Arrest MD
What are the conditions for AED or SAED Defibrillation?
Age: ≥24 hours
LOA: Altered
Other: Defibrillation indicated. If not using manual defibrillation.
Medical Cardiac Arrest MD
What are the conditions for epinephrine administration?
Age: ≥24 hours
LOA: Altered
Other: Anaphylaxis suspected as causative event.
Medical Cardiac Arrest MD
What are the conditions for a medical TOR?
Age: ≥16 years
LOA: Altered
Other: Arrest not witnessed by paramedic
AND
No ROSC 20 minutes of resuscitation
AND
No defibrillation delivered.
Medical Cardiac Arrest MD
What are the contraindications to CPR?
Obviously dead as per BLS PCS
Meet conditions of the BLS PCS Do Not Resuscitate (DNR) Standard
Medical Cardiac Arrest MD
What are the contraindications to Manual Defibrillation?
Rhythms other than VF or pulseless VT.
Medical Cardiac Arrest MD
What are the contraindications to AED or SAED Defibrillation?
Non-shockable rhythm.
Medical Cardiac Arrest MD
What are the contraindications to epinephrine administration?
Allergy or sensitivity to epinephrine.
Medical Cardiac Arrest MD
What are the contraindications to a Medical TOR?
Known reversible cause of the arrest unable to be addressed.
Pregnancy presumed to be ≥20 weeks gestation.
Suspected hypothermia.
Airway obstruction.
Non-opioid drug overdose/toxicology.
Medical Cardiac Arrest MD
What is the dosing for manual defibrillation ≥24 hours to <8 years?
Initial dose of 2 J/kg, subsequent doses 4 J/kg. Dosing interval 2 min, max # of doses n/a.
Medical Cardiac Arrest MD
What is the dosing for manual defibrillation ≥8 years?
As per RBHP/manufacturer.
Dosing interval 2 min, max # of doses n/a.
Medical Cardiac Arrest MD
What is the dosing for epinephrine?
Route: IM
Concentration: 1 mg/ml - 1:1000
Dose: 0.01 mg/kg
Max single dose: 0.5 mg
Dosing interval: n/a
Max # of doses: 1
Epi dose may be rounded to the nearest 0.05 mg.
Medical Cardiac Arrest MD
When do we normally transport, if patch for TOR fails, or TOR doesn’t apply?
Transport to the closest appropriate hospital following ROSC or 20 minutes of resuscitation without ROSC.