week 12 quiz

Question 1

Traumatic cardiac arrest indications

Answer 1

cardiac arrest secondary to severe blunt trauma or penetrating trauma

Question 2

traumatic cardiac arrest conditions- CPR

Answer 2

LOA altered, performed in 2 min intervals

Question 3

traumatic cardiac arrest conditions- manual defibrillation

Answer 3

age >24 hours, LOA altered, VF or pulseless VT

Question 4

traumatic cardiac arrest trauma TOR conditions

Answer 4

Age >16 years, LOA altered, HR 0, RR 0, no palpable pulses and no defibrillation delivered and systole and no signs of life at any time since fully extricated or signs of life when extricated w/ closest ED >30min away or rhythm PEA w/ closest ED ?30 min away

Question 5

traumatic cardiac arrest contraindications- CPR

Answer 5

obviously dead per BLS, meet conditions of DNR standard

Question 6

traumatic cardiac arrest contraindications- manual defibrillation

Answer 6

rhythms other than VF or pulseless VT

Question 7

traumatic cardiac arrest medical TOR contraindications

Answer 7

Age >16 years, defibrillation delivered, signs of life at any time since extricated, rhythm PEA and closest ED <30 min away, pts w/ penetrating trauma to torso/head/neck. and lead trauma centre <30 min away

Question 8

dramatic cardiac arrest manual defibrillation treatment

Answer 8

> 24 hours- <8 years
dose 1 defibrillation, initial dose 2J/kg, max number of doses 1

> 8 years
dose 1 defibrillation, initial dose 120 (zoll)/200 (life pack), max number of doses 1

Question 9

cardiac ischemia indications

Answer 9

suspected cardiac ischemia

Question 10

cardiac ischemia conditions- ASA

Answer 10

age >18 years, LOA unaltered, able to chew and swallow

Question 11

cardiac ischemia conditions- nitro

Answer 11

age >18 years, LOA unaltered, HR 60-159bpm, SBP normotension, prior history os nitro use of IV access obtained

Question 12

cardiac ischemia contraindications- ASA

Answer 12

allergy or sensitivity to NSAIDS, current active bleeding, CVA/TBI in past 24 hours, is asthmatic no prior use of ASA

Question 13

cardiac ischemia contraindications- nitro

Answer 13

allergy or sensitivity to nitrates, phosphodiesterase inhibitor use within 48 hours, SBP drops by 1/3 of initial value after administration, 12 lead ECG compatible with RVI

Question 14

cardiac ischemia treatment- ASA

Answer 14

route PO, dose 160-162mg, max single dose 162 mg, max number of doses 1

Question 15

medical cardiac arrest conditions

Answer 15

LOA altered, performed in 2 min intervals

Question 16

medical cardiac arrest conditions-manual defibrillation

Answer 16

age >24 hours, VF or pulseless VT

Question 17

medical cardiac arrest conditions- Epi

Answer 17

age >24 hours, LOA altered, anaphylaxis suspected as causative event

Question 18

cardiac ischemia treatment- nitro w/o STEMI

Answer 18

route SL, SBP >100mmHg, dose 0.3 mg or 0.4 mg, max single dose 0.4mg, dosing interval 5 min, max number of doses 6

Question 19

cardiac ischemia treatment- nitro w/ STEMI

Answer 19

route SL, SBP >100mmHg, dose 0.4 or 0.4 mg, max single dose 0.4 mg, dosing interval 5 min, max number of doses 3

Question 20

medical cardiac arrest indications

Answer 20

non traumatic cardiac arrest

Question 21

medical cardiac arrest conditions- CPR

Answer 21

LOA altered, performed in 2 min intervals

Question 22

medical cardiac arrest conditions- manual defibrillation

Answer 22

age >24 hours, VF or pulseless VT

Question 23

medical cardiac arrest conditions- Epi

Answer 23

age >24 hours, LOA altered, anaphylaxis suspected as causative event

Question 24

medical cardiac arrest medical TOR conditions

Answer 24

age >16 years, LOA altered, arrest not witnessed by medic and no ROSC after 20 mins of resuscitation and no defibrillation delivered

Question 25

medical cardiac arrest contraindications- CPR

Answer 25

obviously dead per BLS, meet conditions of DNR standard

Question 26

medical cardiac arrest contraindications-manual defibrillation

Answer 26

rhythms other than VF or pulseless VT

Question 27

medical cardiac arrest contraindications- epi

Answer 27

allergy or sensitivity to epi

Question 28

medical cardiac arrest medical TOR contraindications

Answer 28

known reversible cause of arrest unable to be addressed, pregnancy presumed to be >20 weeks, suspected hypothermia, airway obstruction, non-opioid drug overdose/ toxicology

Question 29

medical cardiac arrest manual defibrillation treatment

Answer 29

> 24 hours- <8 years
dose 1 defibrillation, initial dose 2J/kg, subsequent dose 4J/kg, dosing interval 2 min

> 8 years
dose 1 defibrillation, initial dose 120 (zoll)/ 200 (lifepack), subsequent doses 150, 200 (zoll)/ 300, 360 (lifepack), dosing interval 2 min

Question 30

medical cardiac arrest epi treatment

Answer 30

route IM, dose 0.01mg/kg, max single dose 0.5mg, max number of doses 1

Question 31

ROSC indications

Answer 31

patient w/ ROSC after the resuscitation was initiated

Question 32

ROSC conditions

Answer 32

0.9% bolus
SBP hypotension, chest auscultation is clear

Question 33

ROSC contraindications

Answer 33

fluid overload

Question 34

ROSC treatment

Answer 34

> 2 years- <12 years
infusion 10ml/kg, interval immediate, reassess every 100ml, max volume 1000ml

> 12 years
infusion interval 10ml/kg, infusion interval immediate, reassess every 250ml, max volume 1000ml

titrate O2 94-98%, avoid hyperventilation and target ETCO2 to 30-40mmHg w/ waveform capnorgraphy