Show
BLS for Health Care Providers Course Study Cardsthinking clearly and rationally to identify the connection between information and actions. When you use critical thinking, you are constantly identifying new information, adapting to the information logically in order to determine you best next actions a you use critical thinking when... -perform a rapid assessment and determine a course of action refers to the ability to use readily available resources to find solutions to challenging situations or issues that arise. communication with the team includes verbal (spoken words) and nonverbal messages conveyed through body language (gestures and facial expressions) the person initiating the communication the content of the communication: this must be expressed clearly so that everyone involved knows exactly what the message is the person for whom the message is intended the confirmation by the receiver that the message has been received and understood; an essential element of closed-loop communication closed-loop communication
a communication technique used to prevent misunderstandings; the receiver confirms that the message has been received and understood when communicating (sending) information -speak clearly and deliberately when receiving information -provide confirmation that you have received the message and that you understand it by repeating the task back to the sender to effectively communicate with family - demonstrate credibility as well as confidence as well as confidence and empathy example of closed loop communication sender --> message-->receiver-->feedback communicating with the family after after a patient's death -in this situation, provide the information honestly and with compassion, in a straightforward manner, and
include information about events that may follow is crucial during resuscitation because the ultimate goal is to save a life. an effective coordinated effort by the BLS team improves patient outcomes team leader responsibilities the team leader overseas the entire emergency situation and ensures that everyone works as a team to help promote the best possible outcome for the patient -assigns and understands team roles team member responsibilities -have the necessary knowledge and skills to perform their assigned
role emphasizes the use of all available resources (including people, equipment and procedures) to promote effective and efficient teamwork and reduce the likelihood of human error. when following the principles of crew resource management, all members of the practicing and debriefing members of effective high-performance teams keep their skills and knowledge current, and they practice together regularly. in addition, effective high-performance teams hold debriefing sessions after each resuscitation event the team leader provides a brief recap of the emergency and the interventions that were used the team reviews and evaluates the qualitative and quantitative data obtained during the resuscitation effort the team reflects on the actions they took and why, discusses the pros and cons of those actions and identifies changes that could be made to improve future outcomes the team recaps the main take-away points and develops a list of action items Laurens response is an example of what type of communication? closed-loop communication this is an example of effective family communication when you asked the daughter to assist you with Mrs. Price, you took advantage of a readily available resource to find a solution. this is an example of The team's action best represents which practice used to prevent errors? who is the best person to communicate patient status an care completed to the code team? the cardiac chain of survival describes five actions that, when performed in rapid succession, increase the patient's likelihood of surviving sudden cardiac arrest. Place the links of the In-Hospital Adult Cardiac Chain of Survival in the correct order 1. surveillance and prevention an adult in the waiting room has collapsed to the floor. The environment is safe. Upon reaching the person, you use the "shout-tap-shout" sequence to: after performing a rapid assessment, you find that an adult patient is unresponsive, is not breathing and does not have a pulse. you recognize that the patient is experiencing: a patient reports episode of severe chest pressure that last about 3 to 4 minutes and are unrelieved by rest or position changes. The patient is pale and diaphoretic. You suspect a myocardial infarction (MI). Which information would be most important for administering aspirin is an immediate care step for cases where MI is suspected You enter an adult patient's room to provide routine care. Noticing the patient slumped over in the recliner, you perform a quick visual survey. This includes which of the following actions? -determining the need for additional resources An adult patient has stopped breathing but has a pulse. Which action would be appropriate? Give 1 ventilation every 5 to 6 seconds an adult patient who has collapsed is unresponsive. When conducting a rapid assessment of the patient, you simultaneously check breathing and a carotid pulse for at least 5 seconds, but no more than An adult patient is unresponsive. You have opened their airway and are simultaneously checking for breathing and a pulse. To check for normal breathing, which actions are appropriate to do? -look to see whether the chest rises and falls You are working with Mr. Henderson in the physical therapy center. He grimaces and says: " I can't catch my breath." Then he collapses to the ground. You notice he appears pale and cyanotic. What do you do first? perform the shout-tap-shout sequence Mr. Henderson is unresponsive. After directing Gloria to activate EMS and get an AED and BVM, you simultaneously check for breathing and a pulse. "One one-thousand, two one-thousand, three one-thousand, four one-thousand, five one-thousand..." You note he Gloria arrives with the AED and BVM. What intervention should the team perform next? You stop to check breathing and pulse and clearly state: "I cannot locate a pulse." You recognize that Mr. Henderson is now experiencing which emergency condition? You direct Gloria to prepare the AED as you begin CPR, starting with the immediate delivery the duty to respond to an emergency and provide care. Failure to fulfill these duties could result in legal action the range of duties and skills you have acquired in training that you are authorized to perform by your certification to practice. The public's expectation that personnel summoned to an emergency will provide care with a