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Questions and Answers
What is the recommended delivery rate of breaths during cardiac arrest with an advanced airway according to the 2020 PALS updates?
What is the recommendation regarding the use of electroencephalography monitoring after cardiac arrest according to the 2020 PALS updates?
When is the early delivery of epinephrine encouraged according to the 2020 PALS updates?
What is the recommendation regarding the use of cuffed ET tubes according to the 2020 PALS updates?
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What is the recommendation regarding routine use of cricoid pressure during intubation according to the 2020 PALS updates?
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What is the recommended atropine dose in the updated ACLS 2020 algorithm for adult bradycardia?
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What is the recommended timing for giving epinephrine in nonshockable rhythms according to the updated ACLS 2020 algorithm?
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What is the preferable route of medication delivery according to the updated ACLS 2020 algorithm?
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When should multimodal neuroprognostication be performed according to the updated ACLS 2020 algorithm?
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What is the recommended approach for managing cardiac arrest in pregnancy according to the updated ACLS 2020 algorithm?
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Study Notes
Cardiac Arrest Management
- During cardiac arrest with an advanced airway, the recommended delivery rate of breaths is 10 breaths/min.
- Electroencephalography (EEG) monitoring is not recommended for routine use after cardiac arrest.
- Early delivery of epinephrine is encouraged in cardiac arrest when there is a delay in CPR or if the initial rhythm is asystole or pulseless electrical activity (PEA).
- Cuffed endotracheal (ET) tubes are recommended for pediatric patients.
- Routine use of cricoid pressure during intubation is not recommended.
ACLS Algorithm Updates
- The recommended atropine dose in the updated ACLS 2020 algorithm for adult bradycardia is 0.5 mg every 3-5 minutes, up to a maximum of 3 mg.
- Epinephrine should be given every 3-5 minutes in nonshockable rhythms, including asystole and PEA.
- The preferable route of medication delivery is IV or IO, as ET medication delivery is no longer recommended.
- Multimodal neuroprognostication should be performed 72 hours or more after cardiac arrest to assess neurological prognosis.
- For cardiac arrest in pregnancy, the recommended approach is to prioritize CPR, relieve suspicious aortocaval compression, and perform perimortem cesarean delivery if necessary.
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Description
Test your knowledge of the updated Adult Bradycardia algorithm in the AHA ACLS 2020 guidelines with this quiz. Explore the changes to the Atropine dose and refresh your understanding of the recommended frequency and maximum dosage.
