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