certain level of knowledge and skill Failure to follow a reasonable standard of care, thereby causing or contributing to injury or damage. A competent patient's refusal of care from a healthcare provider. Refusal of care must be honored, even if the patient is seriously injured or ill or desperately needs assistance. A patient can refuse some or all care. If a witness is available, have the Written instructions that describe a patient's wishes (or the wishes of the parent or legal guardian) regarding medical treatment or healthcare decisions. Guidance for advance directives, including any required identification and verification process, is The unlawful, harmful or offensive touching of a patient without the patient's consent. Discontinuing care once it has begun. You must continue care until someone with equal or more advanced training takes over. While providing care to a patient, you may learn details about the patient that are private and confidential. Do not share this information with anyone except personnel directly associated with the patient's medical care. To obtain consent from an adult patient, follow these steps: Assess, Recognize and Care The concept of Assess, Recognize and Care is a systematic, continuous approach for rapid assessment, accurate recognition, and immediate care in emergency situations. Because an acutely ill patient's condition can change rapidly (for better or for worse), -perform visual survey The patient may be experiencing a life-threatening emergency. Use the findings collected during the rapid assessment to quickly recognize whether a life-threatening emergency is occurring and what condition the patient is experiencing. Emergencies requiri Implement appropriate care based on your
understanding of the patient's condition. Proper care cannot be provided without effective assessment and accurate recognition of the patient's condition. The care you provide may include: -After providing care, it is important to reassess the patient and the effectiveness of your interventions to determine next steps based on your findings. Personal protective equipment (PPE) Specialized clothing, equipment and supplies that prevent direct contact with potentially infectious materials. PPE includes gloves, CPR breathing barriers, gowns, face shields, protective eyewear and biohazard bags. Hand washing is the most effective measure to prevent the spread of infection. Alcohol-based hand sanitizers allow you to clean your hands when soap and water are not readily available and your hands are not visibly soiled. Objects used in the workplace that isolate or remove a hazard, reducing the risk of exposure. Methods of working that reduce the likelihood of an exposure incident by changing the way a task is carried out. Applying Standard Precautions -You must wear appropriate personal protective equipment (PPE) and follow standard precautions for the particular situation. Proper equipment cleaning: After providing care, the equipment and surfaces used should always be cleaned and disinfected or properly disposed. Proper spill cleanup procedures: If a spill occurs, appropriate measures should be taken to limit and reduce exposure to possible contaminants. Your Role During an Exposure Incident Even with the best use of standard precautions, exposures do occur. When an exposure incident occurs, follow these steps as well as any steps outlined by your healthcare facility: Your Role After an Exposure Incident After the exposure incident has occurred, it important to: You are about to start your morning rounds, when you hear a loud crash in Mrs. Bailey's room. When you enter her doorway, you see her lying on the floor with her walker tipped over next to her. You must first perform a visual survey. What actions should y -observe for any
signs of illness or injury, including life-threatening bleeding The room is safe to enter. As you approach Mrs. Bailey you do not see any signs of life-threatening bleeding, but she appears unresponsive. Which action should you perform next? Use the shout-tap-shout sequence to determine responsiveness. Mrs. Bailey is unresponsive. You suspect she may have a head injury. Which technique should you use to open Mrs. Bailey's airway? modified jaw-thrust maneuver Once the airway is open, you simultaneously check for breathing and a pulse. Is this the correct course of action? While simultaneously checking for breathing and a pulse, you correctly adhere to which time interval? At least 5 seconds but no more than 10
As you check Mrs. Bailey's breathing, you look to see whether her chest rises and falls, listen for escaping air and feel for breathing against the side of your cheek. Is this the correct course of action? Rapid assessment of Mrs. Bailey's breathing reveals irregular, gasping breaths. You correctly identify this pattern of breathing as: If the patient is responsive (e.g., speaking, moaning, crying or moving around), obtain their consent to provide care,
reassure them and take steps to find out what occurred. It is important to understand how to use a recovery position, especially when you are alone with a patient. To place a supine adult patient in a recovery position: -If the patient is unresponsive, is not breathing normally (or
only gasping) but has a pulse, they are in respiratory arrest. If the patient is unresponsive, is not breathing normally (or only gasping) and does not have a pulse, they are in cardiac arrest. A myocardial infarction (MI), or heart attack, refers to the necrosis (death) of heart tissue as a result of insufficient delivery of oxygenated blood to the heart. The sooner the signs and symptoms are recognized and treated, the lesser the degree of dam Myocardial Infarction signs and symptoms -Chest discomfort or pain that is severe, lasts longer than 3 to 5 minutes, goes away and comes back, or persists even during rest Myocardial infarction immediate care In cases of suspected MI, administer two to four low-dose (81-mg) aspirin or one 325-mg adult aspirin based on your facility's protocols. If the patient is responsive but cannot cough,
speak or breathe, they are choking. If the patient is unresponsive and shows signs and symptoms of opioid overdose (e.g., pinpoint pupils, respiratory depression, unconsciousness or severe sleepiness), follow these steps: You demonstrate high-quality CPR by keeping interruptions in CPR to less than _____ seconds. An adult patient suffers cardiac arrest in bed and requires CPR. When compressing the patient's chest, which technique promotes high-quality CPR? -Position yourself so your shoulders are directly over your hands.
