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P-Cardiac Arrest

QuestionAnswer
What does attendant do before AED analyze? Determine patient is in cardiac arrest: Assess breathing and carotid pulse simultaneously for no more than 10 seconds(30-45 hypothermia) No pulse and no breathing, or gasping breathing, begin CPR (delegate AED, BVM, O2 and OPA to partner and Fire)
What does partner and fire do before AED analyze? Get AED on and press analyze. Set up BVM, O2, insert OPA/NPA.
What should attendant, partner fire, etc do while the AED is analyzing? Swap compressors to reduce time off the chest.
What should attendant do if the AED says shock advised? Defibrillation 2 minutes of CPR Analyze - check carotid pulse Repeat
What should attendant do if the AED says no shock advised? Start 2 minutes of CPR Analyze - check carotid pulse Repeat
What does attendant do when off the chest and the AED is not analyzing? Complete Primary Survey, Complete Critical History, look for causes of cardiac arrest
When do you stop CPR and AED use? 1. Return of spontaneous circulation or signs of life 2. Patient Transferred to a higher level of care 3. Directed to Discontinue or transport by EP after consult
What should you do after three consecutive shocks and no ROSC or 15 minutes of CPR? Consult EPOS for transport orders when 3 consecutive NO SHOCK advised or 15 minutes of CPR has elapsed
What should you do while the AED is analyzing? Check carotid pulse
What should you do if you see signs of ROSC? Assess pulse
Indications? Patient in cardiac arrest
Contraindications: Verifiable Do Not Resuscitate (DNR) or No CPR orders and Obvious Death
Differences in medical cardiac arrest and trauma cardiac arrest? Trauma Cardiac Arrest: Ensure all injuries have been stabilized and packaged when possible during CPR. Contact EPOS for transport orders.
What are the five obvious signs of death? 1. Evidence of tissue decomposition, including rigor mortis and/or lividity 2. Decapitation 3. Incineration 4. Trans‐section 5. Open Skull Fracture with exposed brain matter
What are treatable causes of cardiac arrest? Hypothermia Sepsis Cardiac tamponade Thrombosis Tension pneumothorax Hypovolemia Hypoxia
What should you do if find a treatable cause of cardiac arrest? Call EPOS early for transport orders. Don't wait 15 min/3 no-shock advised
Created by: Levelstorm3950
 

 



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