PALS

Question 1

Lidocaine Vs Ami

Answer 1

No proof to prove difference

Question 2

Epi

Answer 2

Improves survival prehospital but no proof for hospital discharge

Question 3

eCPR

Answer 3

Oxygenate blood and out it back invbody

Question 4

Compression depth

Answer 4

Infant 1 1/2
Child 2
Adult 2-2.4

Question 5

Post Arrest

Answer 5

Noroxemia above 94% oxygen

Aggressive oxygen and don’t let become hypercarbic (don’t Breathing too fast)

Question 6

Witnessed arrest for ped

Answer 6

911 then CPR.

Question 7

Unwitnessed arrest

Answer 7

CPR 2 minutes then 911

Question 8

Airway

Answer 8

Look in airway and position

Question 9

Breathing

Answer 9

Look retractions
Listen noises
Feel tidal volume
Positions

Question 10

Circulation

Answer 10

Color

Pulse

Question 11

Disability

Answer 11

Mental Status
Lethargic, tired, reactive,
Pupils!
Glucose!

Question 12

Exposure

Answer 12

Temperature

Warm or cold

Question 13

Hypotension in 1 year to 12

Answer 13

Less than 70mmHg (age x 2)

Question 14

Neonate

Answer 14

<45bgl

Question 15

Infants and children

Answer 15

<60bgl

Question 16

Hypovolemia Shock

Answer 16

Loss of volume due to bleeding, diarrhea and vomiting
Tachycardia and poor perfusion
BP may start high but then fall due to release of catecholamines

Question 17

Distributive Shock

Answer 17

Septic Shock 
Tachycardia
Warm flushed skin with fast refill
Vessels dialate
Anaphylaxis as well

Question 18

Cardiogenic Schock

Answer 18

Poor heart perfusion
Arrhythmia, cardiomyopathy
Tachycardia
High BP
PULMONARY congestion

Question 19

Obstructive Shock

Answer 19

Blood clot, air Embolism, thension pneumo, tamponade

Question 20

Compensated shock

Answer 20

Adequate or high systolic BP

Question 21

Hypotensive Shock

Answer 21

Ominous and requires immediate intervention

Question 22

Fluid Resucitation

Answer 22

Rapid fluid bonuses unless cardiogenic Shock which should be given less rapidly
Cardiogenic 10ml/kg over 10-20 minutes
Other Shock 20ml/kg over 5-10 minutes

Question 23

Sinus brady

Answer 23

BVM

<60 with poor perfusion start cpr

Question 24

SVT

Answer 24

Abrupt increase in HR
Stable: vagal maneuver (ice to the face or blowing through straw)
Adenosine:
Unstable: pharmacological and electricity
Synchronized cardio version:
.5-1j/kg
Increase to 2j/kg for other doses

Question 25

V-Tach

Answer 25

May result from heart disease or from normal hearts

Question 26

H’s and T’s

Answer 26

Hypoglycemia Tension Pneumo
Hypovolemia Tamponade
Hypoxia Toxins
Hydrogen ion Thrombosis
Hyperkalemia 
Hypokalemia
Hypothermia

Question 27

Manual Defib

Answer 27

2-4j/kg
4j/kg
6j/kg
8j/kg

Question 28

Post Arrest

Answer 28

Oxygenation ventilation and perfusion
5-10ml/kg over 10-20minutes
Hypothermia 32-34degrees Celcius