General Cardiac Arrest Management
The most effective therapies for cardiac arrest care (2 answers).
What are early CPR and early defibrillation?
Who you should contact to turn over scene when determining death in the field for patients who were not on hospice.
What is Law Enforcement?
The most common cause of cardiac arrest in pediatric patients.
What is hypoxia?
The minimum temperature to consider TOR for hypothermic patients.
What is 32C/90F?
When to initiate CPR on a victim of blunt trauma in cardiac arrest.
What is when cardiac arrest occurs after EMS arrival?
Demonstrate high performance CPR for an adult patient with the correct ratio and timing of compressions to ventilations.
10 Compressions:1 ventilation without interrupting chest compressions.
After ____ cycles/ _____ minutes, assess transport vs Termination of Resuscitation (TOR) criteria.
What is 10 cycles/ 20 minutes?
Demonstrate high performance CPR for pediatric patients with proper ratio and timing of compressions to ventilations (use the preferred method of ventilation for pediatric patients).
15 compressions:2 ventilations, with one breath delivered after the 14th compression and one breath delivered after the 15th compression using a BVM.
Signs/factors of death that are not a contraindication to CPR for hypothermic patients (three answers).
What are rigor mortis, lividity, and fixed/dilated pupils?
When to initiate CPR on a victim of penetrating trauma in cardiac arrest.
What is when cardiac arrest is witnessed by a healthcare provider or when the arrest is unwitnessed but the estimated down time is less than 10 minutes?
The preferred form of vascular access for a patient in cardiac arrest.
What is IV?
A person is presumed dead on arrival when ___________ are present AND ___________ is present.
What are all five signs of death and at least one associated factor of death?
If available, use pediatric AED pads for ages birth - __________.
What is 8 years?
How you should ventilate a hypothermic patient with an advanced airway in place.
What is at half the normal rate?
The first treatment priority for a patient in cardiac arrest due to drowning.
What is airway and breathing first, then compressions?
Consider limiting ______________ for refractory ventricular fibrillation/tachycardia (contact Medical Direction for guidance).
What is epinephrine?
List the three criteria for the Termination of Resuscitation (TOR) rule.
1. Arrest not witnessed by EMS personnel
2. NO return of spontaneous circulation after 20 minutes of either BLS alone or combined BLS and ALS in the absence of hypothermia
3. No shock was delivered or advised by the AED.
Demonstrate the proper ratio of compressions to ventilations for a pediatric patient with a supraglottic airway in place.
5 compressions:1 ventilation performed asynchronously.
Describe administration of vasoactive drugs (including epinephrine) for hypothermic patients.
Do not administer until >30C (86F), from 30C to 35C increase dosing intervals to twice as long as normal.
When a cervical collar should be applied to a traumatic arrest patient.
What is only after ROSC?
Name two reversible causes of cardiac arrest listed in the protocols (also known as H’s and T’s).
What are Hypovolemia, Hypoxia, Hydrogen ions (acidosis), Hypothermia, Hyper/Hypokalemia, Hypoglycemia*, Tablets/Toxins, Tamponade, Tension pneumothorax, Thrombosis (MI or PE)?
List three signs of death and two of the factors of death.
Signs- Unresponsiveness, Apnea, Absence of palpable pulses at carotid, radial, and femoral sites, Unresponsive pupils, and absence of heart sounds.
Factors- Damage or destruction of the body incompatible with life, such as, but not limited to: decapitation, decomposition, deforming brain injury, incineration or extensive full-thickness burns, Lividity/rigor mortis of any degree, Major blunt or penetrating trauma, Body frozen solid- unable to perform chest compressions.
Calculate the appropriate fluid bolus dose and epinephrine dose to be delivered by an AEMT for a 19 kg 4 y.o. male in cardiac arrest.
What is 380 cc (19 kg x 20 cc/kg = 380 cc) for fluid and none for epinephrine.
If necessary to accomplish evacuation, CPR may be delayed or performed intermittently in a hypothermic arrest. Describe the process for performing intermittent CPR in this scenario.
Alternate 5 minutes of CPR with 5 minutes without CPR (until circumstances allow for continuous performance of CPR).
If water temperature is less than _____, initiate full resuscitation for patients submerged for up to ________. If water temperature is warmer than that, initiate full resuscitation for patients submerged for up to ________.
What is less than 6C (43F), up to 90 minutes; warmer than 6C (43F), up to 30 minutes?