Start CPR, Attach Defib/Monitor, Assess Rhythm, SHOCKABLE OR NON SHOCKABLE - ANSWER Steps in
ALS
Shock, CPR for 2 mins - ANSWER If SHOCKABLE rhythm, next steps are:
Adrenaline 1mg CPR for 2 mins - ANSWER If NON SHOCKABLE rhythm, next steps are:
Return of spontaneous circulation - ANSWER ROSC
Post resuscitation care - ANSWER What comes after ROSC?
1. Reevaluate ABCDE, 2. 12 lead ECG, 3. Treat precipitating causes, 4. Aim for sats 94-98%, 5.
Normocapnia and normoglycaemia, 6. Targeted temperature management - ANSWER Post resuscitation
care 6 things are:
4 h's and 4 t's - ANSWER Things to consider and correct are:
Adrenaline 1 mg after 2nd shock (then every 2nd loop) Amiodarone 300mg after 3 shocks - ANSWER
SHOCKABLE DRUGS
20 mins - ANSWER What is generally accepted period of systole, how long should a resuscitation attempt
go for?
Ventilate 100% oxygen during CPR. Ensure adequate chest rise and bilateral breath sounds. - ANSWER
What do you do for Hypoxia?
94-98% - ANSWER After ROSC what oxygen sats are you to aim for?
Severe haemorrhage, distributive shock (anaphylaxis, sepsis) - ANSWER What can cause hypovolaemia in
ALS situation?
Blood and/or fluid resucitation - ANSWER What is treatment for hypovolaemia?
IV calcium chloride 10%, 10mL. Shifting agent glucose 25g + 10 units short acting insulin. If severe
acidosis or renal failure present consider sodium bicarbonate 50mmol IV. Post ROSC dialysis may be
required to remove potassium. - ANSWER What is treatment for hyperkalaemia?
Calcium bicarbonate 10mL - ANSWER If calcium chloride is not available to treat for hyperkalaemia what
can be used?
Arrhythmias - ANSWER Symptoms of hypokalaemia ?
Administer potassium 10mmol IV bolus, (consider magnesium 2g IV - don't know about this part book
says but???) - ANSWER Treatment of hypokalaemia during cardiac arrest?
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