Introduction to Machine Learning

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Questions and Answers

What is the recommended compression-to-ventilation ratio during CPR for a child in cardiac arrest?

  • 30:2
  • 20:2
  • 5:1
  • 15:2 (correct)

During paediatric advanced life support, what is the initial energy dose for defibrillation in ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT)?

  • 8 J/kg
  • 4 J/kg (correct)
  • 2 J/kg
  • 6 J/kg

What is the correct dose of intravenous/intraosseous (IV/IO) adrenaline to administer following the third unsuccessful shock in a child experiencing cardiac arrest?

  • 20 mcg/kg
  • 10 mcg/kg (correct)
  • 1 mg/kg
  • 5 mcg/kg

How frequently should adrenaline be administered once initiated during paediatric CPR?

<p>Every 3-5 minutes (C)</p> Signup and view all the answers

What is the maximum single dose of adrenaline that should be administered to a child during cardiac arrest?

<p>1 mg (A)</p> Signup and view all the answers

What is the maximum single dose of amiodarone that can be given to a child during cardiac arrest?

<p>300 mg (C)</p> Signup and view all the answers

What range of oxygen saturation (SpO2) is the target for post-cardiac arrest care?

<p>94-98% (D)</p> Signup and view all the answers

Which ventilation rate (breaths per minute) is most appropriate for a child aged 9 years old with an advanced airway in place during CPR?

<p>15 breaths per minute (B)</p> Signup and view all the answers

A child in cardiac arrest is receiving continuous chest compressions with an advanced airway in place. What is the recommended approach to ventilation?

<p>Deliver breaths at a fixed rate according to age, independent of chest compressions. (A)</p> Signup and view all the answers

In addition to hypoxia and hypovolemia, which of the following is a reversible cause to consider during cardiac arrest?

<p>Either hypo- or hyperthermia (B)</p> Signup and view all the answers

After administering amiodarone during a pediatric cardiac arrest, when can a repeat dose of amiodarone be considered?

<p>After the 5th shock (D)</p> Signup and view all the answers

Following successful return of spontaneous circulation (ROSC), which of the following is a crucial element of post-cardiac arrest care?

<p>Avoiding hypotension to optimise organ perfusion. (A)</p> Signup and view all the answers

During CPR, what is the recommended percentage of oxygen to be used with bag-mask ventilation (BMV)?

<p>100% oxygen (B)</p> Signup and view all the answers

Which of the options is NOT part of the 'ABCDE' approach?

<p>Drugs (A)</p> Signup and view all the answers

Which of the following is the most crucial action to take immediately after delivering a defibrillation shock for VF/VT?

<p>Immediately resume CPR (C)</p> Signup and view all the answers

Which of the following is a potential reversible cause of cardiac arrest related to blood electrolytes?

<p>Hypokalemia (B)</p> Signup and view all the answers

Why is it important to 'minimise interruptions' during CPR?

<p>To maintain consistent chest compression fraction and coronary perfusion pressure (B)</p> Signup and view all the answers

During post-cardiac arrest care for a child, what is the significance of 'targeted temperature management'?

<p>To actively control and maintain a specific temperature range to improve neurological outcomes (D)</p> Signup and view all the answers

During the assessment of a child in cardiac arrest, after what intervention should the rhythm be assessed?

<p>After commencing/continuing CPR. (D)</p> Signup and view all the answers

In the context of reversible causes of cardiac arrest, what type of 'T' does 'tamponade' refer to?

<p>Cardiac tamponade (C)</p> Signup and view all the answers

Flashcards

Recognize cardiac arrest

First step in pediatric advanced life support.

Commence/continue CPR

CPR with a compression-ventilation ratio of 15:2.

SHOCKABLE rhythm

Ventricular fibrillation or pulseless ventricular tachycardia.

Initial defibrillation dose

Use 4 J/kg for the first shock.

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NON-SHOCKABLE rhythm

Pulseless electrical activity, asystole, or bradycardia < 60 min⁻¹.

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ABCDE approach

Standard approach to assess and treat patients.

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Adrenaline IV/IO

Administer for shockable rhythms after three shocks.

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Amiodarone IV/IO

Consider after 3 shocks for shockable rhythms.

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Adrenaline IV/IO for Non-Shockable

Administer as soon as possible for non-shockable rhythms.

