Podcast
Questions and Answers
What intervention should be performed next for a patient with a positive prehospital stroke assessment and stable vital signs?
What intervention should be performed next for a patient with a positive prehospital stroke assessment and stable vital signs?
- Administer intravenous fluids
- Obtain a CT scan of the brain (correct)
- Start oxygen therapy
- Initiate thrombolysis protocols
What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place?
What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place?
- 20-25 breaths per minute
- 12-15 breaths per minute
- 8-10 breaths per minute (correct)
- 10-12 breaths per minute
What intervention should be performed next for a patient with a pulse of 200/min and no chest pain or shortness of breath?
What intervention should be performed next for a patient with a pulse of 200/min and no chest pain or shortness of breath?
- Perform synchronized cardioversion
- Administer beta-blockers
- Start intravenous adenosine (correct)
- Monitor until symptoms develop
What intervention should be performed next for a patient with crushing chest pain, tachycardia, hypotension, and wide-complex tachycardia?
What intervention should be performed next for a patient with crushing chest pain, tachycardia, hypotension, and wide-complex tachycardia?
What is the initial priority for an unconscious patient presenting with any tachycardia on the monitor?
What is the initial priority for an unconscious patient presenting with any tachycardia on the monitor?
Which rhythm requires synchronized cardioversion?
Which rhythm requires synchronized cardioversion?
What is the recommended second dose of adenosine for patients in refractory but stable narrow-complex tachycardia?
What is the recommended second dose of adenosine for patients in refractory but stable narrow-complex tachycardia?
What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube?
What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube?
What is the most appropriate next intervention for a patient with narrow-complex tachycardia at a rate of 220/min who has not responded to vagal maneuvers?
What is the most appropriate next intervention for a patient with narrow-complex tachycardia at a rate of 220/min who has not responded to vagal maneuvers?
In a situation where a CT scanner is unavailable for a suspected acute stroke patient, what is the best course of action?
In a situation where a CT scanner is unavailable for a suspected acute stroke patient, what is the best course of action?
Which criterion would indicate the need to stop or withhold resuscitative efforts?
Which criterion would indicate the need to stop or withhold resuscitative efforts?
When a patient presents with persistent epigastric pain after taking oral antacids, what is the most appropriate next intervention?
When a patient presents with persistent epigastric pain after taking oral antacids, what is the most appropriate next intervention?
For a patient in respiratory failure who becomes apneic and has a heart rate dropping to 30/min, what is the highest priority intervention?
For a patient in respiratory failure who becomes apneic and has a heart rate dropping to 30/min, what is the highest priority intervention?
What is the first intervention for a patient presenting with dizziness and a blood pressure of 68/30 mm Hg?
What is the first intervention for a patient presenting with dizziness and a blood pressure of 68/30 mm Hg?
What action should EMS personnel take after assessing a 68-year-old woman with right arm weakness and sinus rhythm on ECG?
What action should EMS personnel take after assessing a 68-year-old woman with right arm weakness and sinus rhythm on ECG?
Regarding the procedure for endotracheal tube suctioning, which step is crucial after selecting the appropriate catheter?
Regarding the procedure for endotracheal tube suctioning, which step is crucial after selecting the appropriate catheter?
What is the recommended treatment for a patient in asystole who has not responded to epinephrine, a fluid bolus and CPR?
What is the recommended treatment for a patient in asystole who has not responded to epinephrine, a fluid bolus and CPR?
What is a safe and effective practice within the defibrillation sequence?
What is a safe and effective practice within the defibrillation sequence?
If a patient suddenly loses consciousness and you are unsure if they have a pulse, what is the next action?
If a patient suddenly loses consciousness and you are unsure if they have a pulse, what is the next action?
What action is recommended to help minimize interruptions in chest compressions during CPR?
What action is recommended to help minimize interruptions in chest compressions during CPR?
Which of the following actions is NOT included in the BLS Survey?
Which of the following actions is NOT included in the BLS Survey?
What is the recommended interval for an interruption in chest compressions during CPR?
What is the recommended interval for an interruption in chest compressions during CPR?
What drug and dose are recommended for the management of a patient in refractory ventricular fibrillation?
What drug and dose are recommended for the management of a patient in refractory ventricular fibrillation?
What is the next action after determining there is no pulse in an unresponsive, non-breathing patient, following activation of the emergency response system?
What is the next action after determining there is no pulse in an unresponsive, non-breathing patient, following activation of the emergency response system?
You are managing a patient in cardiac arrest with an IV in place. The ECG monitor shows ventricular fibrillation, and another member of your team is performing chest compressions. What is the next priority management step?
You are managing a patient in cardiac arrest with an IV in place. The ECG monitor shows ventricular fibrillation, and another member of your team is performing chest compressions. What is the next priority management step?
What is a common mistake that can sometimes lead to a fatal outcome in cardiac arrest management?
What is a common mistake that can sometimes lead to a fatal outcome in cardiac arrest management?
During a pause in CPR, the ECG monitor displays a rhythm consistent with pulseless electrical activity (PEA). What is the next action?
During a pause in CPR, the ECG monitor displays a rhythm consistent with pulseless electrical activity (PEA). What is the next action?
Which of the following is considered a component of high-quality chest compressions?
Which of the following is considered a component of high-quality chest compressions?
In an intubated cardiac arrest patient, you notice a waveform on the capnography screen with a PETCO2 level of 8 mm Hg. What is the most likely significance of this finding?
In an intubated cardiac arrest patient, you notice a waveform on the capnography screen with a PETCO2 level of 8 mm Hg. What is the most likely significance of this finding?
