Week 5: Adult Resuscitation
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What is agonal breathing?
Slow and irregular gasping that is common following a cardiac arrest; should not be mistaken for signs of life
What is BLS?
Basic life support
What is ALS?
Advanced life support, the managment of a cardiac arrest that utilises defibrillation, the use of drugs, advanced airway techniques and addresses any reversible causes
What is a ROSC?
Return of spontaneous circulation following a resuscitation attempt
What is the chain of survival?
• early recognition and call • early CPR • early defibrillation • early advanced care
What does SCENE stand for?
Safety, Cause, Environment, Number of casualties, Extra resources
What does ACVPU stand for?
Alert, confusion, voice, pain, unresponsive
How would you look for signs of life?
Seeing or hearing normal breathing/ feeling a carotid pulse
Where should you ensure the patient is when commencing CPR?
Ensure they are in a supine position on a firm surface
What is the ratio of compressions:ventilations?
30:2
What is the depth of adult chest compressions?
5-6cm
What is the rate of compressions per minute?
100-120
What must you ensure when performing adult chest compressions?
Ensure full chest recoil
What dosage of oxygen should be delivered to the patient?
15L/100%
How often should you seek to rotate chest compressions?
Every 2 minutes or before fatiguing
What can help to pace chest compression rate?
A metronome
What are the 4P’s?
Patches, pendants, pacemakers and perspiration
How far away must pads be from the pacemaker?
8cm away
If a clinician trained in manual rhythm recognition is not yet in attendance, what mode must you select?
AED mode
What does analyse mode do on the zoll de-fib?
Will assess for presence and nature of electrical activity in the heart
How can some arrhythmias be resolved?
Via defibrillation therapy
Prior to a shock being delivered what should you ensure?
Everyone is clear of the patient and oxygen must be at least 1 metre away
When should you resposition a fresh set of pads?
After five unsuccessful shocks
What are the 4H’s ?
Hypoxia, hypothermia, hyperkalaemia, hypovolaemia