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What is the correct order of steps in the In-Hospital Chain of Survival for adults? -
1) Early recognition and prevention
2) Activation of emergency response
3) High-quality CPR
4) Defibrillation
5) Post-cardiac arrest care
6) Recovery
Scene Safety - make sure the scene is safe for you and the victim
how to check for responsiveness - -tap the victim's shoulders and shout
"are you ok?"
-if the victim is not responsive, active the emergency response system via mobile
device
-get the AED or send someone to do so
how to assess for breathing and a pulse - -assess at the same time; should
take no more than 10 seconds
-to check for breathing, scan the victim's chest for rise and fall for no more than
10 seconds
,--if the victim is not breathing or only gasping, be prepared to begin high-quality
CPR
-to perform a pulse check on an adult, feel for a carotid pulse
how to find and feel for the carotid pulse - 1) locate the trachea (on the
side closest to you), using 2 or 3 fingers
2) slide those fingers into the groove between the trachea and muscles at the side
of the neck, where you can feel the carotid pulse
3) feel for a pulse for at least 5 but no more than 10 seconds; if you do not
definitely feel a pulse, begin CPR, starting with chest compressions.
critical components of chest compressions in adults - -place the victim on a
firm, flat surface, such as a floor or backboard
-rate: 100-120/min
-depth: at least 2 inches (5 cm)
-chest recoil: allow complete recoil
-minimizing interruptions: limit interruptions to less than 10 seconds
what does a chest compression feedback device monitor? - -compression
depth
-chest recoil
-compression rate
how to open the airway for breaths - 1. Place one hand on the victim's
forehead, and push with your palm to tilt the head back
, 2. Place fingers of the other hand under the bony part of the lower jaw, near the
chin
3. Lift the jaw to bring the chin forward.
when using a pocket mask, where should the rescuer be positioned? - at
the side of the victim
bag-mask device - -provides positive-pressure ventilation to a victim who is
not breathing normally
-consists of a bag attached to a face mask
-if the bag is self-inflating, it provides about 21% oxygen from air when not
connected to supplemental oxygen
-may include a 1-way valve
After positioning yourself directly above the victim's head, what is the correct
order of steps for using a bag-mask device? - 1) Place the mask on the
victim's face, using the bridge of the nose as a guide for the correct position
2) Use the E-C clamp technique to hold the mask in place while you lift the jaw to
hold the airway open
3) Squeeze the bag to give breaths (1 second each) while watching for chest rise
how to use a bag-mask device - -Position yourself directly above the
victim's head
1. place the mask on the victim's face, using the bridge of the nose as a guide for
correct position.
2. Use the E-C clamp technique
-Perform a head tilt.