Withholding/Discontinuing
Chest compressions should not be interrupted for any longer than (blank) seconds.
10 seconds
We will shock a hypothermic arrest patient how many times until temperature is 30 Celsius or above?
Once
Preload Epinephrine (0.1mg/mL) is given every 3-5 minutes at what dosage.
1mg IV/IO
Regarding Traumatic Arrest, SMR and C-Collar application are contraindicated in all cases of
Isolated penetrating trauma
You are dispatched to a 9B (Obvious death) at Borealis lodge. Dispatch states caller information advises patient is "beyond our help". You arrive on scene to a 43-year-old male face down on his room floor, pulseless, but warm to touch and no obvious irreversible symptoms when checking for a pulse. What is your next step?
Start CPR.
According to the "withholding/discontinuing" resuscitation protocol... we will "work" a code for how long until mandatory OLMC OR Discontinuation of CPR.
30 minutes
At what internal core temperature are we clinically hypothermic?
35 Celsius
Positive Inotropic action does what with the heart?
Increases contractility
You arrive to a 25-year-old male in cardiac arrest who was crushed by a heavy piece of equipment. Youve confirmed patient is in asystole.
What is your next step?
Discontinue resuscitation.
You arrive to a pulseless patient in a warehouse. The monitor shows a wide complex rhythm at 180bpm with no palpable pulse.
Pulseless Ventricular Tachycardia
The "DRIED" acronym in reference to obvious signs of death stands for...
Decapitated
Rigor
Incinerated
Eviscerated
Decomposed/Frozen Solid
As hypothermia progresses, the patient's respiratory rate and heart rate slow significantly. For this reason, breathing and pulse checks must be sufficiently longer to register very slow rates. How long are our pulse checks in this patient?
60 seconds
What class of drug is typically referred to as a clot buster?
Thrombolytics
Impaired consciousness without shivering starts from what temperature and ends at what temperature according to the Swiss Staging System?
32-28 Celsius.
You're in a remote plant and prolonged CPR is ongoing. you have been doing CPR for 20 minutes. You notice ETC02 rises from 12-35mmHg. What does this suggest?
ROSC
The criteria for withholding resuscitation in traumatic arrests are...
(3) answers and all must be correct for points.
-Asystole on initial rhythm interpretation.
-Transport time >15 minutes (Mandatory OLMC)
-MCI (Mass Casualty Incident)
We prevent "rough handling" in hypothermic arrest patients because?
(please describe for full points)
Their heart is extremely irritable.
Core temp <30 means the myocardium of the heart is electrically unstable. At this point even minor stimulation, sudden movement or aggressive repositioning can convert a potentially survivable rhythm into refractory VF.
Tenecteplase or (TNK) is derived from what part of a hamster?
Ovaries
Evidence has shown that naloxone does not improve outcomes when opioid overdose is secondary to cardiac arrest and actually can harm the patient by...
Increasing Cerebral metabolic demand
According to the goals of care designations... an R2 requires everything except what treatment therapies?
Chest compressions
ECMO stands for...
Extracorporeal Membrane Oxygenation
What group of cardiac drugs can either be selective or non-selective?
Beta blockers.
A group of drugs that can be either selective or nonselective. Selective beta blockers primarily target beta-1 receptors in the heart, while nonselective beta blockers target both beta-1 and beta-2 receptors in various parts of the body. The selectivity or no selectivity of beta blockers determines their specific effects and potential side effects.
In the setting of a traumatic arrest, PEA may be caused by "what" compressing the vena cava and preventing return of blood flow to the heart.
Tension Pneumothorax