QUICK QUIZ !
In adult CPR, in a patient with no spontaneous breathing, at what frequency will you administer breaths?
-- Every 5-6 seconds (10-12 / minute)
In the same patient after intubation, at what frequency will you administer breaths
-- Every 6-8 seconds (8-10 / minute)
In the above patient what is the intial Oxygen flow rate you would use?
What is the rate of Oxygen flow you would use in a stable patient?
During CPR how often will you switch providers?
-- Every 2 minutes
What is the initial pacer rate you would use in bradycardia?
What is the role of Atropine in asystole and PEA?
-- No role at all
True or False? In regular wide complex tachycardia Adenosine may be used.
Will you use Adenosine in Irregular wide complex tachycardia?
In symptomatic bradycardia, what is the first line medication?
In symptomatic bradycardia, if Atropine does not give a satisfactory response, what else can you use that is equivalent to TCP?
-- IV Dopamine or IV Epinephrine
In synchronized cardioversion for Atrial Fibrillation, what is the initial shock you would use?
-- 120-200 J Biphasic
In synchronized cardioversion for unstable SVT or Atrial Flutter, what is the initial shock that you would use?
-- 50-100 J Biphasic
In synchronized cardioversion for unstable monomorphic Ventricular Tachycardia what is the initial shock used?
-- 100 J Biphasic
In a post code setting, what is the only intervention shown to improve neurological recovery?
-- Therapeutic Hypothermia 32-34 C for 12-24 hours
What is the best indicator to determine if the ET tube has been placed correctly?
-- Waveform Capnography
An abrupt increase in PETCO2 indicates what?
-- ROSC (return of spontaneous circulation)
In a Tachycardia EKG, if the interval between two R waves is more than two large boxes, what is the rhythm likely to be ?
-- Sinus Tachycardia. If less than 2 large boxes, the rate is >150 , is PSVT
In a patient in asystole, who is receiving CPR what is the NEXT thing you would do?
-- Gain IV or IO access
In Ventricular Fibrillation the first dose of medication you would give is Epinephrine. What is the second dose that would give?
In bradycardia with pulse, what is the dose of Atropine that you would use?
-- Atropine 0.5 mg q 3-5 minutes, maximum 3 mg
If this fails, what would you do next?
-- Transcutaneous Pacing OR Dopamine (2-10 mcg/kg/mt) OR Epinephrine (2-10 mcg/mt)
What will you do to manage a patient with stable bradycardia and a pulse?
-- Observe and consult cardiology (do NOT pace immediately)
You are watching a patient's monitor in the ICU and notice that suddenly he is going into Ventricular Fibrillation. What will you do?
-- Shock !!
What is the dose of Magnesium Sulphate in TDP?
-- 2 gm in 10 ml D5W IV over 5-20 minutes
In a post-code patient, if SBP <90 what do you do?
-- IV NS or Ringer Lactate 1-2 L bolus. If planning hypothermia use fluid at 4 deg C.
Dopamine 5-20 micrograms/kg/minute
-- In the post code patient what is the O2 Saturation level that we are trying to achieve?
Keep Oxygen Sat >94%
In unstable bradycardia, what is the first thing you will do?
-- Give Atropine and prepare to Pace ASAP
When PETCO2 is being monitored, what numbers would indicate ROSC (return of spontaneous circulation) ?
-- 35-40 mm Hg
During CPR we are trying to raise coronary perfusion pressure to what level?
-- 10 mm Hg
In evaluating team dynamics, when the team leader recounts what has been done and states the next step, what is it called?
-- "Summarizing and Reevaluating"
When a team member makes a suggestion what is it called?
-- "Knowledge sharing"
When team members use a friendly tone and acknowledge the other members' input what is it called?
-- "Mutual respect"
When a team member corrects another member's mistake what is it called?
-- "Constructive Intervention"
When the team leader gives an order and the team member repeats it back to him what is it called?
-- "Closed loop communication"
When each order is addressed to one person by name what is it called?
-- "Clear roles and responsibilities"
When the leader outlines the next steps what is it called?
-- "Clear messages"