You arrive with an AED and prepare to apply the pads while the BLS team continues to provide CPR. You apply the pads using the anterior/lateral pad placement. -Patient's upper right chest, below the right clavicle to the right of the sternum You are working with a BLS team performing CPR on a 62-year-old female patient. Which actions demonstrate high-quality CPR? -Deliver smooth ventilations that last about 1 second each and make the chest begin to rise. The team leader assigns roles, supports the team, monitors the delivery of CPR and makes adjustments in real time. The team members deliver expert care within their assigned roles, assist others as needed (as long as they can maintain their own assigned r An adult patient with an endotracheal tube (ET) in place experiences cardiac arrest and requires CPR. Which of the following statements are true when performing high-quality CPR with an ET tube in place? -the provider delivers 1 ventilation every 6 seconds You have been performing multiple-provider CPR on a patient in cardiac arrest. The patient is now showing signs of return of spontaneous circulation (ROSC). Which action(s) would the team perform? -stop CPR You are working as part of a high-performance BLS team. Which roles would you and the other providers most likely fill? -Airway manager/ventilator Identify the situations in which it is safe to use an AED. -If the patient is experiencing cardiac arrest as a result of a traumatic injury You and another provider are performing CPR on an adult patient in cardiac arrest. An advanced airway is not yet in place. Which actions demonstrate appropriate care? -You use the same hand position and compression rate and depth as you would for single-provider CPR. You and a team of trained providers are performing CPR on an adult patient. One team member has gone to get additional resources and the AED. Which of the following statements are true about AED use? -The compressor should continue providing compressions until the AED pads are applied and the AED prompts that it is analyzing. You are evaluating the quality of CPR provided by the BLS team. Which methods would you use for this evaluation? -Visual observation You are delivering ventilations with a bag-valve-mask (BVM) resuscitator to an adult patient in cardiac arrest. Which actions are correct? -Ensure that the chest begins to rise. The team leader assigns roles, supports the team, monitors the delivery of CPR and makes adjustments in real time. The team members deliver expert care within their assigned roles, assist others as needed (as long as they can maintain their own assigned r Conduct a rapid assessment -perform a quick visual survey Conduct a rapid assessment, which includes performing a quick visual survey and checking for responsiveness, opening the patient's airway and simultaneously checking for breathing and a pulse. Then if an unresponsive patient isn't breathing normally and d Ensure that the patient is on a firm, flat surface. In a healthcare setting, use a bed with a CPR feature, or place a CPR board under the patient to provide a firm, flat surface. In other settings, move the patient to the floor or ground before beginning Position your hands correctly Expose the patient's chest so you can ensure proper hand placement and visualize chest recoil. Position your body effectively Position yourself so your shoulders are directly over your hands. Keep your arms straight and lock your elbows. Compress the chest using a straight up-and-down motion. This allows you to use your body weight rather than your muscular strength, which is mo Provide 30 chest compressions For adults, compress the chest to a depth of at least 2 inches (5 cm). If you are using a feedback device, make sure the compressions are no
more than 2.4 inches (6 cm) deep. Use an adult pocket mask for single-provider CPR or BVM for multiple-provider CPR. Seal the mask and simultaneously open the airway to a past-neutral position. Or, use the modified jaw-thrust maneuver if you suspect a head, neck or spinal injury. While maintaining the mask seal and open airway, provide smooth, effortless ventilations.
Each ventilation should last about 1 second and make the chest begin to rise. Avoid excessive ventilations. Switch positions every 2 minutes When providing CPR with multiple providers, smoothly switch positions about every 2 minutes. This should take less than 10 seconds. The compressor calls for a position change by saying "switch" in place of the number 1 in the compression cycle. Continue providing CPR cycles Continue providing cycles of 30 compressions followed by 2 ventilations until: You enter your patient's room and find them lying supine in bed seemingly unresponsive. After performing a rapid assessment and determining your patient is in cardiac arrest, you call for additional resources and an AED. How soon after recognizing cardiac Begin chest compressions within 10 seconds. After exposing the patient's chest, how should your hands be positioned? Two hands, one on top of the other, fingers interlaced Now that your hands are positioned correctly, where should you place them on the patient's torso? The correct hand position to perform chest compressions is the center of the patient's chest on the lower half of the sternum. Which of the following statements about performing chest compressions for adults are true? -Allow the chest to fully recoil after each compression. Providers are preparing to deliver ventilations to a patient in cardiac arrest. One provider seals the mask with both hands in the E-C hand position and simultaneously opens the airway to a past-neutral position. The other provider depresses the bag. How The provider should supply 400-700 mL, depressing the bag halfway. For every 1 minute delay in CPR and defibrillation, the patient's chance of survival is reduced by 7% to 10%. If provided in the first few minutes of cardiac arrest, high-quality CPR can double or triple a patient's chance of survival. Evidence shows that providing chest compressions at a rate greater than 120 per minute detrimentally affects compression depth because providers are less likely to compress the chest to the minimum depth of at least 2 inches (5 cm) for an adult. Additiona For a patient in respiratory arrest, follow these steps: -Deliver 1 ventilation every 5 to 6 seconds; each ventilation should last about 1 second and make the chest begin to rise. When delivering ventilations during CPR, if the chest does not rise after the first breath -reopen the airway To provide ventilations, you can use the following methods: -Pocket mask ventilations Use of a pocket mask is recommended during single-provider CPR to limit interruptions in chest compressions. Bag-Valve-Mask Resuscitator Ventilations A BVM resuscitator is a handheld device used to ventilate patients during respiratory arrest or multiple-provider
CPR. Mouth-to-Mouth Ventilations -Open the airway to a past-neutral position (for an adult).
