Hypothermic Cardiac Arrest

Describe ONE passive [0.5 mark] and ONE active/core [0.5 mark] mode for rewarming this patient in ED.

Despite passive re-warming measures by paramedics she has lost her output and CPR has been started.

You have attached defibrillation pads and the rhythm is ventricular fibrillation (VF). You have followed the standard ALS algorithm and so far delivered three shocks. Your junior colleague is preparing to deliver the fourth shock.

What modifications of the ALS DRUG Algorithm [0.5 mark] and the ALS DEFIBRILLATION Algorithm [0.5 mark] should you consider in this hypothermic patient with a temperature of 28 degrees?

Upon the next rhythm check you can see the following ECG on the defibrillator monitor. There is a palpable central pulse.

What abnormality does this ECG show? [1 mark]

Source: Life in the fast Lane