The Cardiac Chain of Survival describes six actions that, when performed in rapid succession,
increase the patient's likelihood of surviving sudden cardiac arrest. Place the links of the In-
Hospital Adult Cardiac Chain of Survival in the correct order. 1. Surveillance and prevention
2. Recognition of cardiac emergency and activation of emergency response system
3. Early high-quality CPR
4. Early defibrillation
5. Integrated post-cardiac arrest care
6. Recovery
The team leader assigns roles, supports the team, monitors the delivery of CPR and makes
adjustments in real time. The team members deliver expert care within their assigned roles,
assist others as needed (as long as they can maintain their own assigned responsibilities) and
communicate effectively with the team leader and each other. True or false? True
You arrive with an AED and prepare to apply the pads while the BLS team continues to provide
CPR. You apply the pads using the anterior/lateral pad placement. Patient's upper right
chest, below the right clavicle to the right of the sternum
Patient's lower left chest along the midaxillary line, a few inches below the left armpit
An adult patient suffers cardiac arrest in bed and requires CPR. When compressing the patient's
chest, which technique promotes high-quality CPR? Place one hand on top of the other and
interlace your fingers or hold them up so that they are not resting on the patient's chest.
,Adjust the bed or use a secure step or stool so you are at an appropriate working height.
Position yourself so your shoulders are directly over your hands.
Place down a CPR board or activate the system in the bed to ensure a firm CPR surface.
You are evaluating the quality of CPR provided by the BLS team. Which methods could you use
for this evaluation? Visual observation
Capnography
Feedback device
Chest compression fraction
You are providing care for an adult patient in respiratory arrest. Which actions demonstrate
appropriate care? Deliver 1 ventilation every 6 seconds.
Continue to check breathing and pulse every 2 minutes. If pulse becomes absent, start CPR
You and another provider are delivering ventilations with a bag-valve-mask (BVM) resuscitator
to an adult patient in cardiac arrest. Which of the following statements are correct? 1. Bag-
valve-mask (BVM) ventilations should be performed as a two-person technique to provide a
better seal and ventilation volume.
2.Ensure that the chest begins to rise.
, 3.Seal the mask and open the airway by lifting the jaw into the mask.
4. Hold the mask in place with the E-C hand position.
You are working with a BLS team performing CPR on a 62-year-old female patient. Which
actions demonstrate high-quality CPR? 1. Allow for full chest recoil after each compression.
2. Deliver smooth ventilations that last about 1 second each and make the chest begin to rise.
3. Compress the chest at a rate of 100 to 120 per minute.
You and another provider have recognized that an adult patient is in cardiac arrest. An
advanced airway is not in place. Which actions demonstrate appropriate care? 1. Use a
compression-to-ventilation ratio of 30:2.
2. Begin CPR immediately after identifying cardiac arrest.
You demonstrate high-quality CPR by keeping interruptions in CPR to less than _____ seconds.
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You are working as part of a high-performance BLS team. Which roles would you and the other
providers most likely fill? 1. AED operator
2. Compressor
3. Team leader
4. Airway manager/ventilator