Week 8 Flashcards
mechanical CPR should not occur prior to how many minutes?
16 minutes.
Unless there is inadequate resources, access issues, etc.
What are the conditions for which you would transport with Mechanical CPR?
ALL need to be met
- Paramedic witnessed arrest OR presenting with VF/VT
- Likely reversible with medical intervention
- Pt less than of equal to 65 years old and lives independantly
- Alfred hospital < 60 mins from collapse for patients 15-35)
- ECMO or PCI <45 min patients aged 36-65
How many weeks gestation do you need to consider for CPR on preggo ladies?
> 20 weeks
What conditions do you need to consider with preggo’s and cpr?
Aortocaval compression syndrome
aka supine hypertensive syndrome
- compression of inferior vena cava and aorta from uterus
What is the blood flow difference in the uterus when preggs and not?
not = 60ml per minute
Preggo = 600ml per minute
When doing CPR on a preggo, where do you move the foetus?
push over to left hand side
When a patient interferes with CPR or gag reflex becomes present… or patient suspected to be aware what drug should you consider?
ALS: Fentanyl 25mg every 3-5 mins
MICA: Ketamine 20mg
What is the presentation of Fentanyl?
100mcg in 2 mls
or 250 mcg in cartridge
What temperature signals hypothermic cardiac arrest?
<30 degrees c
What is an ECG sign of hypothermic?
Osborne waves
What is an osborne wave?
positive deflection at the J point
In hypothermic cardiac arrest what happens to adrenaline and amiodarone intervals?
double them
How many shocks should you give in hypothermic cardiac arrest and why?
Greater than 3 unlikely to be successful until temperature returns
How many minutes in asystole is generally considered non-survivable?
20 mins
If a patient is asystole what is one thing you should do first?
Check the leads
