10 bseconds b- b bcorrect banswer- bA b6 bmonth bold binfant bis bunresponsive. bYou
c c c c c c c c c c c c c
bbegin bchecking bfor bbreathing bat bthe bsame btime byou bcheck bfor bthe binfants
c c c c c c c c c c c c c
bpulse. bWhich bis bthe bmaximum btime byou bshould bspend bwhen btrying bto
c c c c c c c c c c c c
bsimultaneously bcheck bfor bbreathing band bpalpate bthe binfants bpulse bbefore
c c c c c c c c c c
bstarting bCPR?
c c
Disordered bControl bof bBreathing b- b bcorrect banswer- bA b4 byear bold bchild bis
c c c c c c c c c c c c c
bbrought bto bthe bemergency bdepartment bfor bseizures. bThe bseizures bstopped ba
c c c c c c c c c c c
bfew bminutes bago, bbut bthe bchild bcontinues bto bhave bslow band birregular
c c c c c c c c c c c c
brespirations. bWhich bcondition bis bmost bconsistent bwith byour bassessment?
c c c c c c c c c
blood bglucose b- b bcorrect banswer- bAn b8 byear bold bchild bis bbrought bto bthe
c c c c c c c c c c c c c c
bemergency bdepartment bwith ba b2 bday bhistory bof blethargy band bpolyuria. bThe bchild
c c c c c c c c c c c c c
bhas bnew bonset brapid, bdeep, band blabored bbreathing. bWhich bdiagnostic btest
c c c c c c c c c c c
bshould byou border bfirst?
c c c c
Reposition bthe bpatient, band binsert ban boral bairway b- b bcorrect banswer- bAfter brectal
c c c c c c c c c c c c c
badministration bof bdiazepam, ban b8 byear bold bboy bwith ba bhistory bof bseizures bis bno
c c c c c c c c c c c c c c c
bunresponsive bto bpainful bstimuli. bHis brespirations bare bshallow, bat ba brate bof
c c c c c c c c c c c c
b10/min. bHis bOxygen bsaturation bis b94% bon b2L bof bNC boxygen. bOn bexamination,
c c c c c c c c c c c c c
bthe bchild bis bsnoring bwith bpoor bchest brise band bpoor bair bentry bbilaterally. bWhat
c c c c c c c c c c c c c c
baction bshould byou btake bnext?
c c c c c
Provide bbag bmask bventilation b- b bcorrect banswer- bAfter brectal badministration bof
c c c c c c c c c c c
bdiazepam, ban b8 byear bold bboy bwith ba bhistory bof bseizures bis bno bunresponsive bto
c c c c c c c c c c c c c c c
bpainful bstimuli. bHis brespirations bare bshallow, bat ba brate bof b10/min. bHis bOxygen
c c c c c c c c c c c c c
bsaturation bis b94% bon b2L bof bNC boxygen. bOn bexamination, bthe bchild bis bsnoring
c c c c c c c c c c c c c c
bwith bpoor bchest brise band bpoor bair bentry bbilaterally. bAfter brepositioning bthe
c c c c c c c c c c c c
bpatient band byou binsert ban bOral bairway, bthe bpatient bcontinues bto bdeteriorate.
c c c c c c c c c c c c
bWhat bnext bstep bis bthe bmost bappropriate?
c c c c c c c
, 15:2 b- b bcorrect banswer- bA b6 byear bold bchild bis bfound bunresponsive, bnot
c c c c c c c c c c c c c
bbreathing, band bwithout ba bpulse. bone bhealth bcare bworker bleaves bto bactivate bthe
c c c c c c c c c c c c c
bemergency bresponse bsystem band bget bthe bresuscitation bequipment. bYou band
c c c c c c c c c c
banother bhealthcare bprovider bimmediatly bbegin bCPR. bWhich bcompression bto
c c c c c c c c c
bventilation bratio bdo byou buse?
c c c c c
94%-99% b- b bcorrect banswer- bIn bpost bresuscitation bmanagement bafter bcardiac
c c c c c c c c c c
barrest, bextra bcare bshould bbe btaken bto bavoid brepercussion binjury. bwhat bshould
c c c c c c c c c c c c
bthe bideal boxygen bsaturation brange bmost blikely bbe?
