ADVANCED LIFE SUPPORT ALS PRACTICE
QUESTIONS WITH 100% SOLVED ANSWERS!!
Assessment and management of out-of-hospital cardiac arrest
- confirmation of cardiac arrest
- immediate implementation of effective BLS and defibrillation.
- Addition of ALS, including IV/IO access, administration of medicines, advanced airway
management and clinical decision making where appropriate
- Early identification of reversible causes
- Early decision making on: appropriateness of resuscitation attempt, early transport if reversible
cause identified but cannot be treated on scene, requesting enhanced resources, seeking senior
advice.
Adult advanced life support algorithm for pt unresponsive and not breathing normally
- CPR 30:2, attach defibrillator/ monitor
- Assess rhythm
- Return of spontaneous circulation (ROSC)
OR
SHOCKABLE (VF/ Pulseless VT): 1 shock, immediately resume CPR for 2 min
OR
NON-SHOCKABLE (PEA/ Asystole): immediately resume CPR for 2 min
- Assess rhythm after 2 minute cycle (If shockable/ non-shockable rhythm)
, Adult ALS management - give high-quality chest compressions and:
- Give oxygen
- use waveform capnography
- continuous compressions if advanced airway
- minimise interruptions to compressions
- IV or IO access
- Give adrenaline every 3-5min
- Give amiodarone after 3 shocks
- Identify and treat reversible causes
Adult ALS management - identify and treat reversible causes:
- hypoxia
- hypovolaemia
- hypo/hyperkalaemia/metabolic
- Hypo/hyperthermia
- Thrombosis: coronary or pulmonary
- Tension pneumothorax
- Tamponade: cardiac
- Toxins
Adult ALS management - consider:
- coronary angiography/ percutaneous coronary intervention
- mechanical chest compressions to facilitate transfer/ treatment
- extracorporeal CPR
QUESTIONS WITH 100% SOLVED ANSWERS!!
Assessment and management of out-of-hospital cardiac arrest
- confirmation of cardiac arrest
- immediate implementation of effective BLS and defibrillation.
- Addition of ALS, including IV/IO access, administration of medicines, advanced airway
management and clinical decision making where appropriate
- Early identification of reversible causes
- Early decision making on: appropriateness of resuscitation attempt, early transport if reversible
cause identified but cannot be treated on scene, requesting enhanced resources, seeking senior
advice.
Adult advanced life support algorithm for pt unresponsive and not breathing normally
- CPR 30:2, attach defibrillator/ monitor
- Assess rhythm
- Return of spontaneous circulation (ROSC)
OR
SHOCKABLE (VF/ Pulseless VT): 1 shock, immediately resume CPR for 2 min
OR
NON-SHOCKABLE (PEA/ Asystole): immediately resume CPR for 2 min
- Assess rhythm after 2 minute cycle (If shockable/ non-shockable rhythm)
, Adult ALS management - give high-quality chest compressions and:
- Give oxygen
- use waveform capnography
- continuous compressions if advanced airway
- minimise interruptions to compressions
- IV or IO access
- Give adrenaline every 3-5min
- Give amiodarone after 3 shocks
- Identify and treat reversible causes
Adult ALS management - identify and treat reversible causes:
- hypoxia
- hypovolaemia
- hypo/hyperkalaemia/metabolic
- Hypo/hyperthermia
- Thrombosis: coronary or pulmonary
- Tension pneumothorax
- Tamponade: cardiac
- Toxins
Adult ALS management - consider:
- coronary angiography/ percutaneous coronary intervention
- mechanical chest compressions to facilitate transfer/ treatment
- extracorporeal CPR
