ADVANCED LIFE SUPPORT ALS PRACTICE
QUESTIONS WITH 100% SOLVED ANSWERS!!
Dangers, Responsive, Send for help, Airway, Breathing, Circulation, Disability, Exposure
DRSABCDE
30 compressions, 2 breaths
CPR ratio
Start CPR, Attach Defib/Monitor, Assess Rhythm, SHOCKABLE OR NON SHOCKABLE
Steps in ALS
Shock, CPR for 2 mins
If SHOCKABLE rhythm, next steps are:
Adrenaline 1mg CPR for 2 mins
If NON SHOCKABLE rhythm, next steps are:
Return of spontaneous circulation
ROSC
Post resuscitation care
What comes after ROSC?
1. Reevaluate ABCDE, 2. 12 lead ECG, 3. Treat precipitating causes, 4. Aim for sats 94-
98%, 5. Normocapnia and normoglycaemia, 6. Targeted temperature management
Post resuscitation care 6 things are:
, 4 h's and 4 t's
Things to consider and correct are:
1. Hypoxia, 2. Hypovolaemia, 3. Hyper/hypokalaemia/ metabolic disorders, 4.
Hypothermia/ hyperthermia
4 H's are:
1. Tension pneumothorax, 2. Tamponade, 3. Toxins, 4. Thrombosis (pulmonary, coronary)
4 T's are:
Adrenaline 1 mg after 2nd shock (then every 2nd loop) Amiodarone 300mg after 3 shocks
SHOCKABLE DRUGS
Adrenaline 1 mg immediately (then every 2nd loop)
NON SHOCKABLE DRUGS
10 breaths per minute
Chest compressions uninterrupted following tracheal intubation are to be at rate of:
Shockable rhythms
VF and Pulseless Ventricular tachycardia
Non shockable rhythms
Asystole, PEA
Debfibrillation Sequence
QUESTIONS WITH 100% SOLVED ANSWERS!!
Dangers, Responsive, Send for help, Airway, Breathing, Circulation, Disability, Exposure
DRSABCDE
30 compressions, 2 breaths
CPR ratio
Start CPR, Attach Defib/Monitor, Assess Rhythm, SHOCKABLE OR NON SHOCKABLE
Steps in ALS
Shock, CPR for 2 mins
If SHOCKABLE rhythm, next steps are:
Adrenaline 1mg CPR for 2 mins
If NON SHOCKABLE rhythm, next steps are:
Return of spontaneous circulation
ROSC
Post resuscitation care
What comes after ROSC?
1. Reevaluate ABCDE, 2. 12 lead ECG, 3. Treat precipitating causes, 4. Aim for sats 94-
98%, 5. Normocapnia and normoglycaemia, 6. Targeted temperature management
Post resuscitation care 6 things are:
, 4 h's and 4 t's
Things to consider and correct are:
1. Hypoxia, 2. Hypovolaemia, 3. Hyper/hypokalaemia/ metabolic disorders, 4.
Hypothermia/ hyperthermia
4 H's are:
1. Tension pneumothorax, 2. Tamponade, 3. Toxins, 4. Thrombosis (pulmonary, coronary)
4 T's are:
Adrenaline 1 mg after 2nd shock (then every 2nd loop) Amiodarone 300mg after 3 shocks
SHOCKABLE DRUGS
Adrenaline 1 mg immediately (then every 2nd loop)
NON SHOCKABLE DRUGS
10 breaths per minute
Chest compressions uninterrupted following tracheal intubation are to be at rate of:
Shockable rhythms
VF and Pulseless Ventricular tachycardia
Non shockable rhythms
Asystole, PEA
Debfibrillation Sequence