SAQ 1044 – Cardiology – prolonged cardiac arrest and post-arrest priorities

Marked out of 12.00

You are contacted on the bat phone about a 45-year-old man in cardiac arrest with an ETA of 10 minutes.

On arrival he has been in arrest for 30 minutes and remains in VF. He is on a mechanical CPR device, intubated, has received five shocks, adrenaline 1 mg three times and amiodarone 450 mg.

List eight factors that are good pre-hospital prognostic indicators in out-of-hospital cardiac arrest.

(Marked out of 4.0)


/ 4

What other drug would you consider next for the arrhythmia?

(Marked out of 2.0)


/ 2

During CPR the end-tidal CO2 rises from 15 to 45 mmHg. Explain this physiologically and how it would alter your management.

(Marked out of 2.0)


/ 2

The patient then starts biting on the endotracheal tube. How would you manage the ongoing resuscitation?

(Marked out of 4.0)


/ 4

Total Score: 0 / 12

Percentage: 0%