sequence of treatment for cardiac arrest - Answers C - circulation (chest compressions)
A - airway
B - breathing
How long until brain damage is possible? - Answers 4-6 minutes
How long until brain damage is permanent? - Answers 10 minutes
How long should you check for a pulse and breathing? How? - Answers Look, listen, and feel for
7-10 seconds, listen for breathing and look for chest rise and feel for carotid pulse
no pulse = CPR
pulse no breathing = rescue breaths
breathing + pulse = start airway
What is the compression ventilation ratio for an adult? - Answers 30 compressions to 2 breaths
What is the compression ventilation ratio for a child with one rescuer? - Answers 30
compressions to 2 breaths
What is the compression ventilation ratio for a child with two rescuers? - Answers 15
compressions to 2 breaths
What is the compression ventilation ratio for an infant with two rescuers? - Answers 15
compressions to 2 breaths
What is the ideal compression technique for an infant with one rescuer? - Answers two-finger
technique
What is the ideal compression technique for an infant with two rescuers? - Answers hand-
encircling technique
What is the ideal compression technique for a neonate? - Answers one ventilation every 3
compressions
How often do you deliver rescue breaths in an adult? - Answers 1 breath every 5-6 seconds
How often do you deliver rescue breaths in a childt? - Answers 1 ventilation every 3-5 seconds
How often do you deliver rescue breaths to a neonate? - Answers 1 every second
,When do you start CPR in an adult? - Answers no pulse no breathing
When do you start CPR in a child, infant, or neonate? - Answers No pulse, no breathing, or pulse
rate under 60 bpm
What is the compression rate in adults for chest compressions? - Answers 100-120 per min (at
least 100 compressions per minute)
**make sure that chest completely recoils between compressions
What depth should you use chest compressions in an adult? - Answers 2-2.4 in
Steps of CPR - Answers 1) check pulse and breathing
2) if neither present or HR less than 60 bpm in a child, start chest compressions
3) turn on and attach AED
4) deliver breaths using BVM and hold airway in place w/ head-tilt chin lift
4) insert airway if you have time
How to deliver breaths using BVM - Answers administer breath over 1 second and visualize
chest rise
What are the 2 biggest predictors of surviving cardiac arrest - Answers - high quality chest
compressions with minimal interruption
- early AED use
What determines successful resuscitation? - Answers ROSC and hospital discharge
5 links of the CPR chain of survival - Answers 1) recognition/activation of EMS
2) immediate high-quality CPR
3) rapid defibrillation
4) basic and advanced EMS
5) ALS and post arrest care
6) recovery
How long should you try to minimize interruptions for chest compressions? - Answers no more
than 10 seconds
, When should you place the AED on an adult when doing CPR? - Answers immediately (within
first 10 mins of CPR)
When should you place the AED on a child when doing CPR? - Answers after 5-10 cycles of
chest compressions (2 mins - cycle # depends on # of rescuers), because cardiac arrest is due
to respiratory arrest more than cardiac arrhythmias
respiratory arrest = hypoxia = ischemia
What age is considered an infant for EMS? - Answers less than 1 year old
What age is considered a child for EMS? - Answers 1 yr old to onset of puberty
- breast development, beginnings of facial and body hair
What age is considered an adult for EMS? - Answers onset of puberty and onward
- breast development, beginnings of facial and body hair
anatomic differences in children that apply to CPR - Answers - smaller + narrower airways
- FINISH CARD
What heart rhythms does the AED shock? - Answers ventricular tachycardia and ventricular
fibrilation
ventricular tachycardia - Answers a very rapid heartbeat where the heart does not have enough
time between contractions to fill, leading to decreased cardiac output and eventually no
circulation leading to cardiac arrest
ventricular fibrilation - Answers heart rhythm where the impulse starts at the ventricles instead
of at the SA node, leading to the heart quivering and not pumping any blood due to competing
signals, leading to cardiac arrest
dose attenuating system - Answers in AED, shocks have a decreased energy in order to be safer
for children
What should you do if pediatric AED pads are unavailable? - Answers use adult AED pads with
anterior-posterior placement
automated implanted cardioverter-defibrillator (AICD) - Answers small battery powered device
that detects and stop irregular heart beats by giving a gentle shock to the heart