You are working as a duel crewed Emergency Care Assistant (ECA) Ambulance within your local area. You’ve had a busy morning and are heading back for meal break. An open mic call is asking for any crews to assist with a Cat 1 call 5-minutes from your current location. You and your colleague look at each other and decide to volunteer to assist with the call. Control give their thanks and explain it is for a 68-year-old cardiac arrest, with CPR ongoing. Paramedic back up will be 20 minutes away.
You respond to the call and arrive on scene. You enter the property with your kit. You find a male patient on the living room floor, his wife is conducting CPR.
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The wife sighs a relief at seeing you enter and states she is exhausted and cannot do any more chest compressions. Your colleague bends down to the patient and tries to feel for a pulse and breathing. He confirms the patient is still in cardiac arrest and starts chest compressions. What should your next priority be?
You apply defibrillator pads and the AED starts doing it’s assessment. What can do while the AED assesses?
You and your colleague prepare the airway and ventilation kit while the AED assesses. It comes back with ‘Shock advised’ and the button lights up on the defibrillator. Prior to shocking the patient, what must you ensure isn’t being compromised?
You assess that no one is touching the patient and safely administer a defibrillation. Following the shock, what should you immediately start doing?
You take over chest compressions as your colleague started initially. They start to assess the airway and look to provide ventilations via BVM. On assessing, the airway has secretions and vomit occluding it. What actions should be done in this setting?
Your colleague successfully suctions out the airway with a handheld suction device. They try to ventilate using BVM and airway manoeuvres, but they are struggling to get any air in. What management can they employ to assist with the airway?
Using the stepwise airway approach, they confirm the airway is clear and insert an OPA. This significantly improves airway patency, and you colleague is able to successfully ventilate the patient. The 2-minute cycle completes, what is your next action?
The AED runs through its’ assessment and states ‘no shock advised’, your colleague confirms there is no pulse. What are your next actions?
Your colleague takes over the chest compressions while you manage the airway. Throughout the resuscitation you have been communicating with the wife, doing your best to keep her informed of what you’re doing, and try to keep her calm. You discuss the history of events, and she explains her husband started to have severe chest pains prior to his collapse. Given this information, what is the likely cause for the cardiac arrest?
A double Paramedic crew arrive on scene and enter the room. You give a handover to the crew, what information is correct?
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