Technician Scenario
You’re working as a double Technician crew when you are called to a 65 year old cardiac arrest. As you travel to the scene, control updates you that a Paramedic crew is 10 minutes behind you.
At the property, you are shown into the living room where CPR is ongoing by a family member. You’re told that the patient had chest pain initially, but then suddenly collapsed and stopped breathing. They called the Ambulance and started CPR straight away.
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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
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
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