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Questions and Answers
What should be the position of the shoulders during Hands Only CPR?
What should be the position of the shoulders during Hands Only CPR?
When is it acceptable to stop CPR during a resuscitation effort?
When is it acceptable to stop CPR during a resuscitation effort?
What role does a member handle when monitoring during a code situation?
What role does a member handle when monitoring during a code situation?
In the absence of an advance directive, what should you do if the patient's relatives are undecided about signing a DNR?
In the absence of an advance directive, what should you do if the patient's relatives are undecided about signing a DNR?
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Which piece of equipment is essential during a code situation for defibrillation?
Which piece of equipment is essential during a code situation for defibrillation?
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What is the primary responsibility of the nurse during defibrillation?
What is the primary responsibility of the nurse during defibrillation?
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Which of the following is the second preferred route for medication administration in emergencies when IV access is not possible?
Which of the following is the second preferred route for medication administration in emergencies when IV access is not possible?
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What condition is most commonly associated with sudden cardiac arrest?
What condition is most commonly associated with sudden cardiac arrest?
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What role does the ECMO machine play in patient care during emergencies?
What role does the ECMO machine play in patient care during emergencies?
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In what situation would a Hemoperfusion machine be particularly utilized?
In what situation would a Hemoperfusion machine be particularly utilized?
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What is the primary indication for stopping CPR?
What is the primary indication for stopping CPR?
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Which of the following is NOT a secondary indication for considering irreversible death?
Which of the following is NOT a secondary indication for considering irreversible death?
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What is the recommended compression rate during high-quality CPR?
What is the recommended compression rate during high-quality CPR?
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How deep should compressions be for an adult during CPR?
How deep should compressions be for an adult during CPR?
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What key element improves the chance of survival during CPR?
What key element improves the chance of survival during CPR?
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Which of these responses is part of the Advanced Cardiac Life Support (ACLS) protocol?
Which of these responses is part of the Advanced Cardiac Life Support (ACLS) protocol?
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What is a common misconception about CPR effectiveness?
What is a common misconception about CPR effectiveness?
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In a code management team, what is one effective role for team members?
In a code management team, what is one effective role for team members?
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Study Notes
Primary and Secondary Indications for Resuscitation
- Primary indication for resuscitation includes signs of irreversible death such as cardiac arrest and brain matter decomposition.
- Secondary indications include pulseless electrical activity (PEA), ventricular fibrillation (VF), pulseless ventricular tachycardia, decapitation, rigor mortis, and dependent lividity.
Quality of CPR
- Quality of CPR is crucial for improving survival chances during cardiac emergencies.
- High-quality CPR requires skilled chest compressions and rescue breaths, with a fast rate of 100-120 bpm and compressing at least 2 inches deep for adults.
- Complete chest recoil should be allowed after each compression to maximize blood flow.
Advanced Cardiac Life Support (ACLS)
- ACLS aims to achieve optimal outcomes for individuals facing life-threatening conditions through a series of evidence-based interventions.
- Key elements include rapid initiation of CPR, use of advanced techniques, and teamwork efficiency.
CPR Procedure
- Begin CPR compressions within 10 seconds of determining cardiac arrest.
- Use an intraosseous kit when IV access is not possible, preferred for emergencies before intubation.
- Implement the use of the Extracorporeal Membrane Oxygenation Machine (ECMO) for patients requiring temporary heart and lung support.
Post-Cardiac Arrest Care and Recovery
- Essential to monitor and care for catheters after cardiac events.
- Sudden cardiac arrest often results from heart attacks, leading to loss of heart function.
- Recovery procedures may include removing cytokines in cases of cytokine storm with medications such as hydrocortisone.
When to Stop CPR
- CPR should cease if the scene becomes unsafe or responsibility is transferred to medical personnel.
- If the operator or nurse is exhausted, or if a physician assumes responsibility, CPR may also be stopped.
Ethico-Legal Considerations
- In hospital settings, awareness of a patient's advance directives is vital for ethical resuscitation practices.
- If a Do Not Resuscitate (DNR) order is signed, resuscitative efforts must be respected.
- Without an advance directive, resuscitation attempts should continue until a decision is made by next of kin.
Emergency Contact and Techniques
- Always call emergency services (9-1-1 or 1-1-7) during a cardiac emergency.
- Hands-Only CPR should be performed with the shoulders perpendicular to the patient’s sternum to optimize effectiveness.
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Description
This quiz covers essential aspects of Advanced Cardiac Life Support (ACLS), including primary and secondary indications for resuscitation. It emphasizes the importance of high-quality CPR and the necessary techniques to improve survival rates during cardiac emergencies. Test your knowledge on life-saving interventions and best practices in ACLS.
