ALS Algorithm Flashcards

(10 cards)

1
Q

How do you confirm cardiac arrest?

A

Assess responsiveness
- sternal rub
Breathing
- cessation of breathing (agonal breathing not included)

Not central (carotid) pulse - can check it simultaneously (caution false positive)

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2
Q

When do you start chest compressions?

A

Unresponsive

Abnormal breathing

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3
Q

What is the standard energy setting for the defib?

A

200J

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4
Q

What do you do for non-shockable?

A

Immediate adrenaline (1mg IV/IO)

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5
Q

What are the shockable rhythms?

A

VF

Pulseless VT

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6
Q

What are the 4H’s and 4T’s of reversible causes of cardio arrest?

A

Hypoxia
Hypovolaemia
Hypo/hyperthermia
Hyper/hypokalaemia, metabolic abnormality

Tension pneumo
Tamponade
Toxins
Thrombosis

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7
Q

Management of hyperkalaemia?

A

Calcium chloride (or gluconate if chloride unavailable)
Bicarbonate
Insulin and dextrose
(in that order)

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8
Q

Signs of tension pneumo?

A

Asymmetrical chest expansion
Absent breath sounds
Tracheal deviation
Hyperresonant percussion

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9
Q

When do you think of tamponade?

A

Trauma
Post cardiac surgery
After some other procedure
Aortic dissection

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10
Q

Management of PE?

A

Consider fibrinolytic therapy

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