Procedures

Question 0

Synchronized cardioversion

Wide complex

Answer 0

50j
Increase by 50-100
After 2 attempts contact med control

Question 1

Synchronized cardioversion

Narrow complex

Answer 1

50j
Increase by 50-100 for second attempt
Medical control after 2 attempts

Question 2

Synchronized cardioversion

A-fib and a-flutter

Answer 2

120j
Increase by 50-100
Med control after 2 tries

Question 3

Synchronized cardioversion

Unstable criteria

Answer 3

Bp under 100 AND Hr above 150
And one of the following
Aloc, pallor, diaphoresis, rales, SOB, hypoxia, angina, nausea

Question 4

IN drugs

Answer 4

Glucagon
Ketamine
Fentanyl
Versed
Narcan
No more than 1 ml per nare

Question 5

Thoracentesis

Indications

Answer 5

S/S: JVD, decreased lung sounds, resistance to ventilations, restless/agitated

Question 6

Thoracentesis

Procedure

Answer 6

Midclavicular
Between 2nd and 3rd rib
14g needle
Over 3rd rib and go over top

Question 7

Pacing

Indications

Answer 7

Pulse rate below 50

Bp below 100

Question 8

Pacing procedure

Answer 8

Consider sedation
70bpm
Start pacing
Increase milliamps until capture
Ensure mech capture as well
Add 10% milliamps

Question 9

Pericardiocentesis

Indications

Answer 9

Cardiac tamponade

Hypotension, tachycardia, jvd, narrow pulse pressure, lack of pulse with CPR, muffled heart tones

Question 10

Pericardiocentesis

Location

Answer 10

Angle between the xyphoid and the cartilage of the 7th rib to the left of the xyphoid

Question 11

Cricothyroidotomy

Location

Answer 11

Cricothyroid membrane

Membrane between thyroid cartilage and cricoid cartilage