Emergency Medicine Chapter 21 Quiz
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Questions and Answers

What is the single most important factor in determining survival from cardiac arrest?

Early CPR

What determines which authorities may issue a valid 'cease resuscitation' order?

Local Protocols

Which of the following statements about the AED is correct?

The AED can encounter difficulty in analyzing a rhythm in a moving vehicle.

If a shock is not indicated, how many cycles of CPR will you give before analyzing again?

<p>5</p> Signup and view all the answers

If there are ALS providers on the scene, they may receive a termination order from their medical direction if?

<p>The patient has failed to respond to BLS and ALS interventions.</p> Signup and view all the answers

In which of the following dysrhythmias would it be most important to apply and engage an automatic external defibrillator?

<p>Ventricular Tachycardia</p> Signup and view all the answers

After using an AED to deliver a shock to your cardiac arrest patient, you should immediately:

<p>Resume chest compressions</p> Signup and view all the answers

Which of the following would not be considered an element of post-arrest care?

<p>Early Defibrillation</p> Signup and view all the answers

Which of the following is a contraindication for use of the AED?

<p>The patient is in contact with metal</p> Signup and view all the answers

Which of the following types of defibrillators sends the shock first in one direction and then the other?

<p>Biphasic AED</p> Signup and view all the answers

The Lucas CPR device involves:

<p>Stopping CPR just long enough to put a base plate under the patient.</p> Signup and view all the answers

When caring for a patient who has a ventricular assist device, you should remember that even if the device is working properly:

<p>The patient will not have a pulse or blood pressure.</p> Signup and view all the answers

Which of the following issues is considered a mechanical failure of the heart that may lead to cardiac arrest?

<p>Aortic Valve Stenosis</p> Signup and view all the answers

Study Notes

Cardiac Arrest and Resuscitation

  • Early CPR is crucial for enhancing survival rates from cardiac arrest.
  • Local protocols govern the issuance of valid "cease resuscitation" orders by authorities.
  • Automatic External Defibrillators (AEDs) may struggle to analyze rhythms in moving vehicles.

CPR and Defibrillation

  • After delivering a shock with an AED, resume chest compressions immediately to maintain circulation.
  • If no shock is indicated, administer 5 cycles of CPR before re-evaluating the patient's condition.
  • Ventricular Tachycardia is a critical dysrhythmia that necessitates the swift application of an AED.

Advanced Life Support (ALS)

  • ALS providers can receive termination orders if patients show no response to Basic Life Support (BLS) and ALS interventions.
  • Early defibrillation is not categorized as part of post-arrest care.

AED Usage

  • An AED should not be used if the patient is in contact with metal due to the risk of improper shock delivery.
  • Biphasic AEDs deliver shocks in both directions, enhancing effectiveness.

Mechanical and Device Considerations

  • The Lucas CPR device requires briefly stopping CPR to position a base plate under the patient.
  • Patients with ventricular assist devices may not have a detectable pulse or blood pressure, despite the device functioning properly.
  • Aortic Valve Stenosis is identified as a mechanical failure of the heart that can result in cardiac arrest.

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Description

Test your knowledge with this pre-test flashcards quiz for Chapter 21 in Emergency Medicine. Review critical concepts such as the importance of early CPR, the authority for cease resuscitation orders, and the effectiveness of AEDs in various situations. Perfect for reinforcing your understanding of life-saving protocols.

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