when did ILCOR first produce their CPR guideline? - Answer: 2000
SEERS - Answer: Scientific Evidence Evaluation and Review System
COSTR - Answer: Consenus on Resus. and Treatment Recommendations is used by ILCOR to review and ensure we are always using the best evidence based practise in the field
ARC - Answer: Australian Resus. Council is a member of ILCOR
4 rings of chain of survival - adults - Answer: - early recognition and call for help
- early cpr
- early defib
- post resus care
how many rings of chain of survival - paeds? + most important - Answer: 5 chains - first ring child safety and LCOD is injury in children 1yr and above. (targeted interventions is belts and safety seats in cars and correct use of these)
- 3rd ring is activate emergency response system
what is the most common cause of CA for paeds? - Answer: asphyxia
why was the GCS invented + what year - Answer: 1974, to be used in a hospital setting to determine an individuals cerebral functioning
steps to obtain GCS (3) (stimulus wise) - Answer: 1. verballing introduce 2. peripheral stimulus - nail bed pressure (bilateral)
3. central stimulus - trap squeeze (bilateral)
scale of consciousness (7) - Answer: 1. conscious
2. confused
3. disorientated 4. lethargy
5. stupor
6. vegetative state 7. coma
what is AEIOUTIPS used for - Answer: diagnostic tool for LOC
AEIOU TIPS - Answer: Alcohol, Epilepsy, encephalitis, electrolyte imbalance, endocrine
Insulin, Infection
Overdose or O2 (hypoxia)
Uremia, Trauma, temp Ischaemia
Poison
Stroke, shock, space occupying lesions
AEIOUTIPS (alcohol) - Answer: - ethanol - CNS depressant - absorbed rapidly across the wall of the intestine and carried to the brain - effects are exacerbated in the elderly - amount consumed usually results in different types of effects AEIOUTIPS (Epilepsy) - Answer: - (1% of Australian population) - Caused by disruption of the normal electrochemical activity of the brain that results in seizures. - Under certain circumstances anyone can have a seizure. It is only when there is a tendency to have recurrent seizures (more than one) that epilepsy is diagnosed - Can result in altered conscious states prior, during and after seizures (post-ictal)
AEIOUTIPS (encephalopathy) - Answer: - brain disease, damage or malfunction - Major symptom is an altered conscious state - Other symptoms include memory loss, personality changes, dementia, seizures and death - Causes include infections, anoxia and brain trauma, alcohol, liver failure, metabolic diseases, toxic chemicals, poor nutrition (lack B1)
AEIOUTIPS (electrolyte abnormalities) - Answer: - electrolytes are substances that become ions in solution and acquire the capacity to conduct electricity - Electrolytes are present in the human body, and the balance of the electrolytes in our bodies is essential for normal function of our cells and our organs - Common electrolytes in the body include: § Sodium (hypo/hypernatraemia) § Potassium (hypo/hyperkalaemia) § Chloride (hypo/hyperchloraemia) § Bicarbonate - acts as buffer for pH levels
AEIOUTIPS (endocrine disorders) - Answer: - network of glands that produce and release hormones - Each gland releases specific hormones into your bloodstream. These travel through your blood to other
cells and help control or coordinate many body processes - Endocrine disease due to the development of lesions (such as nodules or tumors) in the endocrine system, which may or may not affect hormone levels
AEIOUTIPS (insulin) - Answer: - When there is no insulin produced or insulin insensitivity with the cells, leads to endocrine disorder affecting blood sugar levels in the body. - Neurons are more depended on glucose for their energy than other cells.