c c c c c c c c
"resume bcompressions" b- b bcorrect banswer- bA b3 byear bold bchild bis bin bcardiac
c c c c c c c c c c c c c
barrest, band bhigh bquality bCPR bis bin bprogress. bYou bare bthe bteam bleader. bThe
c c c c c c c c c c c c c c
bfirst brhythm bcheck breveals bthe brhythm bshown bhere. bDefibrillation bis battempted
c c c c c c c c c c c
bwith ba bshock bdose bof b2 bJ/kg. bafter badministration bof bthe bshock, bwhat bshould
c c c c c c c c c c c c c c
byou bsay bto byou bteam bmembers?
c c c c c c
2-4 bJ/kg b- b bcorrect banswer- bA b4 byear bold bchild bin bcardiac barrest bis bbrought bto
c c c c c c c c c c c c c c c c
bthe bemergency bdepartment bby bambulance. bHigh bquality bCPR bis bbeing
c c c c c c c c c c
bperformed. bThe bcardiac bmonitor bdisplays bthe brhythm bstrip bshown bhere. bThe
c c c c c c c c c c c
bestimated bweight bof bthe bchild bis b20 bkg. bWhat bdose brange bshould byou buse bfor
c c c c c c c c c c c c c c c
bthe binitial bdefibrillation?
c c c
40 bJoules b- b bcorrect banswer- bA b4 byear bold bchild bin bcardiac barrest bis bbrought bto
c c c c c c c c c c c c c c c c
bthe bemergency bdepartment bby bambulance. bHigh bquality bCPR bis bbeing
c c c c c c c c c c
bperformed. bThe bcardiac bmonitor bdisplays bthe brhythm bstrip bshown bhere. bThe
c c c c c c c c c c c
bestimated bweight bof bthe bchild bis b20 bkg. bAs bthe bteam bleader, bhow bmany bjoules
c c c c c c c c c c c c c c c
bdo byou btell byour bteam bmember bto buse bto bperform binitial bDefib?
c c c c c c c c c c c c
Allowing bcomplete bchest bwall brecoil bafter beach bcompression b- b bcorrect banswer-
c c c c c c c c c c c
bYou bare bthe bteam bleader bduring ba bpediatric bresuscitation battempt. bwhich baction
c c c c c c c c c c c c
bis ban belement bof bhigh bquality bCPR?
c c c c c c c
blood bpressure b- b bcorrect banswer- bYou bare bcaring bfor ba b3 bmonth bold bboy bwith ba
c c c c c c c c c c c c c c c c
b2 bday bhistory bof bfever, bvomiting band bdiarrhea. bHis bparents bstate bthat bhe bhas
c c c c c c c c c c c c c c
bbeen bsleeping bmuch bmore. bHis bHR bis b190/min, btemp bis b38.3 bdegrees bC b(101
c c c c c c c c c c c c c c
bF) bblood bpressure bis b59/29 bmmHg, bResp brate bis b70/min band bshallow, band
c c c c c c c c c c c c c
boxygen bsat bis b94% bon b100% boxygen. bHis bcapillary brefills btime bis b4-5 bseconds,
c c c c c c c c c c c c c c
band bhe bhas bmottled, bcool bextremities. bThe binfant bweighs b6 bKg. bWhich
c c c c c c c c c c c c
bassessment bfinding bindicates bthat bthe binfant bis bin bhypotensive bshock?
c c c c c c c c c c
hypovolemic bshock b- b bcorrect banswer- bYou bare bcaring bfor ba b3 bmonth bold bboy c c c c c c c c c c c c c c
bwith ba b2 bday bhistory bof bfever, bvomiting band bdiarrhea. bHis bparents bstate bthat bhe
c c c c c c c c c c c c c c c
bhas bbeen bsleeping bmuch bmore. bHis bHR bis b190/min, btemp bis b38.3 bdegrees bC
c c c c c c c c c c c c c c
b(101 bF) bblood bpressure bis b59/29 bmmHg, bResp brate bis b70/min band bshallow, band
c c c c c c c c c c c c c c
boxygen bsat bis b94% bon b100% boxygen. bHis bcapillary brefills btime bis b4-5 bseconds,
c c c c c c c c c c c c c c
band bhe bhas bmottled, bcool bextremities. bThe binfant bweighs b6 bKg. bOn bthe bbasis bof
c c c c c c c c c c c c c c c
bthis binfants bpresentation, bwhich btype bof bshock bdoes bthis binfant bhave?
c c c c c c c c c c c
20 bml/kg bnormal bsaline b- b bcorrect banswer- bYou bare bcaring bfor ba b3 bmonth bold
c c c c c c c c c c c c c c c
bboy bwith ba b2 bday bhistory bof bfever, bvomiting band bdiarrhea. bHis bparents bstate
c c c c c c c c c c c c c c