Pulseless Resuscitation Flashcards
What is the recommended action for pulseless VT?
A single shock for VF/pulseless VT followed by 2 minutes of CPR
If the cardiac arrest is witnessed in a monitored patient, up to three quick successive (stacked) shocks are recommended.
What is the first-line method for drug delivery during a cardiac arrest?
IV access should be attempted
If IV access cannot be achieved, drugs should be given via the intraosseous route.
Is drug delivery via a tracheal tube recommended?
No, it is no longer recommended.
What is the dosage of adrenaline for non-shockable rhythms?
1 mg as soon as possible
This is given during a VF/VT cardiac arrest after chest compressions have restarted following the third shock.
How often should adrenaline be repeated during ALS?
Every 3-5 minutes
What is the initial dosage of amiodarone for VF/pulseless VT after 3 shocks?
300 mg
What additional dosage of amiodarone should be given after 5 shocks?
150 mg
What is the alternative medication to amiodarone if it is not available?
Lidocaine
When should thrombolytic drugs be considered?
If a pulmonary embolus is suspected
How long should CPR be continued if thrombolytic drugs are given?
For an extended period of 60-90 minutes
What are the 5 H’s that are reversible causes of cardiac arrest?
- Hypoxia
- Hypovolaemia
- Hyperkalaemia
- Hypokalaemia
- Hypoglycaemia
- Hypocalcaemia
- Acidaemia
- Other metabolic disorders
What are the 4 T’s that are reversible causes of cardiac arrest?
- Thrombosis (coronary or pulmonary)
- Tension pneumothorax
- Tamponade - cardiac
- Toxins
When to give amiodarone?
Only after 3 shocks have been given and pulseless VT remains
What should be given ASAP?
ADRENALINE 1MG after 3rd shock
How often shold adrenaline be adminsitered?
Every 3-5 minutes