Mouth-to-Nose Ventilations If you are unable to make a complete seal over the patient's mouth, you may need to use mouth-to-nose ventilations instead. -Adjuncts to ventilations include supplemental oxygen, basic airways and advanced airways. Always follow your facility protocols when using adjuncts to ventilations. A trained and authorized provider can provide supplemental oxygen or insert an advanced a -For adult patients, high-quality CPR includes 30 chest compressions followed by 2 ventilations. Remember, when an advanced airway is in place, the 30:2 ratio does not apply. You enter your patient's room and find them lying supine in bed seemingly unresponsive. After performing a rapid assessment and determining your patient is in cardiac arrest, you call for additional resources and an AED. How soon after recognizing cardiac Begin chest compressions within 10 seconds. After exposing the patient's chest, how should your hands be positioned? Two hands, one on top of the other, fingers interlaced Now that your hands are positioned correctly, where should you place them on the patient's torso? The correct hand position to perform chest compressions is the center of the patient's chest on the lower half of the sternum. -Some AEDs and manual defibrillators allow for compressions after the device analyzes the rhythm, while it is charging. Providers may perform compressions from the time the shock-advised prompt is noted through the time that the clear prompt occurs, just -It is safe to use an AED on a woman who
is pregnant. Remember, the baby's best chance of survival is the mother's survival. AED environmental considerations -Do not use an AED around flammable or combustible materials such as free-flowing oxygen. As with any biomedical device, routine maintenance is necessary to ensure that the device performs properly and safely. AEDs require minimal maintenance, but it is important to check them regularly according to the manufacturer's instructions or your faci -If you do not have an AED with you, call for help and begin CPR. If you have no way of calling for help, place the patient in the recovery position and
get the AED. -One or more providers perform CPR while another provider Which of these actions are appropriate ways to minimize interruptions in chest compressions? -Remain in position with the hands a few inches above the patient's chest during shock delivery. Which of the following correctly depicts the anterior/lateral position for AED pad placement? -Patient's upper right chest, below the right clavicle to the right of the sternum Is it safe to use an AED on a patient who has body piercings? YES, A patient's jewelry or body piercings do not need to be removed before using an AED, but avoid placing the AED pads directly over any metallic jewelry or piercings. Adjust pad placement if necessary. You are ready to apply AED pads to a patient who has a transdermal medication patch. What should you do? Before applying AED pads, remove the transdermal medication patch with a gloved hand and wipe away any remaining medication from the skin. Is it safe to use an AED on a patient who is pregnant? BLS single provider key components 30:2 BLS multiple providers key components 30:2 BLS for Adults 1. Conduct a Rapid assessment 1. perform a visual survey BLS for Adult 2. Recognize Recognize the emergency condition and determine your immediate course of action: BLS for Adult 3. Provide CPR/AED Care Review the specific care steps for a patient in cardiac arrest who does not have an advanced airway in place: BLS for Adult single-Provider CPR 1. Provide chest
compressions If the patient is not breathing normally and has no pulse, you must perform single-provider CPR. What should you do? Perform 30 chest compressions at a rate of 100 to 120 per minute. Then deliver 2 ventilations, each lasting about 1 second, with a pocket mask or mouth-to-mouth. The AED arrives, and you attach the pads appropriately and clear the area. When the AED is analyzing or delivering a shock, what should you do? Hover your hands over the patient's chest, taking care not to touch the patient. What should you do if ROSC is achieved? -Monitor the patient until the advanced cardiac life support team takes
over. You and two other providers, Amanda and Ryan, witness an adult patient collapse in the hospital hallway. You perform a visual survey and check for responsiveness. When the patient doesn't respond to the shout-tap-shout sequence, you tell Amanda to activat When you simultaneously check for breathing and a pulse, you note the patient is not breathing normally but has a pulse. What should you do next? Deliver 1 ventilation every 5 to 6 seconds, each lasting about 1 second, while checking for breathing and pulse about every 2 minutes. Amanda returns and announces the code team is on the way and Ryan returns stating, "I have the AED and BVM." After providing 2 minutes of ventilations, you open the airway and simultaneously check for breathing and a pulse. The patient is not breathing no You should immediately perform 30 chest compressions, while Amanda prepares to deliver 2 ventilations. Ryan should set up the AED, attach the pads and tell everyone to "clear" as the AED begins to analyze. You and the team delivered one shock to the patient, then performed about 2 minutes of CPR. You have been performing compressions and are starting to fatigue. What should you do? You should anticipate a compressor change and verbalize the coordination plan to switch. You should switch off compressions when the AED analyzes again. You will switch "compressor" roles with Ryan during the AED analysis. What actions should the team do during the analysis to ensure the switch occurs in less than 10 seconds? Ryan should hover his hands a few inches over the patient's chest, preparing to take over compressions. You and Amanda should clear the patient while preparing to deliver ventilations and operate the AED. After the shock is delivered or if no