Cardiac arrest

Question 1

what are the ratios for ventialtions/compressions?

Answer 1

no ETT or SGA
30:2 pausing for ventilations

ETT?SGA
15:1 ventalations no pauses

Question 2

when can mechanical CPR be applied?

Answer 2

not prior to 16 mins unless inadequate recources (less than 3 trained rescuers) or fatigue

Question 3

when can you transport with MCPR?

Answer 3

if all are met - paramedic witnessed arrest or presenting rythem VF/VT refractory to inital mangment
lilkey reversable with medical intervention
pt under 65 and lives indipendently
alfre less than an hour from collapes 15-35 or ECMO/PCI less than 45 from colapes 36-65

Question 4

what to do if there is a CPR interfering pt?

Answer 4

einterfers with cpr, gag reflex, suspected awearness/[pain
fentynal 100mcg IV every 1-2 minutes

no IV acess - 200mcg fentynal or 200mcg ketamin IM single dose

ketamine 50-100 mg IV every 1-2 mins - ALS consult only

Question 5

what to do in a hypothermic arrest where pt is <30 degrees?

Answer 5

primary goal is to prevent further heat loss
double intervals for adrenaline

Question 6

what are the PEA reversable causes?

Answer 6

TNT, upper airway obstruction, exsanguination, asthma, anaphylaxis, hypoxia

Question 7

what to do if there is asuspected TNT?

Answer 7

bilateral decopression

Question 8

what to do if there is a pea arrest where hypovolemia, anaphylaxis or asthma is suspeceted?

Answer 8

may be fluid responsive- administer 20ml/kg IV normal saline

Question 9

what is the script?

Answer 9

approaching the end of a 2 min cycle
person doing compressions continue - everyone else stand clear
prelimanry rythem check - cross reference
charging to 200 js
stop compressions
shock/disarm
continue compressions