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Reversible causes of cardiac arrest

Hypoxia, hypovolemia, electrolyte imbalances, etc.

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High-quality chest compressions

Rate, depth, and full recoil.

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Adrenaline administration frequency

Administer every 3-5 minutes once started.

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Maximum single dose of adrenaline

1 mg

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Maximum single dose of Amiodarone

300 mg

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Study Notes

  • Machine learning constructs computer programs that automatically improve with experience.

What Is Machine Learning?

  • The science of programming computers so they can learn from data.
  • The ability of computers to learn without explicit programming.
  • A computer program learns from experience E, regarding tasks T, measured by performance P, if its performance at tasks in T, as measured by P, improves with experience E.

Different Types of Machine Learning

  • Supervised learning.
  • Unsupervised learning.
  • Reinforcement learning.

Supervised Learning

  • Supervised learning involves a data set where the correct output is known, indicating a relationship between input and output.
  • A training set of $N$ input-output pairs $\mathcal{D} = {(x_i, y_i)}^N_{i=1}$ is given
  • The goal is to learn a function $f : \mathcal{X} \rightarrow \mathcal{Y}$ such that $y_i \approx f(x_i) \quad \forall i$
  • Classification (pattern recognition) produces a discrete-valued output.
  • Regression produces a real-valued output.

Example of Supervised Learning

  • Distinguishing emails as spam using a training set of labeled emails.

Unsupervised Learning

  • Unsupervised learning approaches problems with little to no prior knowledge of the results.
  • Deriving structure from data without knowing the effect of variables.
  • A training set of $N$ inputs $\mathcal{D} = {x_i}^N_{i=1}$ is given.
  • The goal is to "find interesting structure" in the data.

Examples of Unsupervised Learning

  • Clustering analysis: organizing objects into groups based on similarity.
  • Density estimation: determining the distribution of data within the input space.
  • Dimensionality reduction: projecting data from a high-dimensional to a low-dimensional space.

Reinforcement Learning

  • Reinforcement Learning is inspired by how animals learn to achieve goals (also known as optimal control).
  • The algorithm interacts with an environment, performs actions, and receives observations and rewards.
  • The goal of the learner is to maximize the expected reward by learning a policy for taking actions based on observations.
  • The policy is a mapping from observations to actions.
  • The environment is typically modeled as a Markov Decision Process (MDP).

Examples of Machine Learning

  • Image classification.
  • Document classification and spam filtering.
  • Predicting diabetes.
  • Image completion.
  • Speech recognition.

History of Machine Learning

  • Marr's levels of analysis (1970s):
    • Computational level: the goal of the computation.
    • Algorithmic level: the specific algorithm used.
    • Implementation level: how to implement it in the brain or a computer program.
  • AI effect:
    • Useful technology stops being called "AI".
    • "AI is whatever hasn't been done yet".

"What is not Machine Learning"

  • Data mining:
    • Automatically discovering useful information in large data repositories.
    • Using machine learning as a "black box" to find curious correlations.
  • Expert systems: extracting and encoding expert knowledge as rules.
  • Hand-crafted rules: using if-then rules based on explicit criteria.

The Contents of the Book

  • Part I: Foundations includes introduction, Bayesian decision theory, linear regression, classification, kernel methods, model assessment, and selection.
  • Part II: Probabilistic models covers directed/undirected graphical models, exact/approximate inference, learning with latent variables, hidden Markov models, and state-space models.
  • Part III: Advanced topics includes K-means clustering, mixture models, dimensionality reduction, advanced classification, combining classifiers, non-parametric models, and reinforcement learning, and how to read a paper.

Mathematical Notation

  • $x$: Scalar random variable.
  • $\mathbf{x}$: Vector of random variables.
  • $\mathbf{X}$: Matrix of random variables.
  • $x_i$: The $i$'th element of a vector.
  • $\mathbf{x}_i$: The $i$'th row of a matrix.
  • $\mathbf{X}^T$: Transpose of a matrix.
  • $p(x)$: Probability mass function (PMF) if $x$ is discrete, or probability density function (PDF) if $x$ is continuous.
  • $p(x \mid y)$: Conditional probability.
  • $\mathcal{N}(\mu, \sigma^2)$: Normal (Gaussian) distribution with mean $\mu$ and variance $\sigma^2$.

Prerequisites

  • Requires familiarity with basic probability theory, statistics, linear algebra, and calculus.

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