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Questions and Answers
What is the primary focus during the initial patient assessment?
What is the primary focus during the initial patient assessment?
- Determining the patient's cardiac rhythm
- Checking for responsiveness, breathing, and pulse (correct)
- Establishing vascular access
- Performing chest compressions
What should be applied without interrupting chest compressions?
What should be applied without interrupting chest compressions?
- Venous access lines
- Backboards
- Defibrillator pads (correct)
- Oxygen masks
What should be done if the patient has a shockable rhythm?
What should be done if the patient has a shockable rhythm?
- Check for a pulse
- Initiate Post-Resuscitation Care
- Defibrillate immediately (correct)
- Resume compressions immediately
What is the recommended rate of chest compressions?
What is the recommended rate of chest compressions?
How often should the compressor be changed during manual compressions?
How often should the compressor be changed during manual compressions?
Why should compressions be delivered on a hard surface?
Why should compressions be delivered on a hard surface?
What should be minimized during chest compressions?
What should be minimized during chest compressions?
What should be done when there is an organized rhythm on the monitor and an increase in the ETCO2 level of 20 mm or more?
What should be done when there is an organized rhythm on the monitor and an increase in the ETCO2 level of 20 mm or more?
When should an automatic compression device (AutoPulse) be applied?
When should an automatic compression device (AutoPulse) be applied?
What should be done with the monitor or AED during chest compressions?
What should be done with the monitor or AED during chest compressions?
When should ventilation with a BVM start?
When should ventilation with a BVM start?
What is the purpose of using a carry-all or backboard?
What is the purpose of using a carry-all or backboard?
Why should the patient be given 100% oxygen before placing an Advanced Airway?
Why should the patient be given 100% oxygen before placing an Advanced Airway?
When is a Supraglottic Airway contraindicated?
When is a Supraglottic Airway contraindicated?
What should be done after a shock is delivered?
What should be done after a shock is delivered?
What is an example of a Supraglottic Airway?
What is an example of a Supraglottic Airway?
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Study Notes
Initial Patient Assessment
- Check for responsiveness, breathing, and pulse
- If the patient is unresponsive, determine presence or absence of a pulse
- Start chest compressions and continue uninterrupted until the monitor or AD is ready to assess the rhythm
Chest Compressions
- Emphasis is on continuous chest compressions with adequate rate and depth
- PUSH HARD, PUSH FAST, ALLOW FULL CHEST RECOIL, and MINIMIZE INTERRUPTION OF COMPRESSIONS
- Compress at a rate of 100-120 compressions per minute
- One adult cycle is 2 minutes of compressions
- Perform 2 minutes of CPR between each rhythm check
- Do not check for a pulse unless there is an organized rhythm on the monitor and there has been an increase in the ETCO2 level of 20 mm or more
- Change the compressor (with manual compressions) after every 2 minutes of CPR
- Compressions must be delivered on a hard surface
- Minimize interruptions of chest compressions to less than 10 seconds
Ventilation
- Once the Advanced Airway is in place, attach the CO2 sensor and ventilate once every 6 seconds (10-12 breaths per minute)
- Do not interrupt compressions to ventilate
- Monitor waveform capnography (CO2 levels)
Defibrillation
- If patient has a shockable rhythm, immediately defibrillate
- If defibrillated, resume compressions immediately after and manage according to the appropriate protocol(s)
Post-Resuscitation Care
- If a pulse returns (ROSC), initiate post-resuscitation care
- If no ROSC, refer to Death in the Field Protocol
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