Pre hospital cardiac arrest

Question 1

What should be laid out beside the patient?

Answer 1

All the kit- kit dump

Question 2

When should you not start CPR?

Answer 2

life extinct
* decapitation
* massive cranial and cerebral destruction
* hemicorporectomy
* incineration >95% full thickness burns
* decomposition/putrefaction
* rigor mortis/ hypostasis

OR
valid dna CPR

Question 3

When should CPR be stopped in the asystolic patient?

Answer 3

unless <18, pregnant, drowned, poisoned or hypothermic

can be stopped if continuously asystolic after 20 mins of ALS and identification and treatment of all reversible causes

Question 4

What can you treat hypotension with after rosc?

Answer 4

Boluses of adrenaline 0.05-0.1 mg IV/IO

Question 5

What should be excluded in combative patients?

Answer 5

hypoglycaemia

Question 6

When transporting a patient what should be done to maintain cerebral perfusion?

Answer 6

• supine
• feet first if coming downstairs
• head tilted up in vehicle

Question 7

What handover can be used to prealert?

Answer 7

Medical
A-age
T- time of onset
M- medical complaint/history
I- investigations
S- vital signs
T- treatment, including ETA

Trauma
A- Age
T- time of incident
M- mechanism of injury
I- injuries (top to toe)
S- vital signs
T- treatment including eta