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1
Q

Name some of the cause of cardiac arrest include?

A

Abnormal cardiac rhythms, cardiomyopathy,
coronary heart disease, myocardial infarction and hypoxia

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2
Q

What are the external causes for cardiac arrest?

A

External causes can include catastrophic haemorrhage, electrocution and overdose.

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3
Q

What are the chances of survival in a out of hospital cardiac arrest?

A

> 1 in 10

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4
Q

What is the chain of survival?

A

Early recognition & 999
Early CPR
Early Defib
Post Resus

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5
Q

What % of cardiac arrests die before they reach hospital?

A

70-90%

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6
Q

What are the two main components of BLS?

A

Chest Compressions and Ventilations

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7
Q

Why is high-quality BLS crucial for out-of-hospital cardiac arrest?

A

It allows us to significantly vary intrathoracic pressure, stimulating blood flow and gas exchange in the lungs, heart, and brain.

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8
Q

What is the primary goal of CPR?

A

To keep the brain and cells oxygenated by keeping blood moving around the body.

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9
Q

What is the negative impact of pausing chest compressions?

A

Creates perfusion of the major organs to decrease

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10
Q

What is the correct hand position for chest compressions?

A

Place the heel of one hand in the centre of the chest, between the nipples. Then, place your other hand on top of the first hand and interlock your fingers.

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11
Q

What are the primary reasons for interruptions during CPR in the pre-hospital setting?

A

delivering ventilations, analysing rhythms, delivering shocks, moving patients, extricating, CPR during conveyance

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12
Q

How do interruptions in chest compressions affect coronary perfusion pressure and myocardial blood flow?

A

It can significantly reduce coronary perfusion pressure (CPP) and myocardial blood flow

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13
Q

What are the 5 P’s?

A

PATCHES
PLAYTEX
PERSPIRATION
PACEMAKER
PENDANTS

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14
Q

What is the Defib patch placement

A

PAD 1 - right side. Below the clavicle on 2nd intercostal space
PAD 2 - mid-axillary line (middle of armpit) 5th intercostal space (level with the V6 ECG
electrode position)

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15
Q

Key steps in recognising heart rhythm?

A

RATE
RHYTHM
P WAVES
QRS
T WAVE
PULSE

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16
Q

What is the definition of ventricular tachycardia (VT)?

A

3 consecutive QRS complexes at
a rate greater than 100 bpm

17
Q

What are the characteristic features of VT on an ECG?

A
18
Q

How does the appearance of VT differ between patients with and without structural heart disease?

A

With - QRS complexes are smooth and tall. Without - QRSs have lower amplitudes & broader

19
Q

Why is it important to differentiate between VT with a pulse and pulseless VT?

A

Pulse VT
Pulseless VT

20
Q

What to look for in pulseless VT?

A

RATE - 100- 200bpm.
RHYTHM - Regular
P WAVES - Absent (cannot usually be
detected)
QRS - Present. Wide. It stays the same
throughout.
T WAVE - Absent
PULSE - In cardiac arrest = NO (we only
shock pulseless VT)

21
Q

What to look for in pulseless VF?

A
  1. RATE Too rapid to count.
  2. RHYTHM Irregular
  3. P WAVES Absent
  4. QRS Present. Wide. Irregular. Changes in
    morphology (width/ height/
    structure) throughout.
  5. T WAVE Absent
  6. PULSE? NO
22
Q

pulseless vt shockable ?

A

yes

23
Q

with pulse vt shockable?

A

no

24
Q

vf shockable?

A

yes

25
Q

Is Pulseless Electrical Activity (PEA) shockable?

A

no

26
Q

is asystole shockable

A

no