ACLS Heartcode 2025 Questions &
Answers
in cardiac arrest when do you first introduce medical intervention? which drug? -
✔✔ANSW✔✔..after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - ✔✔ANSW✔✔..after the 3rd
shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - ✔✔ANSW✔✔..VF
VT
what rhythms are not shockable in cardiac arrest - ✔✔ANSW✔✔..asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - ✔✔ANSW✔✔..1mg
epi every 3-5 minutes after 1st round of CPR
what do you do after return of spontaneous circulation - ✔✔ANSW✔✔..maintain O2 sat
at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - ✔✔ANSW✔✔..hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
, toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - ✔✔ANSW✔✔..monitor and observe
what constitutes symptomatic bradycardia - ✔✔ANSW✔✔..hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - ✔✔ANSW✔✔..1. give 0.5mg atropine
every 3-5 mins to max of 3mg
The technique of delivering compressions on infants for one rescuer is -
✔✔ANSW✔✔..2 fingers
The technique of delivering compressions on infants for two rescuers - ✔✔ANSW✔✔..2
thumb-encircling hands technique
The compression depth for infant CPR - ✔✔ANSW✔✔..At least one third the chest
depth, approximately 1 ½ in (4 cm)
The compression-ventilation ratio for one rescuer infant CPR - ✔✔ANSW✔✔..30:2
The compression-ventilation ratio for 2 rescuers infant CPR - ✔✔ANSW✔✔..15:2
If you did not witness the arrest on infant and are alone - ✔✔ANSW✔✔..Provide 2
minutes of CPR before leaving infant to activate EMS
If the arrest is sudden and witnessed - ✔✔ANSW✔✔..Leave the infant to phone 911
and get the AED then return to infant
To perform a pulse check in an infant, palpate the - ✔✔ANSW✔✔..Brachial pulse
If an infant is unresponsive and not breathing or only gasping and you do not feel a
pulse within 10 seconds - ✔✔ANSW✔✔..Start CPR beginning with chest compressions
If the infant has no pulse or despite adequate oxygenation and ventilation, the heart rate
is <60/min with signs of poor perfusion - ✔✔ANSW✔✔..Perform cycles of compressions
and breaths
(30:2) starting with compressions
Answers
in cardiac arrest when do you first introduce medical intervention? which drug? -
✔✔ANSW✔✔..after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - ✔✔ANSW✔✔..after the 3rd
shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - ✔✔ANSW✔✔..VF
VT
what rhythms are not shockable in cardiac arrest - ✔✔ANSW✔✔..asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - ✔✔ANSW✔✔..1mg
epi every 3-5 minutes after 1st round of CPR
what do you do after return of spontaneous circulation - ✔✔ANSW✔✔..maintain O2 sat
at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - ✔✔ANSW✔✔..hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
, toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - ✔✔ANSW✔✔..monitor and observe
what constitutes symptomatic bradycardia - ✔✔ANSW✔✔..hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - ✔✔ANSW✔✔..1. give 0.5mg atropine
every 3-5 mins to max of 3mg
The technique of delivering compressions on infants for one rescuer is -
✔✔ANSW✔✔..2 fingers
The technique of delivering compressions on infants for two rescuers - ✔✔ANSW✔✔..2
thumb-encircling hands technique
The compression depth for infant CPR - ✔✔ANSW✔✔..At least one third the chest
depth, approximately 1 ½ in (4 cm)
The compression-ventilation ratio for one rescuer infant CPR - ✔✔ANSW✔✔..30:2
The compression-ventilation ratio for 2 rescuers infant CPR - ✔✔ANSW✔✔..15:2
If you did not witness the arrest on infant and are alone - ✔✔ANSW✔✔..Provide 2
minutes of CPR before leaving infant to activate EMS
If the arrest is sudden and witnessed - ✔✔ANSW✔✔..Leave the infant to phone 911
and get the AED then return to infant
To perform a pulse check in an infant, palpate the - ✔✔ANSW✔✔..Brachial pulse
If an infant is unresponsive and not breathing or only gasping and you do not feel a
pulse within 10 seconds - ✔✔ANSW✔✔..Start CPR beginning with chest compressions
If the infant has no pulse or despite adequate oxygenation and ventilation, the heart rate
is <60/min with signs of poor perfusion - ✔✔ANSW✔✔..Perform cycles of compressions
and breaths
(30:2) starting with compressions
