Shock & Resuscitation

You've got a pt. in shock, you're going to give a fluid bolus.

• 20ml/kg bolus targeting a systolic pressure around 90
• 10ml/kg bolus targeting a systolic pressure around 90

What is the ejection fraction when the ventricle fills with 100ml and ejects 60ml?

• 40%
• 60%
• Not enough info
• ?????????????????????

The most common cause of cardiogenic shock

• Sepsis
• PE
• Heart Attack
• Congestive Heart Failure

Critical elements of running a cardiac arrest include:

• Early administration of epi
• Successful intubation
• Rapid transportation
• Clear and effective code leader

Hyperventilation of patients in cardiac arrest

• Is in some cases indicated
• Reduces coronary blood flow
• is not a big deal
• What's hyperventilation?

Which one of the following is not typically a sign of cardiogenic shock?

• pedal edema
• pulmonary edema
• hypotension
• tachycardia

Adult AED pads can be used on children and infants

• True
• False

The ratio of fluid to blood is generally considered to be

• 2:1
  2:1
• 3:1
  3:1
• 1:1
• 4:1

Cardiac output is a function of:

• Stroke volume and heart rate
• Tidal volume and heart rate
• Ejection fraction and heart rate
• Stroke volume and ejection fraction

Paramedic intuition comes from:

• Pattern recognition based on knowledge & experience
• Quick formulation of diagnosis 
• Field diagnosis based on general impression
• Experience