Chapter 13: BLS Resuscitation
Study online at https://quizlet.com/_8hibvs
1. 1. Explain the elements of basic life support (BLS), how it differs from
advanced life support (ALS), and why BLS must be applied rapidly. (pp
514-515): Basic life support (BLS) is noninvasive emergency lifesaving care that
is used to treat medical conditions, including airway obstruction, respiratory arrest,
and cardiac arrest.
focus on ABCs:
-airway (obstruction)
-breathing (resp. arrest)
-circulation (cardiac arrest or severe bleeding)
Advanced life support (ALS) involves advanced lifesaving procedures, such as
cardiac monitoring, administration of intravenous (IV) fluids and medications, and
the use of advanced airway adjuncts.
2. 2. Explain the goals of cardiopulmonary resuscitation (CPR) and when
it should be performed on a patient. (p 515): The steps for cardiopulmonary
resuscitation (CPR) include:
-Restore circulation by performing chest compressions to circulate blood to the vital
organs of the body.
-Perform 30 high-quality compressions to a depth of 2 to 2.4 inches (5 to 6 cm) in
an adult at the rate of 100 to 120 per minute.
-Open the airway with the jaw-thrust or head tilt-chin lift maneuver.
-Restore breathing by providing rescue breaths (via mouth-to-mask ventilation or a
bag-valve mask [BVM]).
--Administer 2 breaths, each over 1 second, while visualizing for chest rise
3. 3. Explain the components of CPR, the five links in the American Heart As-
sociation (AHA) chain of survival, and how each one relates to maximizing the
survival of a patient. (pp 515-516): Recognition and activation of the emergency
response system
-public attention and awareness
-someone calls 911
Immediate, high-quality CPR
-The initiation of immediate CPR by a bystander is essential for successful resusci-
tation of a person in cardiac arrest.
-laypeople should know hands-only CPR
-hard and fast compressions
-2 to 2.4 inches in depth and rate of 100 to 120 per minute
Rapid defibrillation
-defibrillators offer best opportunity for survival
-AEDs are available in many public places
Basic and advanced emergency medical services
, Chapter 13: BLS Resuscitation
Study online at https://quizlet.com/_8hibvs
-Care includes:
Continuing high-quality CPR
Basic airway management (ie, oral airway insertion, BVM ventilation)
Advanced airway management (ie, endotracheal [ET] intubation or use of supraglot-
tic airway devices)
Manual defibrillation
Vascular access
Transcutaneous pacing
Administration of medications
Advanced life support and postarrest care
-additional therapy to support BP
-temp management
-maintain blood glucose levels
4. 4. Discuss guidelines for circumstances that require the use of an automat-
ed external defibrillator (AED) on both adult and pediatric patients experienc-
ing cardiac arrest. (pp 517-518): -most cardiac arrests in the home results from
sudden cardiac rhythm disturbance (dysrhythmia) such as V-fib or V-tach.
-AEDs can be used in children with the pediatric pads.
-Apply the AED to infants or children after the first five cycles of CPR have been
completed.
-cardiac arrest in children is usually due to resp. failure, so oxygenation and ventila-
tion are the most important.
-for infants, a manual defibrillator is preferred
5. 5. Explain three special situations related to the use of an AED. (p 518): -
Pacemakers and implanted defibrillators
-AED pads should be placed at least 1 inch away from AICDs, or pacemakers
-If you observe the patient's muscles twitching as if he or she was just shocked,
continue CPR and wait 30 to 60 seconds before delivering a shock from the AED.
Wet patients
-water conducts elevtricity
-dry skin before pad placement, but do not delay CPR
Transdermal medical patches
-If the medication patch interferes with AED pad placement, remove the patch with
your gloved hands and wipe the skin to remove any residue prior to attaching the
AED pad.
6. 6. Describe the proper way to position an adult patient to receive BLS care.