shock is adv High-Performance Resuscitation Team Characteristics of a high-performance team include well-defined roles and responsibilities; clear, closed-loop communication; and respectful treatment of others. Coordinated, efficient, effective teamwork is essential to provide high-quality CPR, improve patient outcomes and deliver expert care. -AED pads are applied. Team Roles during resuscitation Leadership/Supportive Roles Team Roles during resuscitation and the integration of Other Trained Providers Coordination becomes even more important when other trained providers, such as an advanced life support team or code team, arrive. This coordination of all involved is necessary to: Continuous Quality Improvement Healthcare providers and their employers have a responsibility to ensure that they provide the highest quality CPR throughout every resuscitation event. To achieve this goal, it is necessary to gather and use data to inform improvements in individual and Mr. Goodman is exhibiting signs and symptoms of which condition? Mr. Goodman is unresponsive. Valerie must now simultaneously check for breathing and a pulse for at least 5 seconds but no more than ___. Valerie has established that Mr. Goodman does not have a pulse and is not breathing, and she has exposed the chest. She must immediately begin CPR while Joanne retrieves and sets up the AED. Which actions should the team take to ensure that they are provi -Provide smooth compressions at a rate of 100 to 120 compressions per
minute and a depth of at least 2 inches. Joanne correctly applied the AED pads using the anterior/lateral position. However, if Mr. Goodman had a pacemaker or ICD, she would adjust pad placement as necessary to avoid placing the AED pads directly over the pacemaker or ICD. True or false? TRUE To minimize interruptions in chest compressions, what should Valerie do during the AED analysis and shock? Hover over the patient's chest, ensuring that she is not touching the patient. Kirron arrived and took over compressions. To ensure high-quality CPR, providers should switch off giving compressions every ___ minutes or sooner if the provider giving compressions is fatigued. Joanne and Valerie switched to operating the BVM. While Joanne sealed the mask, Valerie depressed the bag. What is the correct volume of air to deliver during ventilations? 700 mL (depress about half the bag) If capnography were in use, an ETCO2 level of ___ would indicate to the team that there could be a problem with the quality of chest compressions. After the resuscitation event, the BLS team conducted a debriefing session to ensure continuous CPR quality improvement. Which observation or data point suggests a need for improvement? The chest compression fraction (CCF) was 58%.According to expert consensus, a CCF of at least 60% is needed to promote optimal outcomes, and the goal should be 80%. A 4-year-old child is unresponsive. Her pulse rate is 65 bpm, but she is not breathing normally. Which of the following actions are appropriate? -Deliver
1 ventilation every 3 to 5 seconds You and another provider are performing CPR on a 6-month old infant. The provider performing chest compressions would use which technique? Encircling thumbs technique You initiate CPR on an 11-year-old female patient who shows signs of puberty, including breast development. Which BLS guideline should you follow? A 5-year-old child experiences cardiac arrest and requires CPR. You ensure that high-quality CPR is administered when you compress the chest to which depth? An 8-year-old child experiences cardiac arrest. On which area would you would complete a pulse check? What is the first step of the Pediatric Cardiac Chain of Survival? A child is unresponsive and not breathing. You and another provider are present. You stay with the child to begin CPR. Which actions would be appropriate for the second provider to do? -Retrieve the AED and BVM. You would use pediatric AED pads for which children? -2-year-old weighing 27 lbs You come upon a child who has collapsed. The child is not breathing normally and does not have a pulse. You are alone and have no immediate access to a phone or other form of communication. Which action would you do first? Perform about 2 minutes of CPR, starting with chest compressions. You and another provider are performing CPR on an infant who is in cardiac arrest. He does not have an advanced airway in place. You demonstrate appropriate technique for high-quality CPR by performing _____ compressions and 2 ventilations. You initiate CPR on a 12-month-old male patient. Which BLS guideline should you follow? You are performing CPR on an 11-month-old infant. A second provider prepares to apply the AED pads, placing the pads at which locations? -On the back between the scapulae After determining that Theo is unresponsive, Amy must open the airway using the head-tilt/chin-lift technique and simultaneously check for breathing and a pulse. To accurately assess Theo's breathing, she should open the airway to a ________ position. Next, Amy must simultaneously check for breathing and a pulse. Choose the recommended location to perform the pulse check. carotid pulse (neck) Amy should simultaneously check for breathing and a carotid pulse for at least 5 seconds but no more than 10. Based on her rapid assessment findings, Amy recognized that Theo was in cardiac arrest and initiated CPR. If Theo were unresponsive and not breathing normally but had a pulse of ? 