RRAPID: Cardiac Arrest

Question 1

Recognition?

Answer 1

Airway & Breathing :

un-responsive & not breathing
perform airway manœuvres & adjuncts where appropriate

Question 2

Algorithm Part 1?

Answer 2

Call 2222 (resus)
Begin CPR 30:2 (rescue breaths to last 1 sec with ventilation bag)
Assistant to attach defibrillator/monitor
Assess rhythm
Gain IV access

Question 3

What are the circumstances to shock a patient?

Answer 3

VF or pulseless VT

Question 4

Algorithm for VF/Pulseless VT?

Answer 4

SHOCK
Chest compression for 2 mins
Asses pulse
Asses rhythm

After 3rd SHOCK give:
IV adrenaline 1mg
IV amiodarone 300 mg

Repeat adrenaline in alternate cycles

Question 5

What is VF?

Answer 5

Uncoordinated contraction of thecardiac muscleof theventriclesin theheart, making them quiver rather than contract properly.
If VF present it will likely degenerate further intoasystole(“flatline”). This condition results incardiogenic shockand cessation of effective bloodcirculation.

Question 6

Algorithm for pulseless electrical activity (PEA)/asystole?

Answer 6

NOT Shockable 
IV adrenaline 1mg
CPR
Reassess
Give adrenalin in alternate cycles

Question 7

Reversible causes?

Answer 7

4H's:
H - hypoxia
H - hypovolaemia
H - hypothermia
H - hyperkalaemia/hypokalaemia

4T's:
T - Tension pneumothorax
T - Tamponade
T - Thromboembolism 
T - Toxins