Which strategy is BEST for performing high-quality CPR on a patient with an advanced airway in place?
Which strategy is BEST for performing high-quality CPR on a patient with an advanced airway in place?
What is the preferred method of administering epinephrine during cardiac arrest in most patients?
What is the preferred method of administering epinephrine during cardiac arrest in most patients?
Flashcards
Unresponsive Patient Action
Unresponsive Patient Action
After calling for help, check for pulse and start CPR.
Key Assessment in Chest Pain
Key Assessment in Chest Pain
Assess the patient's blood pressure to determine severity.
Epinephrine Administration
Epinephrine Administration
IV access is preferred for administering epinephrine during cardiac arrest.
AED Analysis Failure
AED Analysis Failure
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Post-CPR ECG Priority
Post-CPR ECG Priority
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Next Action in Cardiac Arrest
Next Action in Cardiac Arrest
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Mistake in Cardiac Arrest
Mistake in Cardiac Arrest
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High-Quality Chest Compressions
High-Quality Chest Compressions
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Narrow-complex Tachycardia
Narrow-complex Tachycardia
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Vagal Maneuvers
Vagal Maneuvers
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Supraventricular Tachycardia
Supraventricular Tachycardia
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Acute Stroke Protocol
Acute Stroke Protocol
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Resuscitation Efforts
Resuscitation Efforts
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Endotracheal Tube Suctioning
Endotracheal Tube Suctioning
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Hypotension Signs
Hypotension Signs
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Initial Interventions
Initial Interventions
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Asystole
Asystole
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Hands-free defibrillation pads
Hands-free defibrillation pads
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Minimize interruptions in CPR
Minimize interruptions in CPR
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Signs of effective CPR
Signs of effective CPR
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Medical emergency team (MET)
Medical emergency team (MET)
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Initial medication for bradycardia
Initial medication for bradycardia
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Dopamine dosage in bradycardia
Dopamine dosage in bradycardia
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Ventilation strategy for respiratory arrest
Ventilation strategy for respiratory arrest
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Initial intervention for stroke patient
Initial intervention for stroke patient
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Proper ventilation rate for cardiac arrest
Proper ventilation rate for cardiac arrest
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Intervention for tachycardic patient
Intervention for tachycardic patient
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Signs of cardiogenic shock
Signs of cardiogenic shock
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Unconscious patient with tachycardia
Unconscious patient with tachycardia
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Rhythm needing synchronized cardioversion
Rhythm needing synchronized cardioversion
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Adenosine second dose for tachycardia
Adenosine second dose for tachycardia
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Confirming endotracheal tube placement
Confirming endotracheal tube placement
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Study Notes
Advanced Cardiovascular Life Support Exam - Key Concepts
- Unresponsive, Non-Breathing Patient with No Pulse: First action is to open the airway, then assess for a pulse. If no pulse, immediately begin chest compressions at a rate of at least 100/min.
- Patient with Chest Pain: Assessing the pulse oximetry reading (97% in example) is crucial. Obtain a 12-lead ECG. Other assessments like PETCO2, chest X-ray, and laboratory tests are less crucial in the immediate scenario.
- Epinephrine Administration: Preferred method for cardiac arrest is peripheral intravenous access. Intraosseous is an alternative.
- AED Malfunction: If the AED does not analyze the rhythm promptly, check the connections, reanalyze, and rotate electrodes if needed.
- 2 Minutes of CPR: If after 2 minutes CPR, the patient has no pulse, and an IV is in place, administer 1 mg of epinephrine.
- Pulseless Electrical Activity (PEA): A clinical scenario where the heart's electrical activity is present on an ECG, but the patient does not have a pulse. Resume chest compressions.
- Common Cardiac Arrest Mistakes: Avoiding prolonged interruptions in chest compressions is crucial.
- High-Quality CPR: Maintaining uninterrupted compressions with a rate of 60-100 per minute ensuring complete chest recoil with each compression is crucial.
- Ventricular Fibrillation Conversion: Actions like pausing chest compressions immediately after defibrillation are not recommended, providing quality compressions before the defibrillation is preferable.
- Advanced Airway: In the presence of an advanced airway, continue CPR with compressions and ventilations at 30:2 in order.
- Endotracheal tube suctioning: During insertion or withdrawal hyperventilation is not needed, and the duration of suctioning should not exceed 10 seconds.
- Capnography in Intubated Patients: Allows for monitoring of CPR quality showing inspired carbon dioxide related to cardiac output and is helpful in detecting anomalies in code management.
- Post-Cardiac Arrest Management: Optimizing ventilation and oxygenation after achieving return of spontaneous circulation (ROSC) is a priority. Also maintaining blood glucose <185 mg/dl and coronary reperfusion are considerations.
- Bradycardia Intervention: In bradycardia, initial steps like vagal maneuvers are attempted. If ineffective, atropine or dopamine (low dose if bradycardia) may be considered in certain scenarios.
- Tachycardia Intervention: In tachycardia, initial steps like vagal maneuvers are attempted and if ineffective, cardioversion is a potential option when the patient is unstable.
- Minimum Systolic Blood Pressure During ROSC: The minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration, during a hypotensive post-cardiac arrest patient, who achieves ROSC is 90 mm Hg.
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Description
Test your knowledge on key concepts of Advanced Cardiovascular Life Support (ACLS). This quiz covers critical protocols such as managing unresponsive patients, administering medications, and troubleshooting AEDs. Dive into the essential actions required in emergency situations to improve your ACLS skills.
