PALS 2020 Pt 1 exam with complete solutions

PALS 2020 Pt 1 The first rescuer who arrives at the side of an unresponsive infant or child should quickly perform what steps? - ANSWER-1. Verify scene safety 2. Check for responsiveness (Tap childs shoulder or infants heel while shouting are you ok) 3. If unresponsive shout for nearby help and activate the emergency response system via mobile device 4. 5. Assess infant or child for normal breathing and pulse What happens if there are two rescuer's? - ANSWER-The first rescuer remains at the scene while the second activates the emergency response system and retrieves the AED How do you minimize delays in starting cpr? - ANSWER-Take no more than 10 seconds to assess breathing at the same time as you check the pulse. How do you confirm breathing? - ANSWER-Scan the chest for rise and fall How do you perform a pulse check on a child? - ANSWER-Palpate a carotid or femoral pulse. How do you find the femoral artery? - ANSWER-Place two fingers in the inner thigh, midway between the hipbone and the pubic bone and just below the crease where the leg meets the torso. How long must we feel for a pulse? - ANSWER-At least 5 but no more than 10 seconds. If you don't feel a pulse what happens next? - ANSWER-Begin high quality CPR starting with chest compressions Where can you check the pulse for an infant or child? - ANSWER-Brachial for infant Femoral Child If the infant or child has normal breathing and a pulse is felt what do you do? - ANSWER-Monitor the victim until emergency responders arrive. If the infant or child does not have normal breathing and a pulse is felt what do you do? - ANSWER-Provide rescue breathing and give 1 breath every 2 to 3 seconds. About 20-30 breaths per minute If heart rate is 60 breaths per minute with signs of poor perfusion what do you do? - ANSWER-Start CPR If heart rate is 60 beats per minute or greater you continue with? If no definite pulse is felt? - ANSWER-Continue with rescue breaths and check the pulse every 2 minutes. If no definite pulse is felt start CPR While giving rescue breaths how often should you check the pulse? - ANSWER-Every 2 minutes If the child or infant is not breathing or is only gasping and a pulse is not felt if you witness the sudden collapse are alone what do you do? - ANSWER-Activate the emergency response system and retrieve the AED If the child or infant is not breathing or is only gasping and a pulse is not felt, and you did not witness the sudden collapse and you are alone what do you do? - ANSWER-Start High quality CPR for 2 minutes The universal rate for compressions in all cardiac arrest victims is what? - ANSWER-100 to 120/min Compression to ventilation ratio for a SINGLE rescuer is what? - ANSWER-30:2 (same as adults) If TWO rescuers are present for resuscitation attempt of an infant or child what compression to ventilation ratio should be used? - ANSWER-15:2 What compression technique should be used for children? - ANSWER-Use either 1 or 2 hands to compress the chest