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Your patient has just been intubated post a VF cardiac arrest and is ventilated at 10 breaths/minute, on the following:
FiO2 of 60%
ETCO2 is 12 KPa
SpO2 is 96%
Select the most appropriate management for this patient.
Your junior is assisting you in stabilising a patient post-return of spontaneous circulation (ROSC) post-cardiac arrest. They check a BM and it is 18. They ask if they need to act on this.
What is the appropriate response?
A 64-year-old suffered an out-of-hospital cardiac arrest post-MI. Following defibrillation, they now have a pulse but their non-invasive blood pressure is 60/30mmHg.
Which of the following options is your first management step?
A young patient has been brought into your resuscitation room having suffered near-drowning. He is intubated and ventilated. He is chewing on the endotracheal (ET) tube, and appears to be ‘fighting the ventilator’ but not making any other purposeful movements.
He has a heart rate of 140 and a blood pressure of 160/100.
Which of the following is the most appropriate next step?
A 45-year-old man has regained spontaneous circulation following an out-of-hospital arrest.
Which one of the following statements regarding the role of thrombolysis is true?
You are writing an evidence based guideline for targeted temperature management in the emergency department (ED) post-arrest.
Which of the following statements is true?
You have had a busy week, and are thinking of the array of post-ROSC patients you had seen in the resuscitation room. All were relatively haemodynamically stable.
All were comatose, however.
Which of the following four patients had the worst prognosis, in terms of neurological outcome?
Spontaneous circulation has been regained in a patient who was brought to the ED after an asystolic arrest.
After learning of the patient’s usually limited quality of life from a relative, you are debating withdrawing treatment.
Which of the following clinical factors support this decision?
The following factors are reliably associated with the outcome suggested below:
When making decisions regarding life-sustaining treatment, which of the following is true?
very informative
Informative and useful module.
R-eview
0-f
S-uperb
C-linical points
Very good and informative
Excellent learning session
Excellent learning session
Excellent
Good stuff!