2020 Cardiac Arrest Guidelines Quiz
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Questions and Answers

Which organization collaborated with the American Heart Association for the 2022 interim guidance to healthcare providers for basic and advanced cardiac life support?

  • American Academy of Pediatrics (correct)
  • American Dental Association
  • American Diabetes Association
  • American Psychiatric Association

    • In which position was a pilot study of CPR conducted?

  • Lateral position
  • Sitting position
  • Prone position (correct)
  • Supine position

    • Which task force provided interim guidance to health care providers for basic and advanced cardiac life support in adults, children, and neonates with suspected or confirmed COVID-19 in 2021?

  • American Association for Respiratory Care
  • The Society of Critical Care Anesthesiologists
  • Emergency Cardiovascular Care Committee
  • Get with the Guidelines®-resuscitation adult and pediatric task forces (correct)

    • In which publication was the reverse CPR pilot study conducted?

    <p>Resuscitation</p> Signup and view all the answers

    Which part of the American Heart Association guidelines provides guidelines for pediatric basic and advanced life support?

    <p>Part 4</p> Signup and view all the answers

    Which publication includes part 5: Neonatal resuscitation: 2020 American Heart Association guidelines for CPR and emergency cardiovascular care?

    <p>Circulation</p> Signup and view all the answers

    What was the change in Atropine dose in the Adult Bradycardia algorithm in the AHA ACLS 2020 updates?

    <p>Increased from 0.5 to 1 mg</p> Signup and view all the answers

    What is the estimated number of children who suffer in‐hospital cardiac arrest (IHCA) in U.S. hospitals?

    <p>15,200</p> Signup and view all the answers

    Who are often at the forefront of management of in‐hospital cardiac arrest (IHCA)?

    <p>Hospitalists</p> Signup and view all the answers

    What is the most significant update to Pediatric Advanced Life Support (PALS) according to the 2020 guidelines?

    <p>An increase in the delivery rate of breaths during cardiac arrest</p> Signup and view all the answers

    What is the main emphasis of the 2020 guidelines regarding the use of electroencephalography (EEG) monitoring after cardiac arrest?

    <p>Detect and monitor nonconvulsive seizures for encephalopathic patients</p> Signup and view all the answers

    What is encouraged within 5 minutes of starting chest compressions, as per the 2020 updates to cardiac arrest guidelines?

    <p>Early delivery of epinephrine</p> Signup and view all the answers

    What are the new recommendations regarding endotracheal tubes in the 2020 updates to cardiac arrest guidelines?

    <p>The use of cuffed endotracheal tubes</p> Signup and view all the answers

    What is discouraged during intubation, according to the 2020 updates to cardiac arrest guidelines?

    <p>Routine cricoid pressure</p> Signup and view all the answers

    What is uncertain about fluid resuscitation, as per the 2020 updates to cardiac arrest guidelines?

    <p>Benefits</p> Signup and view all the answers

    What did the 2020 ACLS updates include changes to?

    <p>Adult bradycardia algorithm</p> Signup and view all the answers

    What do the 2020 NRP updates eliminate the need to do for nonvigorous newborns delivered through meconium?

    <p>Intubate and suction</p> Signup and view all the answers

    What does the AHA emphasize in the updated interim guidance for BLS and ACLS in adults, children, and neonates with suspected or confirmed COVID-19?

    <p>The need for appropriate personal protective equipment</p> Signup and view all the answers

    What is the preferred vascular access for IV medication delivery recommended in the 2020 NRP updates?

    <p>Umbilical vein</p> Signup and view all the answers

    What did the AHA release in April 2020 providing initial guidance on Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) for suspected or confirmed COVID-19 cases, updated in October 2021?

    <p>Scientific Statement</p> Signup and view all the answers

    What is the recommended maximum duration of resuscitation efforts for newborns who have not responded to resuscitation?

    <p>20 minutes</p> Signup and view all the answers

    Which organizations' recommendations align with the AHA's emphasis on wearing appropriate PPE prior to any resuscitative attempts?

    <p>WHO</p> Signup and view all the answers

    According to the AHA, what is considered to be aerosol-generating procedures during resuscitation?

    <p>All components (chest compressions, ventilation, and defibrillation)</p> Signup and view all the answers

    What was the UN10 rule recommended against as the sole strategy for stopping resuscitation in the 2020 guidelines?

    <p>Predicting survival based on 10 intra-arrest variables</p> Signup and view all the answers

    What ETCO2 level after 20 min of CPR may inform a decision to terminate resuscitation efforts for intubated patients?

    <p>ETCO2 &gt; 10 mmHg</p> Signup and view all the answers

    What is recommended to reduce provider exposure to COVID-19 during resuscitation attempts?

    <p>Donning appropriate PPE</p> Signup and view all the answers

    What is the focus of the 2020 updates to PALS and NRP regarding termination of resuscitation for newborns?

