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Hugh's MD4 ALS > ALS Algorithm > Flashcards

Flashcards in ALS Algorithm Deck (10):
1

How do you confirm cardiac arrest?

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


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

2

When do you start chest compressions?

Unresponsive
Abnormal breathing

3

What is the standard energy setting for the defib?

200J

4

What do you do for non-shockable?

Immediate adrenaline (1mg IV/IO)

5

What are the shockable rhythms?

VF
Pulseless VT

6

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

Hypoxia
Hypovolaemia
Hypo/hyperthermia
Hyper/hypokalaemia, metabolic abnormality

Tension pneumo
Tamponade
Toxins
Thrombosis

7

Management of hyperkalaemia?

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

8

Signs of tension pneumo?

Asymmetrical chest expansion
Absent breath sounds
Tracheal deviation
Hyperresonant percussion

9

When do you think of tamponade?

Trauma
Post cardiac surgery
After some other procedure
Aortic dissection

10

Management of PE?

Consider fibrinolytic therapy