CPR Chapter Four Flashcards

Questions and Answers

What is a chest compression fraction?

A chest compression fraction is the proportion of time that chest compressions are performed during a cardiac arrest.

What fraction of chest compression is recommended?

At least 60%

What are the three categories of team dynamics?

Roles during a resuscitation attempt, what to communicate, and how to communicate.

During a six-person resuscitation attempt, what are the roles of the rescuers?

Team Leader, Administer of Medications, Timer/Recorder, Compressor, AED/Monitor/Defibrillator, and Airway Finder. Signup and view all the answers

In a six-person resuscitation attempt, what are the duties of the Compressor?

Assess the patient, perform 5 cycles of chest compressions, alternate with AED/Monitor/Defibrillator every 5 cycles or 2 minutes. Signup and view all the answers

What are the duties of the AED/Monitor/Defibrillator in a resuscitation attempt?

Brings and operates the AED/monitor/defibrillator, alternates with Compressor every 5 cycles or 2 minutes. Signup and view all the answers

What are the duties of the Airway Finder?

Opens and maintains airway, provides ventilation. Signup and view all the answers

What are the duties of the Team Leader during a resuscitation attempt?

Assign roles to team members, make treatment decisions, provide feedback, and assume responsibilities as needed. Signup and view all the answers

What are the duties of the Administer of Medications?

An ALS provider role that administers medications. Signup and view all the answers

What are the duties of the Timer/Recorder in a resuscitation attempt?

Records the time of interventions and medications, frequency and duration of interruptions in compressions. Signup and view all the answers

Why is summarizing information aloud during a resuscitation attempt helpful?

Provides an ongoing record of treatment and helps reevaluate the victim's status. Signup and view all the answers

To practice closed-loop communication, what should the Team Leader and team members do?

The Team Leader should call each team member by name and make eye contact; team members should confirm understanding. Signup and view all the answers

What is debriefing and what has it been shown to do?

Debriefing is the opportunity for team members to identify why certain actions were taken. Signup and view all the answers

What would be an appropriate action to acknowledge your limits during a resuscitation attempt?

Tell the Team Leader that you are not comfortable in performing that task. Signup and view all the answers

Which action demonstrates constructive intervention when a Team Leader frequently interrupts compressions?

Suggest to resume chest compressions without delay. Signup and view all the answers

What is the appropriate action to demonstrate closed-loop communication when assigned a task?

Repeat back to the Team Leader the task you were assigned. Signup and view all the answers

Study Notes

Chest Compression Fraction

A chest compression fraction measures the time chest compressions are performed during cardiac arrest.
A minimum fraction of 60% is recommended, with an ideal goal of 80% achievable through effective teamwork.

Team Dynamics

Three main categories define team dynamics in resuscitation: roles, communication content, and communication methods.

Roles in a Six-Person Resuscitation

Common roles include:
- Team Leader: Assigns roles and makes treatment decisions.
- Administer of Medications: Responsible for medication delivery.
- Timer/Recorder: Tracks interventions and compressions, updating the team.
- Compressor: Performs chest compressions for cycles.
- AED/Monitor/Defibrillator: Operates the AED and monitors heart rhythm.
- Airway Finder: Manages airway and ventilation.

Duties of the Compressor

Assess the patient’s condition.
Perform five cycles of chest compressions.
Alternate duties with the AED/Monitor every five cycles or two minutes, or sooner if fatigued.

AED/Monitor/Defibrillator Responsibilities

Operate the AED and monitor defibrillation efforts.
Alternate with the Compressor every five cycles or two minutes, ideally during rhythm analysis.
Position the monitor for visibility to the Team Leader.

Airway Finder Responsibilities

Open and maintain the airway.
Provide necessary ventilation to the patient.

Team Leader Responsibilities

Define team leader role is crucial for every resuscitation.
Assign specific roles to team members and make critical treatment decisions.
Provide needed feedback and assume responsibilities for any unassigned roles.

Administer of Medications Duties

An advanced life support (ALS) provider role focused on administering required medications during resuscitation.

Timer/Recorder Duties

Document the timing of all interventions and medications, advising when they are due.
Track frequency and duration of interruptions in chest compressions and communicate this information to the team.

Importance of Summarizing

Summarizing information aloud maintains an ongoing treatment record.
Helps reevaluate patient status, interventions, and team progress in following care protocols.

Closed Loop Communication

Team Leaders should address members by name and confirm understanding of tasks before assigning new ones.
Team Members should verbally acknowledge task assignments and confirm task completion.
Clear, concise language and a calm, confident tone enhance team focus.

Debriefing

Debriefing allows team members to reflect on their actions and improve performance.
Identifies both strengths and weaknesses within the system to enhance future response efforts.

Acknowledging Limitations

Team members should communicate discomfort with specific tasks, such as bag-mask ventilation, to the Team Leader.

Constructive Interventions

Team members should suggest resuming chest compressions promptly if the Team Leader is frequently interrupting, especially when no organized rhythm is detected.

Closed-Loop Communication Action

When assigned a task, repeating it back to the Team Leader confirms understanding and reinforces clear communication.

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Description

Test your knowledge with these flashcards from CPR Chapter Four. This chapter focuses on important concepts like chest compression fraction and team dynamics during resuscitation. Perfect for those preparing for certification or reviewing vital CPR techniques.