    <p>Termination of resuscitation for newborns</p> Signup and view all the answers

    What is recommended to minimize aerosolization risk for intubated patients at the time of cardiac arrest and those in prone positions?

    <p>Using mechanical compression devices if available</p> Signup and view all the answers

    What is vital to achieve the goals of improved survival and quality of life in cardiac resuscitation, according to the text?

    <p>Ongoing research and innovation</p> Signup and view all the answers

    What did the authors report regarding conflicts of interest?

    <p>They have not reported any conflicts of interest</p> Signup and view all the answers

    Which guidelines provide references to the 2020 American Heart Association guidelines for CPR and emergency cardiovascular care?

    <p>NRP</p> Signup and view all the answers

    What is recommended to reduce provider exposure to COVID-19 during resuscitation attempts?

    <p>Donning appropriate PPE</p> Signup and view all the answers

    Study Notes

    2020 Updates to Cardiac Arrest Guidelines

    • The 2020 updates to cardiac arrest management reaffirm the importance of early principles such as epinephrine in nonshockable rhythms and high-quality chest compressions.
    • The American Heart Association (AHA) and the International Liaison Committee on Resuscitation have transitioned from updating guidelines every five years to continuous updates, with the most recent in October 2020.
    • Postcardiac arrest care has been added to the AHA survival chain for both in-hospital and out-of-hospital cardiac arrest.
    • 51% of recommendations are based on limited data and 17% on expert opinion, highlighting the lack of strong evidence for current recommendations.
    • The most significant update to Pediatric Advanced Life Support (PALS) is an increase in the delivery rate of breaths during cardiac arrest.
    • The AHA released a Scientific Statement in April 2020 providing initial guidance on Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) for suspected or confirmed COVID-19 cases, updated in October 2021.
    • The 2020 guidelines emphasize the use of electroencephalography monitoring after cardiac arrest to detect and monitor nonconvulsive seizures for encephalopathic patients.
    • Early delivery of epinephrine within 5 minutes of starting chest compressions is still encouraged and may increase survival to discharge rates.
    • New recommendations include the use of cuffed endotracheal tubes, discouraging routine cricoid pressure during intubation, and uncertain benefits of fluid resuscitation.
    • The 2020 ACLS updates include changes to the adult bradycardia algorithm, vasopressor administration, route of medication delivery, neuroprognostication, and recommendations for opioid overdose and cardiac arrest in pregnancy.
    • The 2020 NRP updates eliminate the need to intubate and suction nonvigorous newborns delivered through meconium, and recommend the umbilical vein as the preferred vascular access for IV medication delivery.
    • The AHA released updated interim guidance in January 2022 for BLS and ACLS in adults, children, and neonates with suspected or confirmed COVID-19, emphasizing the need for appropriate personal protective equipment prior to any resuscitative attempt.

    Guidelines for Termination of Resuscitation and Cardiac Arrest Management Updates

    • AHA guidance recommends not delaying chest compressions or defibrillation for newborns who have not responded to resuscitation efforts after 20 minutes
    • The AHA emphasizes the importance of wearing appropriate PPE prior to any resuscitative attempts, aligning with WHO and CDC recommendations
    • The AHA considers all components of resuscitation (chest compressions, ventilation, and defibrillation) to be aerosol-generating procedures
    • The UN10 rule, using three intra-arrest variables to predict survival, was recommended against as the sole strategy for stopping resuscitation in the 2020 guidelines
    • For intubated patients, failure to achieve an ETCO2 of >10 mmHg after 20 min of CPR may inform a decision to terminate resuscitation efforts
    • The AHA recommends strategies to keep healthcare workers safe, including donning appropriate PPE prior to any resuscitation attempt and encouraging vaccination with a booster
    • The 2020 updates to PALS and NRP include recommendations for respiratory rate, epinephrine use, EEG monitoring, vascular access, intubation for meconium, and termination of resuscitation for newborns
    • The AHA recommends reducing provider exposure to COVID-19 by donning appropriate PPE and using mechanical compression devices if available
    • Strategies for intubated patients at the time of cardiac arrest and those in prone positions are outlined to minimize aerosolization risk
    • Ongoing research and innovation are vital to achieve the goals of improved survival and quality of life in cardiac resuscitation
    • Authors have reported no conflicts of interest
    • References to the 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care are provided

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    Related Documents

    AHA ACLS, PALS, NRP Updates & Cardiac Arrest Management (2020-2021) PDF

    Description

    Test your knowledge of the 2020 updates to cardiac arrest guidelines with this informative quiz. Explore the latest recommendations for cardiac arrest management, postcardiac arrest care, pediatric advanced life support, and the impact of COVID-19 on resuscitation protocols. Stay up to date with the most recent changes in basic life support, advanced cardiac life support, and neonatal resuscitation.

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