Professional Documents
Culture Documents
Teamwork
1. Improve pt outcome rapid response team or medical response team
2. ill draw up 0.5 mg of atropine closed loop communication
3. A team member is about to make a mistake during resuscitation. The team leader should do this
address team member immediately
4. The best action taken by the team leader to avoid inefficiencies during a resuscitation attempt
delegate tasks
5. A team member should do this if they are assigned a task beyond their scope of practice ask for a
new role
Medications
1. This drug is used for stable SVT adenosine
2. This drug is the first line choice for PEA EPI
3. Drug may speed up the heart when its too slow atropine
4. These 2 drugs can be given for bradycardia that are INFUSIONS epi and dopamine
5. This drug can be found on both the tachy algorithm as well as the pulseless algorithm amiodarone
Rhythm recognition
6. Rhythm recognition SVT
BLAS
1. Length of time to check pulse on BLS survey 5 to 10 seconds
2. Max interval you should allow for interruption in chest compressions 10 seconds
3. Rate of compressions during CPR 100-120
4. One way to minimize interruptions in chest compressions during CPR CPR during defib charging
5. Amount of time between changing compressors during CPR 2 minutes
Airway
1. Continuous waveform cap
2. Sign that is a likely indicator of cardiac arrest in an unresponsive pt agonal breaths
3. Ratio to properly ventilate a pt with a perfusing rhythm 5-6 seconds (10-12 per minute)
4. Airway type is sized from the corner of the mouth to the angle of the mandible an oropharyngeal
airway (OPA)
5. You should apply this to a pt whose pulse ox reads 84% on room air -- oxygen
Doses
1. Epinephrine 1 mg in cardiac arrest
2. The dose of amiodarone in V-fib arrest 300 mg
3. second dose of adenosine 12 mg
4. atropine 0.5mg - 1mg
5. Max dose of amiodarone IV during a resuscitation -- 450mg
Cardiac management
1. recommended dose for aspirin in an acute coronary syndrome 160-325mg
2. This is the most appropriate EMS destination for a pt with sudden cardiac arrest who achieved ROSC in
the field a coronary reperfusion capable medical center
3. This is the very next step after a defibrillation attempt resume CPR starting with chest compressions
(not check the pulse)
4. Excessive ventilation during a resuscitation attempt can lead to this decreased cardiac output
5. You should obtain this on a 58 yo male with chest discomfort and stable VS ECG 15 lead
Scenarios
1. A pt with respiratory distress BP 70/50 and this rhythm requires this treatment -- synchronized
cardioversion
2. Pt with a suspected stroke should receive one of these within 25 minutes non-contrast head CT
3. 45 yo M with stents reports crushing CP and is pale, cool, diaphoretic, he has weak radial pulses. BP
64/40 and RR is 28, 98%. Monitor showed VT but now shows VF. Our next would be this defibrillation
4. Pt has received 2 min of CPR and monitor shows sinus rhythm but the pt has no pulse. CPR is in
progress and IV has been established. We would do this next (PEA algorithm) Epinephrine 1 mg IV
5. Suspected stroke pt whose symptoms started 2 hours ago with a normal CT scan. We should do this
next fibrinolytic therapy
What am I
1. Previously alert pt is in cardiac arrest and CPR is being performed. We should be monitoring this to
assess perfusion PETCO2
2. A heart rate of 190 with a BP of 60/40 and a decreased LOC (level of consciousness) unstable SVT (BP
makes it unstable)
3. CP with diaphoresis, SOB and nausea acute coronary syndrome
4. A post cardiac arrest care intervention for a pt who shows neurologic deficits targeted temperature
management
5. This is a type of therapy that can be performed on an unstable pt with a pulse in this rhythm (rhythm
was SVT or vtach) synchronized cardioversion
Final jeopardy
1. -- 2nd
degree heart block type II