ALS

Question 1

Overall cardiac arrest survival

Answer 1

10%

Question 2

Capture voltage - transcutaneous pacing

Answer 2

50-100mA

Question 3

Unstable tachy Tx

Answer 3

3x synchronised shocks
Amiodarone 300mg (10mins)
Further shocks

Question 4

Severe hypokalaemia

Answer 4

<2.5

Question 5

Replace K rate

Answer 5

Max 10-20mmol/h

ie 40mmol in 1L over 4/2h

Question 6

Every 1 minute delay in defib reduces outcome by

Answer 6

10%

Question 7

Incidence VF post MI

Answer 7

5%

Question 8

If low K found check

Answer 8

Mg2+

Question 9

Early defib =

Answer 9

W/I 5 mins resus call

Question 10

Adrenaline every

Answer 10

3-5 mins

Question 11

High calcium

Answer 11

> 2.6

Question 12

Non technical skills

Answer 12

Situational awareness
Decision making
Team working/ leadership
Task management

Question 13

Non technical skills

Answer 13

Situational awareness
Decision making
Team working/ leadership
Task management

Question 14

Decisions during arrest

Answer 14

Diagnose rhythm
Choose shock energy
Reversible causes
How long to continue resus

Question 15

Severe high calcium

Answer 15

> 3

Question 16

Low calcium

Answer 16

<2.1

Question 17

Tx low calcium

Answer 17

Calcium chloride 10ml 10%

Or calcium gluconate 30ml 10%

Question 18

Tx high calcium

Answer 18

IV fluids

Pamidronate

Question 19

High magnesium

Answer 19

> 1.1

Question 20

Tx high magnesium

Answer 20

Check potassium

? Calcium gluconate

Question 21

Low magnesium

Answer 21

<0.6

Question 22

Tx low magnesium

Answer 22

1.2g-2g
4ml 8mmol Mg sulphate
20mmol
50mmol

Question 23

Salicylate poisoning

Answer 23

Urine alkanisation

- bicarbonate

Question 24

Tx LA toxicity

Answer 24

Intralipid

Question 25

Tx digoxin toxicity

Answer 25

Digibind

Question 26

Tx TCA OD

Answer 26

Sodium bicarbonate

Question 27

Tx cocaine OD

Answer 27

Benzodiazepines

Question 28

Life threatening asthma

Answer 28

``` <33% predicted Sats <92% PaO2 <8 Normal pCO2 Silent chest ```

Question 29

Acute severe asthma

Answer 29

33-50% PEFR RR >25 HR >110

Question 30

Mast cell tryptase time to take

Answer 30

1-2h Post Sx and Baseline (after better)

Question 31

High risk Bradycardias

Answer 31

Recent asystole 2nd degree mobitz type 2 Complete HB Ventricular pause over 3s

Question 32

Calcium resonium dose

Answer 32

15-30g

Question 33

Irregular broad complex tachy | Likely rhythms

Answer 33

AF with BBB | TdP

Question 34

Tx TdP

Answer 34

Stop drug prolonging QT | Treat electrolyte imbalance: K, Mg, Ca

Question 35

Tx irregular broad complex tachycardia

Answer 35

Likely AF and BBB ?TdP Consider amiodarone

Question 36

Tx regular broad complex tachy

Answer 36

Likely VT | Amiodarone

Question 37

Tx regular narrow complex tachy

Answer 37

Likely SVT Modified valsalva Adenosine 6,12,12mg

Question 38

Tx irregular narrow complex tachy

Answer 38

``` Likely AF B blocker or CCB Dig Amiodarone LMWH ?>48h ```

Question 39

Tx long QT syndrome

Answer 39

B Blocker

Question 40

Absolute CI to fibrinolytic therapy

Answer 40

``` Active bleed Haemorrhagic stroke Ischaemic stroke w/i 6m CNS damage/ neoplasm Surgery w/i 3w GI bleed w/i 4w Head injury Aortic dissection ```