Universal Treatment Algorithm

Question 1

What are the 3 interventions in CPR as per the Universal Treatment Algorithm?

Answer 1

Chest compressions - quality with minimal interruptions

Defibrillation - if rhythm is VF or pulseless VT

Oxygenation - oxygenation and ventilation of the lungs via a BVM + OPA until airway is secured - ET or LMA

Question 2

What is the purpose of BLS?

Answer 2

To help maintain myocardial and cerebral oxygenation until ALS personnel and equipment is available

Question 3

What are the two types of rhythms in a cardiac arrest?

Answer 3

Shockable: VF and pulseless VT
Non-shockable: not for defib- a systole and all other rhythms

Question 4

Each cycle of CPR consists of

Answer 4

5 sets of 30:2 - equally approx 2 min

Question 5

How to confirm airway placement and monitor adequacy of CPR?

Answer 5

Et CO2

Question 6

When should adrenaline be administered? (shockable rhythms)

Answer 6

After 2nd shock
Then after every 2nd cycle (approx 4 mins)

Question 7

When should adrenaline be administered? (Non-shockable)

Answer 7

Immediately post IV/IO access obtained
Then every 2nd cycle

Question 8

What is amiodarone?

Answer 8

Anti-arrhythmic

Question 9

When do we consider amiodarone? And dosage?

Answer 9

300mg - considered after 3rd shock

2nd dose 150mg after 5th shock

Question 10

4 Hs

Answer 10

Hypoxia
Hypovolemia
Hypo/hyperkalaemia
Hypo/hyperthermia

Question 11

3 Ts

Answer 11

Tampon are
Toxins
Thrombosis

Question 12

Post resus care

Answer 12

Re evaluate ABCDE
12 lead ECG
Treat causes
Aim spo2 94/98, normocapnia and normoglycemia
Temp management

Question 13

Sternum pad placement

Answer 13

Right parasternal area over 2nd intercostal space

Question 14

Apex/lateral pad placement

Answer 14

On mid-axillary line over sixth intercostal space

Question 15

COACHED mnemonic

Answer 15

Compressions continue
Oxygen and others Away
Charging
Hands off
Evaluate
Defibrillate