Unit 2 - VSA/special cases Flashcards
What are the cardiac arrest reversible causes. Hs and Ts
Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypothermia
Hypo/Hyperkalemia
Tension pneumothorax
Cardiac Tamponade
Toxins
Thrombosis (pulmonary)
Thrombosis (coronary)
What are CPR interventions (can’t do this on someone with a DNR)
Chest compressions
Defib
Artificial ventilations
Adjunct airway
Endotracheal intubation
Transcutaneous pacing
Advanced resuscitation drugs
What are some gross signs of death
Decapitation, transection, visible decomposition, putrefaction
What are some gross signs of death in addition to VSA
Grossly charred body
Open head or torso wound with gross outpouring of cranial or visceral contents
Gross rigor mortis
Dependent lividity
When would you consider very early transport for medical cardiac arrest
- Pregnancy presumed to be over or equal to 20 weeks gestation
- Hypothermia
- Airway obstruction
- Non-opioid overdose
- Other known reversible causes
What are the medical TOR conditions
equal to or over 16 yrs
Arrest not witnessed by paramedic AND no ROSC after 20 mins or CPR, AND no shock delivered
Contraindications of medical TOR
- Known reversible cause
- Prego over or equal to 20 weeks
- Suspected hypothermia
- Airway obstruction
- Non-opioid overdose
Trauma TOR conditions
- Over or equal to 16 yrs
- No palpable pulses
AND no shock delivered
AND asystole
AND no signs of life since fully extricated
OR PEA with closest ED over or equal to 30 mins away
Trauma TOR contraindications
- Under 16 yrs
- Shock delivered
- Signs of life at any time since fully extricated
- PEA with closest ED under 30 mins away
- Pt with penetrating trauma to the torso or head/neck and LTH <30 mins transport time
What are some signs of life
- Any spontaneous movement
- Respiratory efforts
- Organized electrical activity on ECG
- Reactive pupils
What r the target vitals of a ROSC
SpO2: 94-98%
ETCO2: 30-40 mmHg