(p 519): supine on a hard flat surface
-do not rule out spinal injury, so move as a unit
-log roll onto a backboard for cpr asap
Study online at https://quizlet.com/_8hibvs
1. 1. Explain the elements of basic life support (BLS), how it differs from
advanced life support (ALS), and why BLS must be applied rapidly. (pp
514-515): Basic life support (BLS) is noninvasive emergency lifesaving care that
is used to treat medical conditions, including airway obstruction, respiratory arrest,
and cardiac arrest.
focus on ABCs:
-airway (obstruction)
-breathing (resp. arrest)
-circulation (cardiac arrest or severe bleeding)
Advanced life support (ALS) involves advanced lifesaving procedures, such as
cardiac monitoring, administration of intravenous (IV) fluids and medications, and
the use of advanced airway adjuncts.
2. 2. Explain the goals of cardiopulmonary resuscitation (CPR) and when
it should be performed on a patient. (p 515): The steps for cardiopulmonary
resuscitation (CPR) include:
-Restore circulation by performing chest compressions to circulate blood to the vital
organs of the body.
-Perform 30 high-quality compressions to a depth of 2 to 2.4 inches (5 to 6 cm) in
an adult at the rate of 100 to 120 per minute.
-Open the airway with the jaw-thrust or head tilt-chin lift maneuver.
-Restore breathing by providing rescue breaths (via mouth-to-mask ventilation or a
bag-valve mask [BVM]).
--Administer 2 breaths, each over 1 second, while visualizing for chest rise
3. 3. Explain the components of CPR, the five links in the American Heart As-
sociation (AHA) chain of survival, and how each one relates to maximizing the
survival of a patient. (pp 515-516): Recognition and activation of the emergency
response system
-public attention and awareness
-someone calls 911
Immediate, high-quality CPR
-The initiation of immediate CPR by a bystander is essential for successful resusci-
tation of a person in cardiac arrest.
-laypeople should know hands-only CPR
-hard and fast compressions
-2 to 2.4 inches in depth and rate of 100 to 120 per minute
Rapid defibrillation
-defibrillators offer best opportunity for survival
-AEDs are available in many public places
Basic and advanced emergency medical services
, Chapter 13: BLS Resuscitation
Study online at https://quizlet.com/_8hibvs
-Care includes:
Continuing high-quality CPR
Basic airway management (ie, oral airway insertion, BVM ventilation)
Advanced airway management (ie, endotracheal [ET] intubation or use of supraglot-
tic airway devices)
Manual defibrillation
Vascular access
Transcutaneous pacing
Administration of medications
Advanced life support and postarrest care
-additional therapy to support BP
-temp management
-maintain blood glucose levels
4. 4. Discuss guidelines for circumstances that require the use of an automat-
ed external defibrillator (AED) on both adult and pediatric patients experienc-
ing cardiac arrest. (pp 517-518): -most cardiac arrests in the home results from
sudden cardiac rhythm disturbance (dysrhythmia) such as V-fib or V-tach.
-AEDs can be used in children with the pediatric pads.
-Apply the AED to infants or children after the first five cycles of CPR have been
completed.
-cardiac arrest in children is usually due to resp. failure, so oxygenation and ventila-
tion are the most important.
-for infants, a manual defibrillator is preferred
5. 5. Explain three special situations related to the use of an AED. (p 518): -
Pacemakers and implanted defibrillators
-AED pads should be placed at least 1 inch away from AICDs, or pacemakers
-If you observe the patient's muscles twitching as if he or she was just shocked,
continue CPR and wait 30 to 60 seconds before delivering a shock from the AED.
Wet patients
-water conducts elevtricity
-dry skin before pad placement, but do not delay CPR
Transdermal medical patches
-If the medication patch interferes with AED pad placement, remove the patch with
your gloved hands and wipe the skin to remove any residue prior to attaching the
AED pad.
6. 6. Describe the proper way to position an adult patient to receive BLS care.
(p 519): supine on a hard flat surface
-do not rule out spinal injury, so move as a unit
-log roll onto a backboard for cpr asap
