1

Question 1

What is the chain of survival?

Answer 1

Early recognition
Early CPR
Early defibrillation
POst-resuscitation care

Question 2

What is the ALS algorithm

Answer 2

Unresponsive and not breathing normally

Call resuscitation team 2222

CPR 30:2
Attach defibrillator/monitor
Minimise interruptions

Assess rhythm

Shockable rhythm (VF/pVT)
1 Shock (minimise interruptions)
Immediately resume CPR for 2 minutes
Assess rhythm

Non Shockable rhythm (PEA/Asystole)
Immediately resume CPR for 2 minutes
Assess rhythm

Return of spontaneous circulation
Immediate post cardiac arrest treatment
A-E approach
SpO2 94-98%
Normal PaCO2
12 lead ECG
Treat precipitating cause
Targeted temperature management

Question 3

What should you do during CPR?

Answer 3

Ensure high quality chest compressions
Minimise interruptions to chest compressions
Give O2
Use waveform capnography
Continuous compressions when advanced airway in place
Vascular access (IV/IO)
Adrenaline every 3-5 minutes
Amiodarone after 3 shocks

Question 4

What are the reversible causes of cardiac arrest?

Answer 4

Hypoxia
Hypovolaemia
Hypokalaemia/Hyperkalaemia
Hypothermia

Tamponade
Tension pneumothorax
Thrombosis - coronary/pulmonary
Toxins

Question 5

What interventions should you consider during CPR?

Answer 5

US imaging
Mechanical chest compressions to facilitate transfer
Coronary angiography and percutaneous coronary intervention
Extracorporeal CPR