Als Algorithm Flashcards
Outline algorithm
Unresponsive not breathing CPR 30:2 Attach pads and monitor Rhythm check VF /pVT -shock Pea - cpr 2 mins
Actions during CPR
Give oxygen
Waveform capnography
Continuous compressions when advanced airway in
Vascular access- iv or io
Give adrenaline 1mg when access achieved then every 3-5 mins (every other cycle)
Give amiodarone 300mg after 3 shocks
How many joules for first shock?
150 J
Same or higher there on
4 Hs and 4 Ts
Hypoxia
Hypovolaemia
Hyper/hypokalaemia (metabolic)
Hypothermia
Tension pneumothorax
Thrombosis (coronary or PE)
Tamponade
Toxins (check drugs)
Airway management in ALS
In absence of anaesthetist, supraglottic airway devices used (igel) then deliver uninterrupted chest compressions
Vent 10 breaths per minute
Wave form capnography to monitor output
Role of waveform capnography
Ensure placement of ett in trachea
Monitor vent rate in cpr
Quality of cpr
Identifying rosc in cpr - increase in end tidal co2
Intra-osseous access sites
Humeral head
Proximal tibia
Distal tibia