Cardiac arrest Flashcards
(9 cards)
what are the ratios for ventialtions/compressions?
no ETT or SGA
30:2 pausing for ventilations
ETT?SGA
15:1 ventalations no pauses
when can mechanical CPR be applied?
not prior to 16 mins unless inadequate recources (less than 3 trained rescuers) or fatigue
when can you transport with MCPR?
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
what to do if there is a CPR interfering pt?
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
what to do in a hypothermic arrest where pt is <30 degrees?
primary goal is to prevent further heat loss
double intervals for adrenaline
what are the PEA reversable causes?
TNT, upper airway obstruction, exsanguination, asthma, anaphylaxis, hypoxia
what to do if there is asuspected TNT?
bilateral decopression
what to do if there is a pea arrest where hypovolemia, anaphylaxis or asthma is suspeceted?
may be fluid responsive- administer 20ml/kg IV normal saline
what is the script?
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
