Review the rhythm shown here and then decide how Dr. Ruiz should direct the teams immediate next

lOM oA RcPSD |622 916 7 ALS/ACLS - Team Response Scenario - Theresa Coleman 2021/2022 Review the rhythm shown here and then decide how Dr. Ruiz should direct the team's immediate next actions. - Answer - 1. "Kirron, please continue compressions."

• "Charmar, please charge the defibrillator."

What are the team's appropriate next actions? - Answer - 1. Provide 2 minutes of CPR.

• Obtain vascular access.

After 2 minutes of CPR, the rhythm remains the same. What interventions are appropriate at this time? - Answer - 1. Epinephrine

2. CPR

• Shock

What is the correct dose of epinephrine to give? - Answer - 1 mg, repeated every 3 to 5 minutes At the third rhythm check, the rhythm remains the same. Which actions are appropriate at this time? - Answer

• Resume compressions
• Deliver a third shock.
• Administer amiodarone.

What is the correct initial dose of amiodarone to give? - Answer - 1. First dose: 300mg by IV bolus

2. Second dose: 150mg if needed

In searching for Hs and Ts, which of the following diagnostic tests would be appropriate to order at this time?

• Answer - 1. Arterial Blood gases
• Serum electrolyte panel

Based on the rhythm shown on the monitor, what is the appropriate next action? - Answer - Check for a pulse.What are the team's appropriate next actions? - Answer - 1. Provide 2 minutes of CPR.

• Administer epinephrine.
• Continue searching for reversible causes.

What should the team do next? - Answer - Assess and support the patient's airway, breathing and circulation.How should Dr. Ruiz direct the team's immediate next actions? - Answer - 1. "Jerry, please update me on Mrs. Coleman's vitals."

• "Charmar, please get a 12-lead ECG."
• "Sandra, please draw blood for labs."
• "Darius, please prepare for intubation."

Initial assessment findings for Mrs. Coleman are as follows:Blood pressure: 65/52 mmHgPulse: 124 bpmPulse oximetry: 83%ETCO2: 22 mmHgBased on these initial assessment findings, what should the team do next? - Answer - 1. Administer an IV fluid bolus.

• Titrate oxygen therapy to the minimum level needed to achieve and maintain an arterial oxygen saturation

of 94%-99%.

• / 1