1
ALS - Resus Council UK (RCUK) Questions with Detailed
Verified Answers (100% Correct Answers) /Already Graded
A+
Chain of survival
Ans: early recognition, early CPR, early Defibrillation, post resuscitation care
defibrillation time frame and survival rate, minute delay survival rate
Ans: within 3-5 mins, survival 50-70 %
each minute of delay reduces survival by 10%
what is included in quality post-resus (ROSC) care
Ans: assess with AtoE
SpO2 94-98%
nomal PaCO2
12 lead ECG
identify and treat cause
temperature control
what are the shockable rhythms
Ans: VF
pulseless VT
nonshockable rhythms
Ans: PEA and asystole
4 H's- and ways to assess
Approved By:
vPretest - Stuvia US
,2
Ans: hypoxia - sats/ABG
hypovolaemia - BP
hypo/hyperkalaemia - ABG
hypo/hyperthermia - T
4 T's - and ways to assess
Ans: Thromboembolic - (ECG/CTH)
Tension pneumothorax - trancheal deviation, USS, JVP
Tamponade - bedside ECHO
Toxins - screen/hx
In ALS adrenaline is given when
Ans: every 3-5mins (every other shock)
in ALS amiodarone is given when
Ans: every 3 shocks
how are outcomes from cardiac arrest improved
Ans: evidence based guidelines
quality standards
measuring patient outcomes - NCAA, ICNARC
safety incident reporting
non-technical resus skills + definition
Ans: - cognitive/social/personal skills contributing to safe and efficient
performance
situational awareness
decision making
team working and leadership
task management
Approved By:
vPretest - Stuvia US
,3
percentage of in hospital CA's that are predictable
what signs
Ans: 80%
hypoxia and hypotension
most common arrest rhythm and survival rate
Ans: non-shockble (PEA/Asystole)
14&
chain of prevention
Ans: Education
Monitoring
Recognition
Call for help
Response
physiology signs acceptable to met call
Ans: airway threatened
RR arrest >36 <5
CArrest, HR>140 <40, SBP<90
GCS drop >2, sudden LOC, seizures repeated or prolonged
Airway deterioration/CA causes
Approved By:
vPretest - Stuvia US
, 4
Ans: complete/partial obstruction
blood/vomit/FB
trauma
epiglottits
pharyngreal swelling - infection/odema
bronchospasm
bronchial secretion
blocked trachy
laryngospasm
CNS depression (head injury/intracerebral disease, hypercapnia, depressant
metabolic disorder (e.g. DM), drugs, alcohol
signs of airway obsturction
Ans: breathing difficulty choking,
accessory muscles
noisy
(silent if complete)
abdominal breathing
treatment of airway compromise
Ans: suction
positioning including recoveru
adjuncts
O2
?NG to aspirate stomach
causes of breathing deterioration
Approved By:
vPretest - Stuvia US
ALS - Resus Council UK (RCUK) Questions with Detailed
Verified Answers (100% Correct Answers) /Already Graded
A+
Chain of survival
Ans: early recognition, early CPR, early Defibrillation, post resuscitation care
defibrillation time frame and survival rate, minute delay survival rate
Ans: within 3-5 mins, survival 50-70 %
each minute of delay reduces survival by 10%
what is included in quality post-resus (ROSC) care
Ans: assess with AtoE
SpO2 94-98%
nomal PaCO2
12 lead ECG
identify and treat cause
temperature control
what are the shockable rhythms
Ans: VF
pulseless VT
nonshockable rhythms
Ans: PEA and asystole
4 H's- and ways to assess
Approved By:
vPretest - Stuvia US
,2
Ans: hypoxia - sats/ABG
hypovolaemia - BP
hypo/hyperkalaemia - ABG
hypo/hyperthermia - T
4 T's - and ways to assess
Ans: Thromboembolic - (ECG/CTH)
Tension pneumothorax - trancheal deviation, USS, JVP
Tamponade - bedside ECHO
Toxins - screen/hx
In ALS adrenaline is given when
Ans: every 3-5mins (every other shock)
in ALS amiodarone is given when
Ans: every 3 shocks
how are outcomes from cardiac arrest improved
Ans: evidence based guidelines
quality standards
measuring patient outcomes - NCAA, ICNARC
safety incident reporting
non-technical resus skills + definition
Ans: - cognitive/social/personal skills contributing to safe and efficient
performance
situational awareness
decision making
team working and leadership
task management
Approved By:
vPretest - Stuvia US
,3
percentage of in hospital CA's that are predictable
what signs
Ans: 80%
hypoxia and hypotension
most common arrest rhythm and survival rate
Ans: non-shockble (PEA/Asystole)
14&
chain of prevention
Ans: Education
Monitoring
Recognition
Call for help
Response
physiology signs acceptable to met call
Ans: airway threatened
RR arrest >36 <5
CArrest, HR>140 <40, SBP<90
GCS drop >2, sudden LOC, seizures repeated or prolonged
Airway deterioration/CA causes
Approved By:
vPretest - Stuvia US
, 4
Ans: complete/partial obstruction
blood/vomit/FB
trauma
epiglottits
pharyngreal swelling - infection/odema
bronchospasm
bronchial secretion
blocked trachy
laryngospasm
CNS depression (head injury/intracerebral disease, hypercapnia, depressant
metabolic disorder (e.g. DM), drugs, alcohol
signs of airway obsturction
Ans: breathing difficulty choking,
accessory muscles
noisy
(silent if complete)
abdominal breathing
treatment of airway compromise
Ans: suction
positioning including recoveru
adjuncts
O2
?NG to aspirate stomach
causes of breathing deterioration
Approved By:
vPretest - Stuvia US
