You are on page 1of 1

In such scenarios, the exam will often position you as

the team leader and ask you to allocate tasks rather than
expect you to do everything yourself.
Chest compressions should not be interrupted for
anything except rhythm analysis and delivery of the
shock. Chest compressions must continue even during
charging of the defibrillator.
During the 2 minutes of chest compressions, it is
important to address the following:

Obtain intravenous access.


Send off basic bloods and a blood gas:
Blood gas analysis (even a venous sample) allows
a quick analysis of key facts, for example potassium
level, haemoglobin, etc.

Check the good placement and adherence of the


defibrillation paddles to the chest wall.
Check adequacy of the chest compressions:
One should be able to palpate a central pulse if a
chest compression is adequate.
It is important to rotate this role frequently
between team members. Fatigue is a key cause of
inadequate chest compression.
Think of each of the reversible causes of the arrest:
Take measures to address them if they may have
contributed; for example, start insulin/dextrose if
hyperkalaemia is suspected, give fluids for hypovolaemia, warm the patient if they are hypothermic,
etc.
Practice makes perfect!
It is often helpful to ask your resuscitation officers
about any doubts or queries, and possibly help you
work through some simulation sessions. Most resuscitation officers are friendly, approachable and very keen
to teach.

You might also like