Cardiac Arrest

Question 1

Cardiac arrest can be classified into cardiac vs non cardiac or reversible vs irreversible. State the 8 reversible causes of cardiac arrest

*Think 4 H’s and 4 T’s

Answer 1

Question 2

What are the shockable rhythms?

What are the non-shockable rhythms?

Answer 2

Shockable

• Pulseless ventricular tachycardia (pVT)
• Ventricular fibrillation (VF)

Non-shockable

• Pulseless electrical activity
• Asystole

Question 3

What rate do you do CPR?

Answer 3

100-120 per minute

Question 4

What is chest compression:breath ratio?

Answer 4

30:2

Question 5

How often can you give IV adrenaline?

Answer 5

Every 4 minutes

Question 6

What does this ECG show?

Is it shockable?

Answer 6

• Pulseless ventricular tachycardia
• Shockable

Question 7

What does this ECG show?

Is it shockable?

Answer 7

• Ventricular fibrillation
• Shockable

Question 8

What does this ECG show?

Is it shockable?

Answer 8

• Asystole
• Not shockable

Question 9

What does pulseless electrical activity look like on ECG?

Answer 9

• Any organised rhythm (but pt is pulseless and not breathing)
• Idea that there is electrical activity but no pulse can be felt

Question 10

During a cardiac arrest, you would have called for help. When help arrives you need to delegate; describe how you would delegate if there were 4 other people to help you?

Answer 10

You would step back and manage the situation and hence appoint others to do the following:

• Chest compressions
• Defib
• Airway
• Odd jobs/rotate in for chest compression