Traumatic Arrest
ECG criteria to not initiate CPR on a blunt traumatic arrest
What is asystole, agonal rhythm, or PEA under 40 bpm?
The single IV/IO dose of Epinephrine in cardiac arrest, and how often it can be given
What is 1 mg every 5 min
The minimum SpO2 target post-ROSC
What is 94%
Concentration for Epinephrine given in cardiac arrest
1;10,000
Amount of Rescue Breaths performed immediately on a downing patient
5 Breaths
The maximum scene time goal when Trauma Triage Criteria are met.
What is 10 minutes or less?
Minimum CPR duration before field termination of medical arrest.
What is 20 minutes?
Destination for a Post ROSC patient secondary to hanging
Closest Trauma Center
Max Total dose of Epinephrine given per Arrest
3mg
(If ROSC is achieved and maintained for greater then 3 minutes and patient
rearrests, total epinephrine dose of 3 mg starts over)
During CPR ventilations, a single breath is delivered every____Compression
Epinephrine Dose for viable Traumatic Full Arrest patient
Not Indicated
An abrupt jump in EtCO2 indicates
ROSC
Maximum fluid bolus volume allowed for post-ROSC patients
What is 2 Liters?
First dose and repeat dose of Amiodarone for VFib/pVT
What is 300 mg initial and 150 mg repeat?
Arrest etiology is probable respiratory (non-drowning), this is the initial loading dose of Epinephrine.
What is 0.5 mg Epinephrine IV/IO?
The timeframe after an initial injury when TXA is strictly contraindicated.
What is greater than 3 hours?
Must be completed in conjunction with Igel placement
OG tube insertion
For Epi-drip post ROSC, how much EPI and what concentration to mix in to a 50ml and 100ml Bag?
Epinephrine 0.4 mg (1:1,000) IV, infused in 100 mL normal saline
OR
Epinephrine 0.2 mg (1:1,000) IV, infused in 50 mL
First-line medication and dose for arrest with suspected hyperkalemia
What is Sodium Bicarbonate (50 mEq)?
The Number of stacked shocks in an EMS-witnessed arrest with VF or pulseless VT before performing standard cycles of CPR.
Also, the Joules of each....
3 Stacked Shocks
120, 150, 200j
The maximum total dose of TXA allowed
What is 2 grams?
An EtCO2 level below this during CPR requires improving CPR quality
What is 10 mmHg
The 4 DIAL-A-FLOW settings that increase every 2-3 minutes to maintain a systolic BP of 90 or greater
May answer in form of mcg/minute or ml/hour
1 mcg/min (15 ml/hr) OR 1.33 mcg/min (20 ml/hr)
2 mcg/min (30 ml/hr)
4 mcg/min (60 ml/hr)
10 mcg/min (150 ml/hr)
Dose and route for Magnesium Sulfate for Torsades de Pointes in arrest.
(BHO Required for initial and repeat doses)
What is 2 grams slow IV/IO Push
Epinephrine dose for Medical Cardiac Arrest patient who is in V-Tach/ V-Fib
No Epinephrine