Cardiac Arrest

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

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
Page Author: Eric Shappell
Page Created: December 3, 2014
Peer Reviewer: James Ahn
Peer Review Date: January 6, 2015
Last Modified: August 15, 2017