ACLS Asystole CASE
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After providing CPR for 2 minutes the rhythm check shows asystole. What steps take priority? | show 🗑
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Define asystole. | show 🗑
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show | Validate that the rhythm is true asystole by ruling out fine VF or operator error – check leads, power, settings
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What are some reasons to stop or withhold resuscitative efforts? | show 🗑
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Discuss the prognosis for a patient in asystole. | show 🗑
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show | In cases of hypothermia and drug overdose
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Once IV/IO access has been established for the patient in asystole, what’s the next step? | show 🗑
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show | Continue high quality CPR. Repeat Vasopressor therapy.
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show | Palpate for pulse. If no pulse or questionable pulse continue CPR. If there is a good pulse and organized rhythm proceed to post cardiac arrest care
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show | Prepare to deliver a shock. Continue CPR while charging.
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What are AHA recommendations for TCP and asystole? | show 🗑
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What are the recommendations for defibrillation? | show 🗑
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Who makes the decision to terminate resuscitative efforts in the hospital? | show 🗑
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show | Continue efforts until: ROSC and spontaneous breathing; Transfer to senior Emergency response team, reliable criteria indicating irreversible death; safety or exhaustion of rescuer; DNAR order; online authorization from physician
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