60 bpm with signs of poor perfusion, which action would Amy take? Tell Joe to get help and an AED. Begin CPR. Continue compressions and ventilations. Check the pulse and breathing about every 2 minutes. Amy performed high-quality chest compressions on Theo. What is the correct chest compression depth for a child? If Theo were a smaller child or toddler, Amy could use a one-hand technique to perform high-quality chest compressions. True or false? TRUE Amy could use the one-hand technique. When using one hand, be sure you are able to compress the chest about 2 inches. When performing single-provider CPR on Theo, Amy was correct to use a compression-to-ventilation ratio of 30:2. True or false? When applying the AED pads, Ana-Lisa used an anterior/posterior placement. When should providers use this placement method for a child? -If the manufacturer recommends the use of an anterior/posterior pad placement. During analysis, the providers will switch roles and transition to multiple-provider CPR. When Ana-Lisa takes over chest compressions, which compression-to-ventilation ratio should the team use? After Ana-Lisa took over compressions, Joe and Amy worked together to operate the BVM. Joe maintained an open airway and sealed the mask with both hands in the E-C position, while Amy delivered ventilations. This is the recommended technique for operating The team continued to provide high-quality CPR until the rapid response team arrived and relieved them. In which situations would the team stop performing CPR? Theo spontaneously moves. Andres is a 6-month-old patient weighing 17 pounds. You find him motionless. To check responsiveness, you shout "Are you OK?" and tap his shoulder, then shout again. False. For infants like Andres, you should shout "Are you OK?" and tap the bottom of Andres' foot. Then shout again. Maggie is 4 years old and weighs 42 pounds. You simultaneously check for breathing and a carotid pulse for at least 5 seconds but no more than 10. True. For children like Maggie, you should simultaneously check for breathing and a carotid pulse for at least 5 seconds but no more than 10. You recognize that Maggie is in cardiac arrest. You are alone and do not have a mobile phone or other form of communication. Although you called out for someone to help and get an AED, nobody responded. You did not witness Maggie collapse, so you provide True. If you are alone and do not have a mobile phone or other form of communication, you must decide to call first or care first: To perform compressions on Maggie, you use the two-finger technique (i.e., two fingers centered on the sternum just below the nipple line.) False. For children like Maggie, use the same technique as you do for an adult: One hand on top of the other with fingers interlaced and off the chest centered on lower half of the sternum, although on small children a one-hand technique is acceptable. Th Sadie is a 2.5-year-old child weighing 28 pounds. To perform high-quality chest compressions, you may need to use a one-hand technique. True. For a smaller child, you may need to use a one-hand technique to perform high-quality chest compressions. When using a one-hand technique, be sure you are able to compress the chest about 2 inches. Aaliyah is 11 years old and weighs 97 lbs. She shows signs of puberty including breast development. You provide chest compressions at a depth of at least 2 inches (5 cm) but no more than 2.4 inches (6 cm). True. Since Aaliyah has reached the onset of puberty, you should follow adult CPR guidelines. For adults the proper chest compression depth is at least 2 inches (5 cm) but no more than 2.4 inches (6 cm). For children, you would compress to a depth of abou Jalen is 6 years old and weighs 50 pounds. He is unresponsive and not breathing but has a pulse. You do not see signs of trauma. You deliver 1 ventilation every 3 to 5 seconds. True. For children or infants in respiratory arrest, deliver 1 ventilation every 3 to 5 seconds. When delivering ventilations to Jalen, you open his airway to a neutral position. False. For children like Jalen, you should open the airway to a slightly past neutral position. If Jalen were an infant, you would open the airway to a neutral position. Paloma is 8 years old and weighs 62 pounds. Single-provider CPR is in progress and you have just arrived with the AED. You set up the AED and apply pediatric AED pads while CPR continues. FALSE. Since Paloma is 8 years old and weighs more than 55 pounds, you should use adult AED pads or adult electrical settings. Never use pediatric AED pads or a pediatric electrical setting on a child older than 8 years or weighing more than 55 pounds. Th When you attempt to apply the adult AED pads, you realize they will touch one another on Paloma's chest. Instead of the anterior/lateral position, you use the anterior/posterior position for AED pad placement. True. If the pads risk touching on a child's chest, you should use the anterior/posterior AED pad placement (i.e., apply one pad to the center of the patient's chest�on the sternum�and one pad to the patient's back between the scapulae). You will take over compressions during the AED analysis switching from single-provider to multiple-provider CPR. Since two providers are now performing CPR and Paloma does not have an advanced airway in place, you switch to a compression/ventilation ratio True. Since two providers are now performing CPR and Paloma does not have an advanced airway in place, you switch to a compression/ventilation ratio of 15:2. Single provider for a child or infant -30:2
Multiple Providers for a child or infant -15:2 BLS for Children and Infants Respiratory arrest with a pulse > 60 bpm If the patient is unresponsive, not breathing
normally (or only gasping) but has a pulse > 60 bpm, they are in respiratory arrest. Follow these steps: Child or Infant Call first or care first? -Call First Child or Infant Respiratory arrest with a pulse ? 60 bpm and signs of poor perfusion If the patient is unresponsive, showing signs of poor perfusion and not breathing normally (or only gasping) but has a pulse ? 60 bpm, they are in respiratory arrest. Follow these steps: Child or Infant Cardiac arrest If the patient is unresponsive, not breathing normally (or only gasping) and has no pulse, they are in cardiac arrest. Follow these steps: Single Provider CPR Children and Infants If the patient is unresponsive, not breathing normally (or only gasping) and has no pulse, they are in cardiac arrest.
