ACLS
Which 2 rhythms are "shockable"
Ventricular fibrillation
Pulseless Ventricular tachycardia
Bonus: How does the monitor know if there is a pulse?
What is the dosing for epinephrine in cardiac arrest?
1mg q3-5 minutes
What is the recommended range for compression rate?
100-120
Bonus: why?
60 minutes
OHCA with 11-33% survival rate *in select patients
Target MAP goals after ROSC?
70-100mmHg
Minimum and maximum amount for time to feel for a pulse?
At least 5s, no more than 10s
How much sodium is in 1amp of code-cart Sodium Bicarbonate (8.4%)?
50mEq
4.2g
84mg/mL
AHA ACLS 2020 adult compression depth?
2 inches
or
5 centimeters
What ScvO2 threshold justifies termination of resuscitation efforts?
<40%
100% PPV
Bonus: What is ScvO2 and how do you measure it?
Temperature range for hypothermic targeted temperature management (HTTM)?
32-36°C
Argue: does it work?
What is the ventilation rate with an advanced airway in place during chest compressions?
10 breaths / min
or
1 breath every 6 seconds
Bonus: why?
What is the first dose for amiodarone during CPR?
300mg
Bonus what is the second dose for lidocaine during CPR?
Name 1 tool used to objectively identify compressor fatigue
Real-time feedback device (slowing rate, decreased depth)
ETCO2 (down-trending EtCO2 below 20)
What fraction of pre-hospital cardiac arrests achieve ROSC?
+/- 5%
10%
What are the 2 types of sonographically discernible PEA.
Electrical-Mechanical dissociation (EMD)
Pseudo-EMD
Bonus: lets learn some more about this...
What is the recommended compression fraction during cardiac arrest?
*Time on the chest*
80%
What is one pharmacological cause of intra-resuscitation rise in ETCO2
NaHCO3 administration
Bonus: What other factors influence ETCO2?
Name 2 of the 3 inciting mechanisms of arrest that are indications for prolonged CPR efforts?
Lightning strike
Hypothermia
Drowning
What is the goal for coronary perfusion pressure during CPR?
20mmHg
Bonus: What is the equation for CPP?
What fraction of pre-hospital ROSC patients have occlusive coronary disease?
+/- 5%
50%
List 5 of the 12 reversible causes of cardiac arrest.
H's and T's
Hypovolemia, Hypoxia, Hydrogen ion (acidosis), Hyper-/hypokalemia, Hypoglycemia, Hypothermia.
Toxins, Tamponade(cardiac),Tension pneumothorax, Thrombosis (coronary and pulmonary), and Trauma.
Dosing for Sodium bicarbonate in TCA overdose?
1-2mEq/kg over 2-3 minutes
What tool has been used in some institutions to visualize and guide external chest compressions?
Transesophageal echocardiography
TEE
What fraction of in-hospital cardiac arrests achieve ROSC?
+/- 5%
26%
What is the 1st line beta-blocker recommended to be given in conjunction with amiodarone in the setting of VT storm?
Propanolol
IV: 1-3mg q5min Max 5mg
PO: 40mg q6hBonus: why?