Académique Documents
Professionnel Documents
Culture Documents
ACS
Stroke
Cardiac arrest
VT
VF
Asystole
PEA
Tachycardia and bradycardia stable and unstable
Responses to changes
Is heart Attack = cardiac arrest? Yes/No
Heart attack is
the myocardium Cardiac is heart
receive rhythm disturbances
insufficient leading to
oxygen due to insufficient/absent
blood flow cardiac output
disruption from
narrowing or
blockage
Knowing the cardiac rhythm
Or
Bradycardia Tachycardia
Why do you need to know the
rhythms during MegaCode?
Intervention:
ECG
BLS Assessment
Instructor: No pulse
SHOCKABLE OR NON-SHOCKABLE
RHYTHM
BLS assessment HIGH QUALITY CPR Rapid Defibrilation
Why need to Push Fast:100-120 C/Min whereby the normal heart rate is 60-100 beats/min?
Ans: Evidened by study found that increase survival rate with compression rate of 100-120
WHY?
Charging on Paddle button or on machine charging panel button
3 issues:
- Time
- Safety
- Competency
Giving shock using Paddle OR Pad?
2 issues:
- Cost
- Safety
- Effectiveness =
- Most recommended??
Delivering shock using Thumb OR Index Finger?
• Vasoconstrictor
• Increase myocardial
Refractory VT/VF contractility
β-blockers
I
A Airway: Consider ETT, Suctioning, Head-tilt chain lift
B Breathing: Ensure chest rise with ventilation, avoid excessive ventilation, Auscultation RR, SPO2 <94%, tiltrate oxygen,
pETCO2 35-40mmHg
E ECG
F Fluid/IVI
Glucose
G
Hypothermia: Target Temperature Management
H
TTM
Induced hypothermia
Recommended OR Not