Follow these steps: Multiple Provider CPR Children and Infants Provide chest compressions AED Use for Children and Infants Set up the AED and continue CPR until the AED is ready to analyze Continue CPR/AED use until: Dr. Dave's next step is to check for responsiveness. Choose the correct location to tap Olivia as part of the shout-tap-shout sequence. Olivia is unresponsive. Dr. Dave needs to assess breathing and perform a pulse check. Choose the recommended location to perform the pulse check. he correct place to check Olivia's pulse is at the brachial artery in the arm. After recognizing that Olivia is in cardiac arrest, Dr. Dave should initiate CPR within ____ seconds. When providing multiple-provider CPR for an infant, which compression technique should the team use? Encircling thumbs technique When performing multiple-provider CPR on an infant, the compression/ventilation ratio is ____: 2. Dr. Dave performed chest compressions at the proper depth. What is the correct chest compression depth for an infant? Stephanie properly opened the airway and delivered ventilations. Which statement about delivering ventilations to an infant in cardiac arrest is true? When using a BVM, depress the bag about halfway to make the chest begin to rise Vickie has arrived with the AED and will now begin to use it. What are the proper steps for using an AED? 1. Vickie turns on the AED Vickie should use an anterior/posterior position for pad placement for Olivia, as shown here. True or false? If the AED came equipped with adult AED pads only, Vickie should not use them. Instead, she should call for someone to bring pediatric AED pads and continue CPR until the new pads arrive. True or false? False, If pediatric AED pads aren't available�or the AED doesn't have a pediatric setting�it's safe to use adult AED pads or adult levels of energy on Olivia. When using adult AED pads on an infant, use the anterior/posterior pad placement. What actions did the team take to minimize interruptions in chest compressions? -Dr. Dave and Vickie switched roles within 10 seconds during the analysis. A child with an obstructed airway becomes unresponsive. Which action would be most appropriate to do first? Gently lower the child to the ground and immediately begin CPR, starting with chest compressions. An infant has an obstructed airway and back blows have been ineffective. You attempt chest thrusts. To about which depth would you perform the chest thrusts? While on break in the cafeteria, a person sitting at a nearby table begins choking. The person looks panicked and frightened. You go over to help and note that the person is not able to breathe, speak or cough. You summon additional resources and obtain c
Perform abdominal thrusts. An infant has an obstructed airway but is responsive. When administering back blows to the infant, you would use which technique to deliver the blows? Heel of the hand between the scapulae An adult patient becomes unresponsive while you are attempting to clear their obstructed airway. After providing 30 compressions, you open the patient's mouth and look for an object. If you do not see the object, which action should you attempt next? What is the correct area of the chest to perform chest thrusts? Center of the chest on the lower half of the sternum What is the correct way to perform back blows? Using the heel of your hand, firmly strike between the scapulae. Back blows have not dislodged the object. Using a series of 5 back blows and 5 chest thrusts can be effective. True or false? As you continue performing 5 back blows and 5 chest thrusts, Mrs. Clark becomes unresponsive. Jenna is getting the AED, BVM and additional resources. What should you do now? Carefully lower Mrs. Clark to a firm, flat surface. Then immediately begin CPR, starting with chest compressions. What should the team do after Jenna completes 30 chest compressions? Open Mrs. Clark's mouth, look for an object and perform a finger sweep if an object is seen. You do not see an object. You deliver 2 ventilations but do not see the chest rise. What is the best course of action? Continue performing cycles of 30 compressions and 2 ventilations, checking for an object before each set of ventilations. A young adult is brought into the emergency department by his mother. After completing a rapid assessment, you determine the patient is in cardiac arrest related to an opioid overdose. While the team initiates CPR, you prepare to administer naloxone. Whic -Intramuscular A patient is suspected of an opioid overdose. Which findings would most likely support this suspicion? -Respiratory depression An adult patient with a suspected opioid overdose is in respiratory arrest. Which of the following actions are most appropriate? -Administer naloxone, if your facility's protocol allows. To quickly assess for an opioid overdose, you should use the opioid overdose triad. This includes pinpoint pupils, respiratory depression, and unconsciousness or severe sleepiness. In addition to EMS, you immediately request which resources? You open the patient's airway and look, listen, and feel for breathing while simultaneously checking for a carotid pulse. The patient has a pulse but is not breathing. Which action is the priority? Provide care for respiratory arrest, starting with ventilations. What is the correct ventilation rate for an adult patient in respiratory arrest? 1 ventilation every 5 to 6 seconds Should Jamal administer naloxone during cardiac arrest to a patient experiencing opioid overdose? If the patient responds to the naloxone, you need to be prepared to perform which action(s) most immediately? Protect yourselves against a possible violent reaction from Liz, clear the airway if needed and put Liz into a recovery position. Patients who respond after naloxone frequently vomit and may even become violent. Immediately, you should prepare to clear Li When Liz does not immediately respond to the naloxone, you and Kara continue with CPR and AED use. Jamal prepares to deliver a second dose. How long should you wait before administering it? You and your co-worker Jake are operating a BVM during multiple-provider CPR for an adult. You manage the airway while Jake delivers ventilations. Which statement correctly describes the appropriate technique for operating the BVM? Seal the mask with two hands using the E-C technique. You perform a rapid assessment and determine that your patient is