WEEK4- ILS Flashcards
What is ILS
abcde approach has been conducted along with quality cpr
defibrillation
and airway manoeuvres
How do you conduct ils
conduct abcde
conduct 3 c’s (confirm,call,conduct)
cpr
defibrillation
improving the airways
shock when needed
how do you minimise an artefact reading
PAUSE COMPRESSIONS
remember: when chest compressions are being conducted this produces its own heart rate.
so, you could shock the incorrect heart rhythm if using the artefact.
can you skip straight to an i-gel
yes based on these 5 reasonings:
1. the high likelihood that the airway will contain vomit because the sphincter is relaxed.
2. the patient is at high risk of aspiration. i-gels can protect against aspiration
3. bvm alone can inflate stomach leading to higher chance of aspiration
4. sooner the i-gel is inserted the better, the more likely that the oesophageal seal pressure will maintain
5. can monitor co2 levels by attaching capnography to the i-gel which would give understanding of how oxygenated the patient is
can you move up and down the airway ladder
yes you can !
how do you know if ventilations have been conducted effectively
ensure correct airway adjunct has been used
ensure ventilation is delivered over a second
visually check for chest rise and fall
auscultate breath sounds with a stethoscope
check for condensation/misting in the airway adjunct
when do you stop resuscitation during ils
at this point only stop resuscitation if when reassessing you have achieved a return of spontaneous circulation (ROSC)
when do you stop resuscitation during ils
at this point only stop resuscitation if when reassessing you have achieved a return of spontaneous circulation (ROSC)
what does rosc stand for and mean
return of spontaneous circulation. meaning when a palpate pulse is elicited, after a successful cardiopulmonary resusicitation, following a cardiac arrest.
likelihood of achieving a ROSC in prehospital=low/30%
How do you detect a ROSC
if there’s a return of a palpable pulse. Feel for carotid artery/femoral artery.
if there’s any waking, purposeful movement, visible arterial waveform (pulse)
change in ECG
maybe spontaneous breathing/respiratory effort
what should you do if ROSC is present
return to ABC assessment and management
Check the airway, see if airway adjunct is still required
check patients’ respiratory rate. if needed assist with ventilations (BVM)
check the patient’s carotid/ radial bilaterally (on both sides) note the heart rate and perform a blood pressure/ecg.
