Goals and Objectives
Goals
- Resident will be comfortable with the initial evaluation and basic management of patients in cardiac arrest
- Resident will be comfortable identifying as team leader during resuscitation of cardiac arrest
Learning Objectives
- Resident will be able to list the various roles involved in cardiac arrest resuscitation
- Code Leader
- Compressions
- Airway
- IV/IO Access
- Medications
- Charting
- Resident will be able to name and recognize the four possible rhythms in cardiac arrest
- Ventricular tachycardia (pulseless)
- Ventricular fibrillation
- Pulseless electrical activity
- Asystole
- Resident will be able to describe appropriate pad placement
- Resident will list the indications for defibrillation and appropriate energy
- Resident will be able to name the drugs and dosages used in the management of cardiac arrest
- Epinephrine
- Vasopressin
- Amiodarone
- Sodium Bicarbonate
- Calcium Chloride / Gluconate
- Fibrinolytics
- Resident will be able to name and recognize the H's and T's of reversible causes of cardiac arrest
- Hypovolemia
- Hypoxia
- Hydrogen ion (acidosis)
- Hypo-/hyperkalemia
- Hypothermia
- Thrombosis, Coronary
- Thrombosis, Pulmonary
- Tamponade, Cardiac
- Tension pneumothorax
- Toxins
- Resident will describe appropriate actions and interventions in case of ROSC (VOMIT mnemonic)
- Vitals (obtain fresh full set)
- Oxygen (avoid hyperoxia)
- Myocardial injury (obtain EKG)
- IV access (confirm adequate)
- Therapeutic hypothermia
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Recommended Resources
Prior to Conference
ACLS Algorithm
Additional Resources
Cardiac Arrest Resources
Resuscitation Medications
Fibrinolysis in Cardiac Arrest
Post-Arrest Care
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