ALS

Question 1

sequence of ALS?

Answer 1

no pulse
call 2222
30:2 on chest
pads on
shock every 2 mins

Question 2

what drugs are given in ALS and when?

Answer 2

amiodarone 300mg after every 3 shocks

adrenaline 1mg every 3-5mins

Question 3

4Hs and Ts?

Answer 3

Hypothermia
Hypoxia
Hypvolaemia
Hyperkalaemia/hypo

Tension
Tamponade
Thrombosis
Toxins

Question 4

level of innervation of diaphragm?

Answer 4

C345

Question 5

what supplies intercostals?

Answer 5

T level of rib

Question 6

what to do for A?

Answer 6

look
manouvres
suck
adjuncts
oxygen

Question 7

what to do for B?

Answer 7

sats
look, listen, feel, percuss
oxygen

Question 8

what to do for C?

Answer 8

CRT
pulse
listen
ECG
BP
Urine output
PVC

Question 9

what to do for D?

Answer 9

Drugs
pupils
AVPU/GCS
BM

Question 10

what to do for E?

Answer 10

Expose
full history

Question 11

GCS for eyes?

Answer 11

spontaneous
speech
pain
none

Question 12

GCS for verbal?

Answer 12

orientated
confused
inappropriate words
sounds
none

Question 13

GCS for motor?

Answer 13

obeys
localise pain
flexion away from pain
abnormal flex
abnormal extension
none

Question 14

how many breaths /min if bag valve mask?

Answer 14

10

Question 15

in PEA - what drugs given?

Answer 15

adrenaline as soon as IV access

Question 16

how to treat choking?

Answer 16

5 back blows
5 abdo thrusts

Question 17

what is classified severe hyperkalaemia?

Answer 17

> 6.5

Question 18

ECG changes for hyperkalaemia?

Answer 18

brady
wide QRS
tall tented T waves
1st degree HB

Question 19

Tx for hyperkalaemia?

Answer 19

10mls 10% calcium gluconate over 10 mins
10 units actrapid in 25g glucose
salbutamol

Question 20

Tx for hypocalcaemia?

Answer 20

calcium chloride 10% 10-40mls

Question 21

Tx for hypercalcaemia?

Answer 21

furosemide
fluids
hydrocortisone
pamidronate

Question 22

Tx for hypomagnesia?

Answer 22

2g 50% magnesium sulphate

Question 23

Tx for hypermagnesia?

Answer 23

calcium chloride 10% 10-40mls

Question 24

what is the dose of nalone?

Answer 24

400mcg

Question 25

Tx for TCA overdose?

Answer 25

sodium bicarbonate

Question 26

ALS if <10 days cardiac surgery?

Answer 26

3 shocks reopening of chest

Question 27

Tx for tension pneumothorax?

Answer 27

cannula in 2nd ICS midclav OR 5th ICS mid axillary line

Question 28

Tx for anaphylaxis?

Answer 28

0.5mg IM adrenaline (1:1000)

Question 29

asthma T?

Answer 29

salbutamol ipratropium 500mcg 40mg pred mag sulphate aminophylline

Question 30

when should adrenaline be given in VF/pVT?

Answer 30

after 3rd shock

Question 31

how to initiate hypothermia?

Answer 31

rapid infusion 2L cool saline

Question 32

target temp of cooling?

Answer 32

32-26

Question 33

should rewarming be fast or slow?

Answer 33

SLOW 0.25-0.5 degrees an hour

Question 34

Tx for AF?

Answer 34

diltiazem bisoprolol digoxin

Question 35

life threatening features of narrow tachycardia? Tx plan?

Answer 35

shock syncope ischaemia heart failure anticoagulation and cardioversion