SAQ 549 – Cardiology – refractory VF arrest after chest pain

Marked out of 18.00

Ambulance pre-notifies you of a 45-year-old woman with unknown past history in VF arrest. She had chest pain before collapsing near the hospital. ACLS is in progress and ETA is 5 minutes.

Other than ACLS duration, state six (6) key pieces of information to obtain during ambulance handover.

(Marked out of 6.0)


/ 6

After 12 minutes of ACLS she has ROSC, slow AF at 40/min and an adrenaline infusion running. Should she be transferred urgently for primary PCI?

(Marked out of 1.0)


/ 1

Justify your decision with three (3) points.

(Marked out of 3.0)


/ 3

Before transfer, she deteriorates back into VF. State four (4) benefits of cardiac ultrasound in her ongoing management.

(Marked out of 4.0)


/ 4

Despite standard ACLS, VF persists for a further 20 minutes without ROSC. List four (4) circumstances where prolonged CPR may be warranted.

(Marked out of 4.0)


/ 4

Total Score: 0 / 18

Percentage: 0%

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