This question is from the ACLS provider manual. In case you don't have the manual I will write the question out. You have to have the ECC guidelines 2000 manual to get the answers to these questions and I don't have that manual. I'm going over case 4 PEA and I'm not sure what the right answer is for this question.
You are called to the ED to assist in the attempted resuscitation of a patient in pulseless cardiac arrest from unknown causes. When the patient arrives in the ED, chest compressions are being performed, and the patient is receiving ventilations through a tracheal tube placed by EMS personnel in the field. The patient is transferred to a gurney; you confirm that chest compressions are producing palpable femoral pulses, but no pulses are palpable between administered compressions. The patient is attached to a cardiac monitor that confirms the presence of organized QRS complexes. What is the first thing you should assess in an attempt to identify a reversible cause of cardiac arrest in this patient?
A. check tracheal tube placement with primary and secondary techniques and evaluate breath sounds to rule out tension pneumothorax
B. check arterial blood gases
C. check serum electrolytes to rule out imbalances
D. obtain a serum sample to identify drug overdose
if anyone has the ECC guidelines 2000 it says the answers will be on page 151.
My first guess for the FIRST thing you would do would be A, but I'm not sure if that's the answer or not. I have no way of knowing unless one of you can tell me.
I would say A. airway is always the most important,RECONFIRM TUBE and check for pnuemo. Then go for the 5Hs and 5Ts(hypoxia is treated first)or
Embolism (pulmonary/air/amniotic fluid
Drug overdose, toxins
Last edit by hollyster on Jun 20, '05