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You find an unresponsive pt. who is not Start chest compressions of at least 100 per min.
breathing. After activating the emergency
response system, you determine there is no
pulse. What is your next action?
You are evaluating a 58 year old man Obtaining a 12 lead ECG.
with chest pain. The BP is 92/50 and a heart
rate of 92/min, non-labored respiratory rate Identification of Chest Discomfort Suggestive of Ischemia
is 14 breaths/min and the pulse O2 is 97%.
What assessment step is most important
now?
What is the preferred method of access for Peripheral IV
epi administration during cardiac arrest in
most pts?
An AED does not promptly analyze a rythm. Begin chest compressions.
What is your next step?
You have completed 2 min of CPR. The ECG Administer 1mg of epinepherine
monitor displays the lead below (PEA) and
the pt. has no pulse. You partner resumes
chest compressions and an IV is in place.
What management step is your next
priority?
During a pause in CPR, you see a narrow Resume compressions
complex rythm on the monitor. The pt. has
no pulse. What is the next action?
, What is acommon but sometimes fatal Prolonged interruptions in chest compressions.
mistake in cardiac arrest management?
Which action is a componant of high-quality Allowing complete chest recoil
chest comressions?
Which action increases the chance of Providing quality compressions immediately before
successful conversion of ventricular a defibrillation attempt.
fibrillation?
Which situation BEST describes PEA? Sinus rythm without a pulse
What is the best strategy for Provide continuous chest compressionswithout pauses and 10
perfoming high-quality CPR on a pt.with ventilations per minute.
an advanced airway in place?
3 min after witnessing a cardiac arrest, one Chest compressions may not be effective.
memeber of your team inserts an ET
tube while another performs continuous
chest comressions. During subsequent
bentilation, you notice the presence of a
wavefom on the capnogrophy screen and a
PETCO2 of 8 mm Hg. What is the
significance of this finding?
The use of quantitative capnography in Allowsfor monitoring CPR quality
intubated pt's does what?
For the past 25 min, EMS crews have Consider terminating resuscitive efforts after consulting
attempted resuscitation of a pt who medical control.
originally presented with V-FIB. After the 1st
shock, the ECG screen displayed
asystole which has persisted despite 2
doses of epi, a fluid bolus, and high
quality CPR. What is your next
treatment?
Which is a safe and effective practice within Be sure O2 is NOT blowing over the pt's chest during shock.
the defibrillation sequence?
During your assessment, your pt Begin chest compressions.
suddenly loses consciousness. After
calling for help and determining that the pt.
is not breathing, you are unsure whether the
pt. has a pulse. What is your next action?
What is an advantage of using hands-free Hands-free allows for more rapid d-fib.
d-fib pads instead of d-fib paddles?