Cardiac Arrest

Resources to Review Prior to Conference

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Goals and Objectives

Goals
  • Trainee will demonstrate competence in the initial evaluation and basic management of patients in cardiac arrest

  • Trainee will demonstrate competence in leading a team during resuscitation of cardiac arrest

Objectives

Trainee will be able to:

  • List the various roles involved in cardiac arrest resuscitation

    • Code Leader

    • Compressions

    • Airway

    • IV/IO Access

    • Medications

    • Charting

    • Timekeeper

  • Recognize and name the four possible rhythms in cardiac arrest

    • Ventricular tachycardia (pulseless)

    • Ventricular fibrillation

    • Pulseless electrical activity

    • Asystole

  • Describe and demonstrate appropriate placement of defibrillator pads

  • List the indications for defibrillation and the appropriate energy

  • Name the drugs and dosages used in the management of cardiac arrest

    • Epinephrine

    • Vasopressin

    • Amiodarone

    • Sodium Bicarbonate

    • Calcium Chloride / Gluconate

    • Fibrinolytics

    • Magnesium

    • Esmolol

    • Naloxone

  • Name and recognize the H’s and T’s of reversible causes of cardiac arrest

    • Hypovolemia

    • Hypoxia

    • Hydrogen ion (acidosis)

    • Hypo-/hyperkalemia

    • Hypothermia

    • Thrombosis, Coronary

    • Thrombosis, Pulmonary

    • Tamponade, Cardiac

    • Tension pneumothorax

    • Toxins

  • Describe appropriate actions and interventions in cases of ROSC (VOMIT mnemonic)

    • Vitals (obtain fresh full set)

    • Oxygen (avoid hyperoxia)

    • Myocardial injury (obtain EKG)

    • IV (confirm adequate access)

    • Therapeutic hypothermia

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Additional Resources

General Cardiac Arrest Resources

 

Resuscitation Medications

Refractory Ventricular Dysrhythmia

Fibrinolysis in Cardiac Arrest

 

Post-Arrest Care