ADVANCED LIFE SUPPORT 2025 CORRECT DETAILED
ANSWERS ALREADY GRADED A+.
⫸ What symptom/sign suggests a patient is at risk of sudden cardiac death? Answer: Syncope
⫸ What reason would you avoid use of head tilt chin lift? Answer: Any chance of Cspine injury -
use jaw thrust.
⫸ What is the correct hand position for CPR? Answer: Middle to lower part of sternum
⫸ Characteristic of good CPR? Answer: 100-120BPM
5-6CM DEPTH
Complete chest recoil between compressions
Minimise interruptions to compressions
⫸ Rescue breaths Answer: 1second inspiratory time.
Avoid rapid/forceful breaths
⫸ Once intubated should CPR continue at 30:2? Answer: No. Continuous CPR and 10
BREATHS/MIN
⫸ If the initial rhythm is VT/pVT you should...(related to shocks) Answer: Give three quick
successive (stacked) shocks
These are considered as the first shock in the ALS algorithm.
⫸ Who is best to discuss DNARs with the patient? Answer: A healthcare professional who is
known to the patient and has adequate communication skills to do so.
⫸ What % of adverse events in Resuscitations attempts are due to poor communication?
Answer: 80%!
⫸ Key non technical skills in resuscitations include... Answer: situational awareness
, leadership
decision-making
task management.
⫸ Summarise GCS Answer: Best motor response
6Obeying commands
5 Movement localised to stimulus
4 Withdraws
3 Abnormal muscle bending and flexing
2 Involuntary muscle straightening and extending
1 None
Verbal responses
5Orientated response
4 Confused conversation
3 Inappropriate words
2 Incomprehensible sounds
1 None
Eye opening
4Spontaneous
3 To speech
2 To pain
1 None
⫸ What investigations should be done in the post resuscitations period? Answer: ABG
Bloods - FBC, Trop, UsEs
ECHO
12 LEAD ecg
car
ANSWERS ALREADY GRADED A+.
⫸ What symptom/sign suggests a patient is at risk of sudden cardiac death? Answer: Syncope
⫸ What reason would you avoid use of head tilt chin lift? Answer: Any chance of Cspine injury -
use jaw thrust.
⫸ What is the correct hand position for CPR? Answer: Middle to lower part of sternum
⫸ Characteristic of good CPR? Answer: 100-120BPM
5-6CM DEPTH
Complete chest recoil between compressions
Minimise interruptions to compressions
⫸ Rescue breaths Answer: 1second inspiratory time.
Avoid rapid/forceful breaths
⫸ Once intubated should CPR continue at 30:2? Answer: No. Continuous CPR and 10
BREATHS/MIN
⫸ If the initial rhythm is VT/pVT you should...(related to shocks) Answer: Give three quick
successive (stacked) shocks
These are considered as the first shock in the ALS algorithm.
⫸ Who is best to discuss DNARs with the patient? Answer: A healthcare professional who is
known to the patient and has adequate communication skills to do so.
⫸ What % of adverse events in Resuscitations attempts are due to poor communication?
Answer: 80%!
⫸ Key non technical skills in resuscitations include... Answer: situational awareness
, leadership
decision-making
task management.
⫸ Summarise GCS Answer: Best motor response
6Obeying commands
5 Movement localised to stimulus
4 Withdraws
3 Abnormal muscle bending and flexing
2 Involuntary muscle straightening and extending
1 None
Verbal responses
5Orientated response
4 Confused conversation
3 Inappropriate words
2 Incomprehensible sounds
1 None
Eye opening
4Spontaneous
3 To speech
2 To pain
1 None
⫸ What investigations should be done in the post resuscitations period? Answer: ABG
Bloods - FBC, Trop, UsEs
ECHO
12 LEAD ecg
car
