Team Response Scenario: Theresa Coleman (2022/2023) Graded A+

Team Response Scenario: Theresa Coleman (2022/2023) Graded A+ Review the rhythm shown here and then decide how Dr. Ruiz should direct the team's immediate next actions. (Picture of an EKG monitor, showing ventricular fibrillation) "Kirron, please continue compressions." "Charmar, please charge the defibrillator." What are the team's appropriate next actions? Provide 2 minutes of CPR Obtain vascular access After 2 minutes of CPR, the rhythm remains the same. What interventions are appropriate at this time? CPR Shock Epinephrine What is the correct dose of epinephrine to give? 1mg, every 3-5 minutes At the third rhythm check, the rhythm remains the same. Which actions are appropriate at this time? Resume compressions Deliver a third shock Administer amiodarone What is the correct initial dose of amiodarone to give? 300mg (with a second dose of 150mg if needed) In searching for Hs and Ts, which of the following diagnostic tests would be appropriate to order at this time? Arterial blood gases Serum electrolytes Based on the rhythm shown on the monitor, what is the appropriate next action? (EKG monitor shows ventricular tachycardia converting to more organized electrical activity) Confirm the patient has a pulse Which of the following actions would be appropriate as care continues? Provide 2 minutes of CPR Continue searching for reversible causes What should the team do next? Assess and support the patient's airway, breathing, and circulation How should Dr. Ruiz direct the team's immediate next actions? "Jerry, please update me on Mrs. Coleman's vitals." "Sandra, please draw blood for labs." "Darius, prepare for intubation." "Charmar, please get a 12-lead EKG." Initial assessment findings for Mrs. Coleman are as follows: Blood pressure: 65/52 mmHg Pulse: 124 bpm Pulse oximetry: 83% ETCO2: 22 mmHg Based on these initial assessment findings, what should the team do next? Administer an IV fluid bolus Support ventilations starting at a rate of 10 breaths/min Titrate oxygen therapy to the minimum level needed to achieve and maintain an arterial oxygen saturation of 94%-99% The team should also consider vasopressor infusion with epinephrine, norepinephrine or dopamine. What is the appropriate dose for epinephrine? 0.1-0.5mcg/kg/min via IV infusion Is Mrs. Coleman a candidate for targeted temperature management (TTM)? Yes