Cardiac Arrest

Question 1

Causes of cardiac arrest where immediate transport is appropriate are __________ and __________

Answer 1

Anaphylaxis and Hemorrhage

a rapid transport with en-route management is the expectation; call CliniCall if you require assistance but in these cases transport is key​

Question 2

The purpose of the first (15 minute) call to Clinicall in cardiac arrest is to ___________

Answer 2

determine if transport of the patient is warranted at this time

Question 3

The final call to clinicall (30 minutes) in cardiac arrest is to __________

Answer 3

consult for likely discontinuation orders

Question 4

If an order is received to discontinue CPR confirm the patient has absent vital signs by taking the following steps: (list 3)

Answer 4

• ensure the absence of a carotid pulse
• ensure the absence of any respiratory effort
• auscultate the left anterior chest to confirm the absence of any heart sounds

Question 5

List the 5 principles of high quality CPR

Answer 5

• Optimum compression rate (100-120 per minute)
• Optimum depth (2” or 5cm)
• Complete chest recoil
• Optimum ventilation rate (1 breath every 6 seconds)
• Infrequent compression pauses (no pause >10 seconds)

Question 6

Once cardiac arrest is confirmed and chest compressions are intiated, the next priority should be __________ (ventilate with BVM / apply AED pads)

Answer 6

apply AED pads

Question 7

Ventilations should be delivered to an adult in cardiac arrest once every ___ seconds

Answer 7

6

Question 8

The volume of air delivered per ventilation by BVM to an adult is ___mL

Answer 8

500-600mL

Question 9

Suspected treatable causes of cardiac arrest may warrant an early call to clinicall. The 5 “H”s of cardiac arrest are:

Answer 9

• Hypoxia
• Hypovolemia
• H+ (Known Acidosis)
• Hyperkalemia
• Hypothermia

Question 10

Suspected treatable causes of cardiac arrest may warrant an early call to clinicall. The 5 “T”s of cardiac arrest are:

Answer 10

• Toxins
• Tamponade
• Tension Pneumothorax
• Thrombosis - pulmonary
• Thrombosis - Coronary

Question 11

Possible causes of obvious death in traumatic arrest where resuscitation should not be attempted include: (list 4)

Answer 11

• transsection
• decapitation
• incinceration
• open skull fracture with exposed brain matter

Question 12

Treatable causes of traumatic cardiac arrest include: (list 3)

Answer 12

• tension pneumothorax
• hypovolemia
• cardiac tamponade

Question 13

In cardiac arrest with a clear etiology of blunt trauma, the situation is likely ___________ (survivable / non-survivable) and clinicall should be contacted for __________.

Answer 13

non-survivable and clinicall should be contacted for likely discontinue orders

Question 14

In the case of ______ (blunt / penetrating) trauma-induced cardiac arrest, initiate rapid transport if 15 minutes or less will elapse between time of arrest and emergency department arrival

Answer 14

Penetrating

Rapid transport and notification is indicated. If time delay is greater than 15 minutes contact CliniCall for likely discontinue orders.

Question 15

In the case of blunt or pentrating traumatic arrest where time to the ED is greater than 15 minutes and you are unable to contact clinicall, you should:

Answer 15

discontinue resuscitation

Question 16

One of the goals of care in traumatic arrest is recognizing special circumstances, such as: (list 4)

Answer 16

• medical cardiac arrest patient who then sustained some trauma
• electric shock
• hypothermia
• minor direct blunt trauma to the chest-induced cardiac arrest (commotio cordis)

Question 17

In the case of traumatic arrest, PCPs may attempt a fluid challenge up to ___ mL

Answer 17

2000 mL

Question 18

You are called to an anaphylactic patient who is found in cardiac arrest. You should __________ (work on scene / transport / call for orders)

Answer 18

transport

In cases of cardiac arrest likely caused by hemorrhage or anaphylaxis, a rapid transport with en-route management is the expectation; call CliniCall if you require assistance but in these cases transport is key.

Question 19

You are called to a “man down” and find a profoundly hypothermic individual in cardiac arrest. You should __________ (work on scene / transport / call for orders)

Answer 19

call for orders

For cardiac arrest situations where you suspect another treatable cause such as PE, sepsis, overdose, hypothermia etc. call CliniCall early – do not wait 15 minutes.

Question 20

You are called to a pedestrian struck and find your patient in cardiac arrest with obvious massive external hemorrhage. You should __________ (work on scene / transport / call for orders)

Answer 20

transport

In cases of cardiac arrest likely caused by hemorrhage or anaphylaxis, a rapid transport with en-route management is the expectation; call CliniCall if you require assistance but in these cases transport is key.