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29 Cards in this Set
- Front
- Back
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List the systematic approach |
Danger MOI Obvious cat haemorrhage AVPU (U - call to patient) Call for help Airway- c spine Head tilt chin lift, look listen feel whilst feeling for carotid pulse up to 10 seconds |
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What is agonal breathing? |
Irregular, slow, deep breaths, frequently accompanied by characteristic snoring sound, originating from brain stem which remain functioning for some minutes even when deprived of oxygen Described as goldfish breathing |
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Name the 5P and H |
Pendants, perspiration, patches pacemakers, piercings and hair |
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What are the 2 shockabke rhythms |
Ventricular fibrillation Ventricular Tachycardia (if no pulse) |
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Name the non shockable rhythms |
Pulseless electrical activity Asystole |
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Ratio, rhythm and depth of cpr |
30:2, 100-120bpm, 5-6cm |
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Where do you perform cpr? |
Lower half of sternum |
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Interruptions must be less than how many seconds |
5 |
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What are the 4H |
Hypoxia, Hypo and hyper thermia Hypo and hyper kalaemia Hypovolaemia |
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What are the 4T |
Tension pneumothorax Cardiac tamponade Toxins Thromboembolism |
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When is adrenaline given? |
Every second cycle, 3-5 minutes |
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When is amiodrone given? |
After 3rd shock 300mg Irrespective of whether these are sequential or intermittent Administer 150mg after 5th shock |
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What is the max dose for amiodrone |
450mg |
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What are the indications for a pre cordial thump? |
Witnessed, monitored cardiac No defib attached |
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What is amiodrone? |
Antiarrythmic Lengthens cardiac action potential and therefore effective refractory period. Prolonged QT interval on ECG |
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What are the contraindications of amiodrone? |
None |
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What is adrenaline |
A sympathomimetic which stimulates alpha and beta adrenagic receptors as a result myocardial and cerebral blood flow is enhanced during cpr allowing cpr to become more effective due to increased peripheral resistance which improves perfusion pressures |
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What is the dose regime and max dose of adrenaline |
Every 3-5 minutes No limit |
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What is the difference between monophonic and bisphasic defib? |
Monophasic, one shock in one direction to one pad to another Biphasic, shock from one pad to another and back again |
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Exemptions/terminations of CPR |
Asystole despite 20 mins ALS Drowning Hypothermia Poisoning Overdose Pregnancy |
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What is the paramedic trial 2 about? |
Increased myocardial blood flow possibly at the expense of the peripheries So though adrenaline may start heart initially it leads to lower survival rate and increased brain damage |
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Hypoxia |
Secure and check airway, ensure capnography reading, ventilate 100%, auscultation Regularly checking O² cylinder |
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Hypo and hyperthermia |
Actively cool or warm to 32-36 °c
Less than 30°c no drugs 30-35°c double intervals 6-10 minutes |
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Hypo and Hyper kalaemia |
Check BM, consider other causes of imbalance, possibility of EMRTS |
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Hypovolaemia |
Set up IV drip and flush with saline 20ml Trauma? Sepsis? Dehydration? |
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Tension pneumothorax |
Is there BVM resistance, no chest rise and fall looking for signs and symptoms of tension pneumothorax |
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Cardiac tamponade |
Compresses heart preventing adequate filling and ejection Consideration in traumatic cardiac arrest, observing for signs and symptoms. Performed by appropriate clinician, inform on ATMIST |
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Toxins |
Looking for signs and systems of paraphernalia Considering naloxone |
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Thromboembolism |
Looking for signs and symptoms is the likely cause coronary or pulmonary thrombosis, if ROSC perform ECG, consider PPCI |
