For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V
Fib. After the first shock, the ECG screen displayed asystole, which has persisted
despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is next?
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Consider terminating resuscitative efforts after consulting medical control.
Use of quantitative capnography in intubated pt's does what?
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Allows for monitoring CPR quality.
,Proper vent rate for a patient in cardiac arrest with advanced airway placed?
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8-10 B/min.
What is the appropriate dose of dopamine for a patient with bradycardia when the
initial dose of atropine was ineffective?
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2-10 mcg/kg p/min.
Brady with pulse Epi?
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2-10 mcg/min.
You evaluate a 48 man with crushing chest pains. Is a semi-truck driver. Pale,
diaphoretic, cool to touch, slow to respond to questions, B/P 58/32, H 190, R 18, O2%
unable to obtain due to no pulse, lead II ECG displays regular wide complex
tachycardia. What intervention should you perform next?
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, Synchronized cardio-version.
What action is recommended to help minimize chest compressions during CPR?
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Continue CPR while charging the defibrillator.
Choose an appropriate indication to stop or withhold resuscitative efforts.
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Evidence of rigor mortis.
Receiving a radio report from EMS team enroute, patient may be having an acute
stroke, the hospital CT scan is not working. What should you do in this situation?
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Divert patient to a hospital with CT scan capabilities 15 minutes away.
What are the H's?
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Fib. After the first shock, the ECG screen displayed asystole, which has persisted
despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is next?
Give this one a try later!
Consider terminating resuscitative efforts after consulting medical control.
Use of quantitative capnography in intubated pt's does what?
Give this one a try later!
Allows for monitoring CPR quality.
,Proper vent rate for a patient in cardiac arrest with advanced airway placed?
Give this one a try later!
8-10 B/min.
What is the appropriate dose of dopamine for a patient with bradycardia when the
initial dose of atropine was ineffective?
Give this one a try later!
2-10 mcg/kg p/min.
Brady with pulse Epi?
Give this one a try later!
2-10 mcg/min.
You evaluate a 48 man with crushing chest pains. Is a semi-truck driver. Pale,
diaphoretic, cool to touch, slow to respond to questions, B/P 58/32, H 190, R 18, O2%
unable to obtain due to no pulse, lead II ECG displays regular wide complex
tachycardia. What intervention should you perform next?
Give this one a try later!
, Synchronized cardio-version.
What action is recommended to help minimize chest compressions during CPR?
Give this one a try later!
Continue CPR while charging the defibrillator.
Choose an appropriate indication to stop or withhold resuscitative efforts.
Give this one a try later!
Evidence of rigor mortis.
Receiving a radio report from EMS team enroute, patient may be having an acute
stroke, the hospital CT scan is not working. What should you do in this situation?
Give this one a try later!
Divert patient to a hospital with CT scan capabilities 15 minutes away.
What are the H's?
Give this one a try later!
