Scenarios

Question 1

Approach to Hypoxia

Answer 1

Pt not breathing or airway obstruction (obstruction, opioids, decreased GCS)
A = look for obstruction. Airway manouvres and adjuncts.
B = look, listen and feel
C = IV lines, BP, pulse. Resucitate with fluids.
D= AVPU
E= Equipment for transfer
F= Notify family
G= glucose
H= hypothermia, cool to 32-34 degrees post cardiac arrest
I = ECG, CXR, Bloods

Question 2

Life threatening tachyarryhthmia

Answer 2

Wide complex e.g. VT, torsades
If unstable- shock and give amiodarone 300 mg IV.
If stable then:
- give Amiodarone 300 mg IV over 20 minutes
- if torsades then give 2 g og Mg over 10minutes

Question 3

Non life threatning tachyarryhtmia Mx

Answer 3

Narrow complex e.g. SVT, AF. If rate 150 than flutter.

• vagal manouvres
• adenosine 6 mg IV

Question 4

Life threatening bradyarrhythmia

Answer 4

• Give atropine then adrenaline
• Unstable, TCP
• If BB/CCB overdose, give glucagon

Question 5

Aystole/PEA

Answer 5

CPR 30:2 for 2 minutes
IV adrenaline ASAP
Assess rhythm
Non shockable - recommence CRP and give adrenaline in second round
Give amiodarone on 3rd shock

Question 6

VF/pulseless VT

Answer 6

Start CPR 30:2 for 2 minutes
Attach defibs
Assess rhythm
Shock if shockable
Continue CPR