Podcast
Questions and Answers
What should you do when dispatch calls you to an unresponsive female at the gym?
What should you do when dispatch calls you to an unresponsive female at the gym?
Come to the place with an AED and ready to do CPR
What is your next step after calling for help when a patient does not respond?
What is your next step after calling for help when a patient does not respond?
Check for breathing and pulse
What is the ventilation rate for a patient who is not breathing normally but has a pulse?
What is the ventilation rate for a patient who is not breathing normally but has a pulse?
1 breath every 6 seconds...10 breaths per minute
What should you do if after 4 minutes of rescue breathing, there appears to be no pulse?
What should you do if after 4 minutes of rescue breathing, there appears to be no pulse?
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What should you do if the AED analyzes the rhythm and does NOT advise a shock?
What should you do if the AED analyzes the rhythm and does NOT advise a shock?
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How do you check the pulse on an infant?
How do you check the pulse on an infant?
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What are the components of chest compressions for children?
What are the components of chest compressions for children?
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What are the components of infant chest compressions?
What are the components of infant chest compressions?
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What are the recommended compression to ventilation ratios for infants and children?
What are the recommended compression to ventilation ratios for infants and children?
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What is the first thing to do in pediatric BLS?
What is the first thing to do in pediatric BLS?
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What should you do if you find a 6-year-old unresponsive?
What should you do if you find a 6-year-old unresponsive?
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What should you do for 5-10 seconds look for when a child is unresponsive?
What should you do for 5-10 seconds look for when a child is unresponsive?
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How do you deliver rescue breaths to a child who is not breathing but has a pulse?
How do you deliver rescue breaths to a child who is not breathing but has a pulse?
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What is the CPR ratio of compressions to breaths after an AED delivers a shock?
What is the CPR ratio of compressions to breaths after an AED delivers a shock?
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What should you do when called to an unconscious infant?
What should you do when called to an unconscious infant?
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What should you do if an infant is unresponsive after tapping her foot?
What should you do if an infant is unresponsive after tapping her foot?
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Study Notes
Dispatch and Initial Response
- Respond to calls for unresponsive individuals, such as a female at the gym.
- Bring an AED and be prepared to perform CPR upon arrival.
Assessing Responsiveness
- Tap and shout to check for responsiveness.
- If unresponsive, call for help immediately and proceed to check for breathing and pulse.
Rescue Breathing Protocol
- If the patient has a pulse but is not breathing normally, deliver rescue breaths at a rate of one breath every 6 seconds (10 breaths per minute).
- Check for pulse every 2 minutes and perform CPR if the pulse is absent.
Transition to CPR
- If there is no pulse after 4 minutes of rescue breathing, immediately initiate CPR.
AED Use during CPR
- When an AED arrives and indicates no shock is advised, continue CPR.
- Maintain CPR until the AED prompts a rhythm check, ALS team arrives, or the patient shows signs of movement.
Checking Pulse in Infants
- Use 2 or 3 fingers to palpate the brachial pulse located halfway between the shoulder and elbow.
Child and Infant CPR Guidelines
- For children, chest compressions should be at a rate of 100-120 compressions per minute and a depth of 2 inches using one or two hands on the lower part of the breastbone.
- For infants, the rate remains 100-120 compressions per minute with a compression depth of 1.5 inches, using two fingers just below the nipple line at the center.
Compression to Ventilation Ratios
- The recommended ratio for one rescuer is 30 compressions to 2 breaths.
- For two rescuers, the ratio is 15 compressions to 2 breaths for infants and children.
Pediatric BLS Steps
- Ensure scene safety before approaching the child.
- Assess responsiveness and activate emergency response if needed.
- If the child is unresponsive with no normal breathing but has a pulse, provide rescue breaths every 2-3 seconds.
Case Scenario Responses
- In a scenario with an unresponsive 6-year-old, verify safety, assess responsiveness, and check for breathing and pulse.
- If the child shows no breathing but does have a pulse, deliver rescue breaths at a rate of 1 breath every 2-3 seconds (20-30 breaths per minute).
AED Use Following a Shock
- After an AED delivers a shock, perform CPR with a compression to breath ratio of 30:2.
Infant Response Protocol
- In a case involving an unconscious infant, ensure the scene is safe, assess the infant’s responsiveness, and check for breathing for 5-10 seconds while feeling the brachial pulse.
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