mobey Posted February 9, 2008 Share Posted February 9, 2008 I will have to let someone else tell me what drugs to push (I know epi to start) Maybe there is a Paramedic in the crowd! Ok I kind of pride myself on Rhythm identification... When I opened this post I said V-Fib...Let's shock. But why do I see a pattern. Great now I feel like an idiot, should not have posted. Oh well I gotta learn, I still say V-Fib, but I will still hit analyze on the Lifepak 12 like protocol says. (cheater) Link to comment Share on other sites More sharing options...
chbare Posted February 9, 2008 Author Share Posted February 9, 2008 What makes you think it is something other than ventricular fibrillation? Do not worry about right or wrong, the point of this scenario is to learn. Take care, chbare. Link to comment Share on other sites More sharing options...
mobey Posted February 9, 2008 Share Posted February 9, 2008 There is definatly a pattern to the strim, at the 9th and 10th square there is a rise and drop then 25&26 you see it again naa..It's just me being stupid and looking for zebras cause i'm on this forum, V-Fib Final answer Link to comment Share on other sites More sharing options...
chbare Posted February 9, 2008 Author Share Posted February 9, 2008 Ventricular fibrillation it is. What do you want to do about it? Take care, chbare. Link to comment Share on other sites More sharing options...
mobey Posted February 9, 2008 Share Posted February 9, 2008 Press shock Link to comment Share on other sites More sharing options...
chbare Posted February 9, 2008 Author Share Posted February 9, 2008 You administer a DC counter shock at whatever setting your guidelines allow for such a scenario. Take care, chbare. Link to comment Share on other sites More sharing options...
mobey Posted February 9, 2008 Share Posted February 9, 2008 Reasses pulse, resume CPR if not present, check rhythm Link to comment Share on other sites More sharing options...
firedoc5 Posted February 9, 2008 Share Posted February 9, 2008 I agree, coarse v-fib. Defib 200, 300, 360, in succession, epi, lidocaine, etc. Follow ACLS protocols. All to often world class athletes have underlying undiagnosed cardiac problems. Link to comment Share on other sites More sharing options...
p3medic Posted February 9, 2008 Share Posted February 9, 2008 around here the patient would get 2 minutes of good cpr prior to defib, assuming I didn't witness the arrest. With that said, after shock, immediately return to good cpr, and gain IV access. Epinephrine 1mg ivp followed by another shock if still in vf... Link to comment Share on other sites More sharing options...
chbare Posted February 9, 2008 Author Share Posted February 9, 2008 Many services are no longer using stacked shocks and simply shock once then go to CPR if a non perfusing rhythm persists IAW 2000 ACLS recommendations. However, I understand every service is a little different with their guidelines. Following your DC counter shock you note a weak carotid pulse of 110. You note the following on the monitor: What next? Take care, chbare. Link to comment Share on other sites More sharing options...
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