ILS

Question 1

Describe how we recognise deterioration

Answer 1

A- airway obstruction (blockages, blood, vomit, food, swelling, infections, spasms)
B- breathing problems (respiratory drive/effort)
C- circulatory probelms (ACS, bleeding)
D- disability
E- exposure

Question 2

How many compressions does it take to get pressure up?

Answer 2

15-20

Question 3

Whats a normal coronary perfusion pressure?

Answer 3

75-80 kPa
diastole

Question 4

What is the appropriate citeria for an adult?

Answer 4

100-120bpm
30 compressions
5-6cm depth

Question 5

Name some types of airway adjuncts (basic airway)

Answer 5

-pocket mask
-nasopharyngeal - size against patients little finger, lubricate, doesn’t go up the nose but in, small and thin
-oropharyngeal - goes in upside down and the gets turned around, thicker
-Bag- valve-mask - more intricate, oxygen connected

Question 6

Name some types of intubation (advanced airway)

Answer 6

LMA- laryngeal airways mask
ETT- endo tracheal tube (little bladder, 10ml syringe, small and thin tube, inflate it to hear the bronchus, stethoscope) - close the circuit

Question 7

Name some shockable rhythms

Answer 7

-VF
-Pulseless ventricular tachycardia

Question 8

Name some non- shockable rhythms

Answer 8

-pulseless electrical activity- PEA ( organised electrical activty, but not enough to pump the heart- CPR)
-Asystole - flat line but not perfectly flat

Question 9

What resuscitation drugs are in the crash trolley?

Answer 9

-Adrenaline - 1:10000 IV every 3-5 mins - acts on both alpha and beta receptors, increases HR, contractility and vasoconstriction

-Atropine - 500mCG- given once to increase HR

-Adenosine - slows down AV conduction
-Amiodarone -anti arrhythmic
-lignocaine - anti arrhythmic

Question 10

What is the difference between BLS and ILS?

Answer 10

-starting to recognise rhythms
-shocking patients