Cardiac Arrest Flashcards Preview

CP3 - A+E Medicine > Cardiac Arrest > Flashcards

Flashcards in Cardiac Arrest Deck (8)
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1
Q

Unresponsive and not breathing normally…………………

-> call ? team -> CPR ?:? -> attach ? -> assess ?

A

resus
30:2
defib
rhythm

2
Q

Rhythm

Shockable (??/? ??) -> ? shock -> ? resume CPR for ? mins -> assess ?

Non-shockable (???/?) -> ? resume cpr for ? mins -> assess ?

Return of spont circulation (ROSC) -> immediate post cardiac treatment 
• Use ? approach
• Aim for SpO2, of 9?-98%
• Aim for ? PaCO2
• ?-lead ECG
• Treat precipitating cause
• Targeted ?
management
A
VF/pulseless VT
1
immediately
2
rhythm
PEA/asystole
immediately
2
rhythm
abcde
94
normal
12
temperature
3
Q
During CPR
• Ensure high quality compressions
• minimise ? to compressions
• give ?
• Use waveform ?
• ? compressions when advanced ? in place
• Vascular access (? or intra-?)
• give ? every 3-5 min
• Give ? after 3 shocks
A
interruptions
O2
capnography
continuous
airway
Iv
osseous
adrenaline
amiodarone
4
Q

shockable rhythms

After ? shocks, administer ? and ?.
o Adrenaline: ? ? IV.
o Amiodarone: ? IV.
rpt adrenaline every ? mins

A
3
adrenaline
amiodarone
10ml 1:10000
300mg
3-5
5
Q

NON-SHOCKABLE RHYTHMS;

Give ? ? ? IV as soon as access secured.
Continue 30:2 compressions until the ? is secured.
o I.e. with an advanced airway.
Once the airway is secured, do ? compressions with continuous ?

A

10ml 1:10000 adrenaline
airway
continuous
ventilation

6
Q

NON-SHOCKABLE RHYTHMS;

Recheck the ? after 2 minutes.
o If compatible with cardiac output, check for a ? or signs of ?.
o If no pulse/signs of life, continue ?.
o Recheck the rhythm at ? minute intervals.
o Give further ? every ? minutes.
• I.e. Every ? cycles of CPR.

A
rhythm
pulse
life
cpr
2
adrenaline
3-5
two
7
Q

Treat reversible causes
4 H’s
4 T’s

A

H - hypo/er-kalaemia, Hypothermia, hypovolaemia, hypoxia

T - tamponade, toxins, thrombus, tension pneumothorax

8
Q

Consider

  • ? imaging
  • ? compressions to facilitate transfer/trt
  • ? ? and PCI
A

us
mechanical
coronary angiography