Resuscitation

Question 1

List 8 good pre hospital prognostic factors in out of hospital cardiac arrest

Answer 1

Age <65
Witnessed cardiac arrest
Shockable rhythm
Nil asystole
CPR by bystander
Short duration of cpr
No comorbidities
Defib early
Signs of life

Question 2

APGAR

Answer 2

A: appearance color
P: pulse/ hr
G: grimace
A: activity reflexes/ tone
R: respiration

Question 3

APGAR score write out in box with points

Answer 3

1 min
5 min

0-3 bad
4-6 mod
>7 good one

Low first minute is not predictive of morbidity or mortality: conditions of labour
Low 5 min score: correlates with mortality not predictive of neurological dysfunction

Question 4

3 immediate actions in neonatal resuscitation

Answer 4

Dry baby provides stimulation to resp effort
Provide warmth to baby
Suction baby’s mouth under direct vision
Provide positive pressure ventilation

Question 5

4 important differences adult vs neonatal resuscitation

Answer 5

Ventilatory support is with room air not 100% oxygen.
Chest compression start <60 not 0
Ppv required overcome surfactant and collapse lung
Can use umbilical vein
15:2

Question 6

Which of these are aeorsolisining procedures
Defibrillation
Mechanical cpr
positive pressure ventilation
ICC

Answer 6

PPV and ICC

Question 7

Neurogenic shock

Answer 7

Hypotension
Bradycardia - unopposed parasympathetic stimulation
Poikokothermia
Loss vasomotor tone and loss of sympathetic nervous system tone

30 mins of cord injury at or above T5 last up to 6 weeks