Cardiac Arrest Rhythms Quiz: Master ECG Interpretation

What is the recommended initial defibrillation energy for ventricular fibrillation?

What is the characteristic QRS complex duration in ventricular tachycardia?

What is the first step in managing asystole?

Which of the following is a cause of pulseless electrical activity?

What is the first step in the basic life support algorithm?

What is the purpose of rhythm recognition in the advanced cardiovascular life support algorithm?

What is the recommended sequence of CPR in the basic life support algorithm?

Which of the following is not a recommended medication for ventricular fibrillation?

What is the goal of CPR in asystole management?

Initial defibrillation energy for ventricular fibrillation?

QRS complex duration in ventricular tachycardia?

First step in managing asystole?

Cause of pulseless electrical activity?

First step in basic life support?

Purpose of rhythm recognition in ACLS?

Recommended CPR sequence in BLS?

Medication NOT for ventricular fibrillation?

Goal of CPR in asystole management?

Treatment:
- Defibrillation: immediate shock delivery (biphasic 150-200J, monophasic 360J)
- CPR: continue for 2 minutes before re-analysis
- Medications: amiodarone or lidocaine (if VF persists after defibrillation)

Diagnosis:
- Wide QRS complex (>140ms)
- Regular rhythm
- P-waves not present or dissociated from QRS complex
- Monomorphic (uniform) QRS shape

Management:
- Confirm asystole in multiple leads
- Check for reversible causes (e.g., hypoxia, electrolyte imbalance)
- CPR: continue until return of spontaneous circulation (ROSC) or termination of resuscitation efforts
- Medications: none recommended

Causes:
- Hypovolemia
- Hypoxia
- Hydrogen ions (acidosis)
- Hypothermia
- Hypokalemia or hyperkalemia
- Tamponade (cardiac)
- Tension pneumothorax
- Toxic substances
- Cardiac rupture

Basic Life Support (BLS):
- Call for help
- Check airway, breathing, and circulation (ABC)
- CPR: 30 chest compressions, 2 breaths
- Defibrillation (if indicated)
Advanced Cardiovascular Life Support (ACLS):
- Rhythm recognition and management
- Medication administration
- Cardioversion (if indicated)

Interpretation:
- P-waves, QRS complex, T-waves
- Rate, rhythm, axis, and intervals
- Identification of cardiac arrest rhythms (VF, VT, asystole, PEA)