experiencing cardiac arrest. On the basis of your assessment findings, you begin CPR to improve the patient's chances of survival. Which term refers to clearly and rationally identifying th While orienting a new medical assistant to the facility, you find a patient who is unresponsive in the exam room. You yell to the medical assistant, "Go get the AED!" Which response by the medical assistant demonstrates closed-loop communication? During a resuscitation, the team leader assigns team roles and tasks to each member. You recognize that a task has been overlooked. Which is the most appropriate action? Alert the team leader immediately and identify for them what task has been overlooked. The code team has arrived to take over resuscitative efforts. Among the members of the BLS team, whose role is it to communicate to the code team the patient's status and the care already provided? The systematic and continuous approach to providing emergent patient care includes which three elements? You enter Ms. Evers's room and notice her lunch splattered on the floor. She is slumped over the bedside table and does not appear to be breathing. You perform a visual survey and determine that the scene is safe. Which is the next appropriate action? Check for responsiveness. You are preparing to deliver ventilations to an adult patient experiencing respiratory arrest. You should give 1 ventilation every: Upon entering Mr. Cohen's room, you find him on the ground, unresponsive. After immediately initiating the emergency response system, what is your next action according to the Adult In-Hospital Cardiac Chain of Survival? You are providing care for Mrs. Bove, who has an endotracheal tube in place. How does this affect compressions and ventilations? The team should provide ventilations at a rate of 1 ventilation every 6 seconds without pausing compressions. You and two nurses have been performing CPR on a 72-year-old patient, Ben Phillips. When Mr. Phillips shows signs of ROSC, where should you perform the pulse check? At the carotid or femoral artery You suspect that an unresponsive patient has sustained a neck injury. Which technique should you use to open the patient's airway? Modified jaw-thrust maneuver You are alone performing high-quality CPR when a second provider arrives to take over compressions. When switching roles, you should minimize interruptions in chest compressions to less than how many seconds? A well-organized team response when performing high-quality CPR includes ensuring that providers switch off performing compressions every _____ minutes. You are working in an OB/GYN office when your patient, Mrs. Tribble, suddenly goes into cardiac arrest. While preparing the AED, your colleague reminds you that Mrs. Tribble is 28 weeks pregnant. Which statement is true regarding the use of an AED on a pr AED use is safe for pregnant patients. You and your colleagues have been providing high-quality CPR for and using the AED on Mr. Sauer. While providing ventilations, you notice that Mr. Sauer moves and appears to be breathing. What is the correct course of action? Stop CPR, check for breathing and a pulse and monitor Mr. Sauer until the advanced cardiac life support team takes over. How is a child defined in terms of CPR care? Someone from the age of 1 to the onset of puberty You are providing compressions on a 6-month-old who weighs 17 pounds. Which compression depth is appropriate for this patient? A 7-year-old patient goes into sudden cardiac arrest. You initiate CPR and correctly perform chest compressions at which rate? 100 to 120 compressions per minute You are providing high-quality CPR on a 6-year-old patient who weighs 44 pounds. The AED arrives. It does not have a pediatric setting and includes only adult AED pads. What should you do? You are alone caring for a 4-month-old infant who has gone into cardiac arrest. Which is the most effective CPR technique to perform until help arrives? Standing to the side of the infant, provide chest compressions using the two-finger technique and deliver ventilations with a pocket mask. You and your colleagues are performing CPR on a 6-year-old child. What is the compression-to-ventilation ratio during multiple-provider CPR? What is a reason you would choose to perform chest thrusts instead of abdominal thrusts for an adult with an obstructed airway? The patient is in a wheelchair. You are alone and caring for a 9-month-old infant with an obstructed airway who becomes unresponsive. Which action should you perform first? Provide 30 chest compressions. You and another provider are caring for a patient who is in cardiac arrest. You suspect that your patient has overdosed on an opioid. When should you administer intranasal naloxone? What is the compression technique when providing multiple provider CPR for an infant?The only difference in chest compressions for the healthcare provider is in chest compression for infants. The lone healthcare provider should use the 2-finger chest compression technique for infants. The 2-thumb–encircling hands technique (Figure 4) is recommended when CPR is provided by 2 rescuers.
What is the compression to ventilation ratio during multiple provider CPR?What is the compression-to-ventilation ratio during multiple-provider CPR? In both children and infants, the compression-to-ventilation ratio is 30:2 during single-provider CPR and 15:2 during multiple-provider CPR.
What are the recommended compression to ventilation ratios for infants and children?Infants and children who require chest compressions should receive two breaths per 30 compressions for a single rescuer, and two breaths per 15 compressions for two rescuers.
What are the correct compression and ventilation rates for 2Chest Compressions
The compression rate for adult CPR is approximately 100 per minute (Class IIb). The compression-ventilation ratio for 1- and 2-rescuer CPR is 15 compressions to 2 ventilations when the victim's airway is unprotected (not intubated) (Class IIb).
|
When performing multiple-provider cpr on an infant, the compression/ventilation ratio is ____: 2.
zusammenhängende Posts
![What is the advantage of elasticity when utilizing a cloud service provider? [choose all that apply]](https://ap.cdnki.com/r_what-is-the-advantage-of-elasticity-when-utilizing-a-cloud-service-provider-choose-all-that-apply---c797b7d7c382c31881ba5712e66daf4e.webp)
Urheberrechte © © 2024 defrojeostern Inc.
