ALS

Question 1

How does a posterior STEMI present on ECG

Answer 1

ST depression on V1-V3

Question 2

what are beta blockers and adenosine contraindicated in?

Answer 2

ASTHMA

Question 3

what can you give for AF instead of a beta blocker if asthmatic

Answer 3

diltaziem

Question 4

what can you give for AF instead of beta blocker if HF

Answer 4

digoxin

Question 5

Acute Acs mx

Answer 5

Morphine
Oxygen
Nitrite SL
Aspirin 300mg

Question 6

NSTEMI/unstable angina long term therapy

Answer 6

aspirin 75
fondaparinux 2.5
prasugrel / ticagreor / clopi (if trop raised)

Question 7

STEMI long term

Answer 7

aspirin
clopi min 1 yr
beta blocker
statin

Question 8

when do you use a precordial thump

Answer 8

in pVT/VF arrest
only if awaiting arrival of defibrillator
as low success rate

Question 9

when do you give 3 successive (stacked) shocks in a cardiac arrest?

Answer 9

In a WITNESSED pVT/VT arrest
(e.g. in catheter unit, CCU),
as high chance of ROSC

Question 10

how do you get a reliable end tidal CO2 during CPR

Answer 10

with a tracheal tube (or supraglottic airway if good seal)

Question 11

what is the rate of ventilation during CPR

Answer 11

10 breaths /min

Question 12

what is end tidal CO2 normally? and therefore when you would suspect ROSC

Answer 12

4.3 -5.5

Question 13

what are access sites for IO

Answer 13

proximal humerus
proximal tibia
distal tibia

Question 14

what is the most common cause of cardiac arrest

Answer 14

coronary Thrombus

Question 15

where do you position ECG. limb leads

Answer 15

Ride your green bike
RED on R shoulder
Yellow on L shoulder
Green on L leg
Black on R leg

Question 16

where do you apply adhesive defibrillator pads normally

Answer 16

under R clavicle and at L MAL

Question 17

where do you apply defibrillator pads if ICD in situ / pacemaker / chest wall traum

Answer 17

anterior and posterior position

(place electrode 10-15cm away from the device or it will damage it)