Post-ACLS Megacode

SCENARIO 1: You witness a middle-aged, obese male pedestrian collapse on an escalator in an airport. He is clutching his chest and slumps over on the person behind him. The bystander places him on the floor at the end of the down-moving escalator track. As a first responder certified in ACLS, which of the following is your first course of action? - Answer- Move the man out of the way of pedestrian traffic on the escalator 1: You have moved the man to a seating area near the bottom of the escalator. The man is gasping for breath but does not appear to be effectively breathing. You yell at him "Are you alright?" but he does not respond. What is your next action? - Answer- send someone to get AED 1: After sending for EMS and waiting for an AED to arrive, you continue to attend to the man. The man is unresponsive and he is now only gasping. What is your next action? - Answer- check for a pulse The rescuer must determine if this is respiratory failure alone or cardiac arrest. Checking for a pulse follows sending people for help. 1: You find a definite pulse on his carotid artery. It is fast, but clearly present. What is your next action? - Answer- Give one breath every 5-6 s The man has a pulse, so he needs rescue breathing, not chest compressions. One ventilation every 5-6 seconds is appropriate in an adult without an advanced airway in place. 1: The AED device has not yet arrived. You have been delivering breaths for two minutes, spaced 5-6 seconds apart. He is not breathing spontaneously. What is your next action? - Answer- check for a pulse you must determine if the victim's situation has deteriorated. Respiratory arrest may lead to cardiac arrest. Pulse checks should be done every two minutes in respiratory arrest. 1: You pause rescue breathing to check for a pulse. You cannot feel a definite pulse after 10 seconds of trying. What is your next action? - Answer- begin CPR Since there is no pulse, the man is now in cardiac arrest. He needs CPR, including chest compressions. 1: You start high-quality CPR at a rate of 100-120 compressions per minute. The AED arrives moments later. You open the man's shirt to find a copious amount of thick hair covering his chest and he is damp with sweat. The AED cannot get a good signal through the pads because of the hair, even though you have pressed them down very hard. What is your next action? - Answer- Rip the pads off the man's chest and apply new pads in the sam