Chapter 14

Question 1

Is tracheal intubation recommended during out-of-hospital cardiac arrests?

Answer 1

Only if person proficient is present
No benefit to outcomes shown
Can successfully manage airway without

Question 2

How do delays to difibrillation impact mortality?

Answer 2

Mortality increases 10% with each minute delay

Question 3

In which scenarios should resuscitation not be started in the out-of-hopsital setting?

Answer 3

Situations unequivocally associated with death e.g. decapitation, incineration, massive cranial/cerebral destruction
Valid DNACPR in place

Question 4

When should resuscitation attemps be stopped during out-of-hospital arrests?

Answer 4

Aystole - >20 mins and reversible causes identified and corrects (and not special circumstances e.g. under 18, hypothermic, drowning, poisoning/overdose, pregnancy)
PEA - should involve senior clinicians to make decision if >20 minutes and paramedics feel is futile
VF/VT - should be transferred to hospital