Carotid Artery Compression During CPR

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Questions and Answers

Which of the following is a common nonperfusing arrhythmia?

  • Supraventricular tachycardia
  • Atrial fibrillation
  • Sinus tachycardia
  • Ventricular fibrillation (correct)

When should CPR be started?

  • After the rhythm is identified
  • After a defibrillatory shock
  • When a pulsatile state is established
  • Before the rhythm is identified (correct)

What is the only absolute contraindication to CPR?

  • A do-not-resuscitate (DNR) order (correct)
  • Asystole
  • Pulseless electrical activity
  • Ventricular fibrillation

Which of the following is the correct order of steps in performing CPR?

<p>Chest compressions, Airway, Breathing (A)</p> Signup and view all the answers

What is the recommended compression depth for adults during CPR?

<p>At least 2 inches (C)</p> Signup and view all the answers

When should untrained bystanders perform chest compression-only CPR?

<p>After giving 30 chest compressions (A)</p> Signup and view all the answers

What is the recommended compression rate during CPR?

<p>At least 100/min (A)</p> Signup and view all the answers

During CPR, how many compressions should be administered per minute?

<p>100 compressions per minute (B)</p> Signup and view all the answers

When should the rhythm be checked during CPR?

<p>After 2 minutes of CPR (D)</p> Signup and view all the answers

Which medication should be administered every 3-5 minutes during CPR?

<p>Epinephrine (B)</p> Signup and view all the answers

When should amiodarone be administered during CPR?

<p>Before or after defibrillation (B)</p> Signup and view all the answers

Which device may be used as the initial advanced airway during CPR?

<p>Supraglottic airway device (A)</p> Signup and view all the answers

What is the recommended dose of standard-dose epinephrine for patients in cardiac arrest?

<p>1 mg every 3-5 min (B)</p> Signup and view all the answers

Which medication may be considered for ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) that is unresponsive to CPR, defibrillation, and a vasopressor?

<p>Amiodarone (C)</p> Signup and view all the answers

What is the recommended temperature range for targeted temperature management (TTM) in post-cardiac arrest care?

<p>32-36°C (B)</p> Signup and view all the answers

Which of the following is a recommended ventilation strategy after ROSC?

<p>Low tidal volume ventilation (C)</p> Signup and view all the answers

What is the potential effect of hypercapnia on cerebral vasculature?

<p>Cerebral vasodilation (C)</p> Signup and view all the answers

Which of the following was observed in an observational study comparing hypercapnia to normocapnia or hypocapnia after ROSC?

<p>Improved survival to hospital discharge (A)</p> Signup and view all the answers

What was the median tidal volume at the end of TTM in the TTM trial?

<p>7.7 ml kg− 1 predicted body weight (B)</p> Signup and view all the answers

During CPR, tracheal intubation allows for uninterrupted chest compressions and protects the lungs from aspiration of gastric contents. However, what percentage of out-of-hospital cardiac arrest (OHCA) patients experienced regurgitation before EMS arrival or before tracheal intubation?

<p>One-third (A)</p> Signup and view all the answers

Which of the following statements about videolaryngoscopy (VL) for tracheal intubation during CPR is correct?

<p>VL was associated with significantly fewer episodes of prolonged interruptions in chest compressions. (D)</p> Signup and view all the answers

What is the recommended ventilation rate during CPR with an advanced airway in place?

<p>10 breaths per minute (D)</p> Signup and view all the answers

Why is a reduced ventilation rate sufficient to maintain a normal ventilation perfusion ratio during CPR?

<p>Chest compressions generate a reduced cardiac output. (C)</p> Signup and view all the answers

Which of the following is a class I recommendation for targeted temperature management (TTM) for comatose adult patients with return of spontaneous circulation (ROSC)?

<p>TTM for at least 24 hours after achieving target temperature (B)</p> Signup and view all the answers

Why do current guidelines for CPR emphasize chest compressions for all cardiac arrests?

<p>Studies show that lay rescuer compression-only CPR is better than no CPR (B)</p> Signup and view all the answers

Which of the following airway techniques during CPR has potential advantages over others, including improved pharyngeal seal pressure and integrated bite blocks?

<p>Supraglottic airway (C)</p> Signup and view all the answers

What is the recommended approach for bag-mask ventilation during CPR?

<p>Give two breaths after every 30 compressions (D)</p> Signup and view all the answers

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