Sharp Memorial ESO Exam 2024

Sharp Memorial ESO Exam 2024 Asystole - Answer ️️ -1. CPR (2 mins) 2. O2 at 15 L/min ambu bag 3. Epinephrine 1 mg IVP/IO (Use Epinephrine 0.1 mg/1ml) Repeat 3-5 mins Bradycardia - Unstable - Answer ️️ -1. O2 at minimum 10 L/min NRBM 2. If transvenous leads or epicardial pacing wires present, connect to a pulse generator and initiate pacing per protocol. 3. Atropine 0.5 mg IVP/IO, repeat q3-5 minutes (max 3mg) 4. Transcutaneous pacing as soon as available. 5. If above algorithm is ineffective, start Dopamine 400 mg/250ml D5W infusion at 5 mcg/kg/min. Titrate to patient response up to 20 mcg/kg/min. 6. If above algorithm is ineffective, start epinephrine 2 mg/250mL NS at 2 mcg/min, titrate to patient response up to 10 mcg/min. (Note: Assess patient for adequate intravascular volume and volume status when using vasoconstrictors) Pulseless Electrical Activities (PEA) - Answer ️️ -1. CPR (2 min) and assess for possible causes*. 2. O2 at 15 L/min ambu bag 3. Epinephrine 1 mg IVP/IO (use 0.1mg/ml), repeat q 3-5 minutes. 4. If hypovolemia known or suspected, infuse 250 mL NS (may be substitute with LR if currently infusing). Repeat in 5 minutes if no clinical improvement. 5. Stat CXR. Possible Cause of PEA - Answer ️️ -1. Hypovolemia 2. Hypoxia 3. Hydrogen ion (Acid) 4. Hypo/Hyperkalemia 5. Hypoglycemia 6. Hypothermia