Cardiac Arrest Scenario (Tech)

Your colleague checks the airway, breathing, and pulse, confirming he is in cardiac arrest. They take over CPR on the chest from the family member, what are your first actions

You place the AED on the patient and it starts analysing. What further kit could you prepare while this was being done and your colleague was conducting CPR

The defibrillator advises a shock, and clearing everyone, you defibrillate the patient. You make note of the time of defibrillation and take over the CPR while your colleague manages ventilations. The family explain he has had previous heart attacks and his chest pain was very similar to when he had an attack before. At what rate are your chest compressions

What is the depth of compression required

How much recoil of the chest should you allow

You are coming to the end of your CPR cycle and the defibrillator is analysing again. Your colleague explains they haven’t had an easy time with ventilations and have found it difficult. The defibrillator advises a second shock. You clear everyone and defibrillate. Your colleague takes over the compressions and you are at the airway. You note a lot of gurgling and secretions/vomit built up in the airway. What can you do

You suction the airway and try and ventilate the patient but you still get a resistance. Following along a stepwise airway approach, what action can you try next

Attempting a head-tilt-chin-lift makes no difference to the ventilation. Moving along a stepwise approach what next adjuncts can you try

These have little effect on the patients’ airway and ventilation, what further option do you have

You insert and secure your LMA device into the airway and this instantly has a better ventilation/airway control. The defibrillator starts analysing the rhythm again and advises a third shock. You clear the patient and defibrillate. Your colleague takes over the BVM while you go back to chest compressions. You note your colleague doing 2 breaths every 30 compressions, can you do continuous ventilations (one every 6 seconds) with an LMA

In this scenario, is working through your stepwise airway protocol necessary before each upgrade in adjunct or can you go straight to your LMA device?

The defibrillator analyses for a fourth time and advises to check patient. You have a feel of the carotid pulse and feel it pulsating. What should you now re-review in regards to the patient