CPR/BLS
ACS/Stroke
AED/CPR
Algorhythms
ACLS Miscellaneous
100
Correct sequence replacing ABC- Airway, Breathing, Cirulation
What is CAB- Circulation, Airway, Breathing.
100
The most important test to evaluate Chest Pain. (Epigastric pain can mimic Chest pain) Also, the first test to order on a patient that says his heart is racing but has no other symptoms.
What is an EKG
100
Your action if an activated AED does not promptly analyze the rhythm. Also, what you do if your patient loses consciousness, you've called for help, and he has no pulse
What is begin chest compressions
100
The medicine most commonlly given in PEA
What is 1 mg Epinephrine
100
The minimum systolic BP goal post cardiac arrest with utilizing 1 to 2 liter NS fluid boluses, vasopressors, or inotropic agents.
What is SBP 90 mm/hg
200
Fatal mistake staff make performing CPR
What is Prolonged interruptions lasting greater than 10 seconds. Minimze interuptions by continuing compressions during the charge of the defibrillator and immediatley resume compressions after the shock without a pulse check. Also to prevent burns make sure oxygen is not blowing across the patient's chest during defibrillation
200
The most common rhythm people are found in in sudden cardiac arrest
What is V-Fib. Rapid high quality CPR, rapid defibrillation, and therapeutic hypothermia are the only interventions that have proven to improve a patients chances for discharge neurologically intact
200
This increases the chances of successful conversion in Ventricular Fibrillation
What is providing high quality compressions immediately before a defibrillation attempt. Also, using hands free pads allow for a more rapid defibrillation than paddles.
200
While reassessing a patient during a pause during CPR you see a NSR on the monitor but feel no pulse. You should immediately
What is resume compressions
200
The nonarrest normal range for ETCO2, Continuous Waveform Capnography, Qualitative Capnography, PETCO2
What is 35 to 40 mm/hg. Also, ETCO2 is used to monitor CPR quality. (>10 mm/hg during CPR)
300
The components of high quality CPR
What is 2 inch depth compressions, allowing chest recoil, at a rate of 100 per minute, ETCO2 greater that 10 mm/hg, and diastolic BP greater than 20 mm/hg, and switching providers every 2 minutes or every 5 compression cycles
300
What you should do if you are receiving report from EMS regarding a patient that may be having an acute stroke and your hospital's CT scanner is down.
What is divert EMS to another facility 15 minutes away capable of doing an emergent CT scan of the head
300
An indication to stop or withhold resuscitative efforts
What is evidence of Rigor Mortis. Also, consider terminating resuscitative efforts in a patient that remains in asystole despite 25 minutes of resuscitaion attempts.
300
The first treatment priority for a patient that achieves ROSC (return of spontaneous circulation)
What is optimize ventilation and oxygenation
300
Conditions that contradicate the use of Theraputic Hypothermia
What is Responding to verbal commands, terminal condition, no bystander CPR, or prolonged hypotension immediately post arrest
400
Components of advanced airway management during CPR
What is 10 breaths per minute without pauses for compressions. (8-10 breaths per minute)
400
The most appropriate action for an EMT to perform on a patient with sudden onset right arm weakness with stable vital signs
What is the Cincinnati Prehospital Stroke Scale assessment
400
The intervention priority on an apneic patient with declining vital signs
What is simple airway maneuvers and assisted ventilation at 1 breath every 5 to 6 seconds
400
First intervention priority once you determine a patient is unstable related to a tachycardia of any type.
What is Synchronzed cardioversion
400
Potential danger caused by using ET tube securement ties that wrap circumferentially around the patients neck
What is Obstruction of venous return from the brain
500
The most reliable method of confirming and monitoring correct placement of an ET tube
What is continous waveform capnography
500
The most appropriate test to do on a patient that has a positive prehospital stroke assessment, stable vital signs, and a normal blood glucose level
What is a CT of the head
500
Priamary purpose of a medical emergency team (MET)
What is identify and treat early clinical deterioration. a MET team is the same as our rapid response team.
500
The first intervention for a patient that is cool, clammy, and dizzy with a BP of 68/30 showing a slow HR on the monitor
What is Atropine 0.5 mg IV. For a patient that is not responding to atropine a dopamine drip at 2 to 10 mcg/kg per minute would be an appropiate intervention
500
The appropriate procedure for endotrachial tube suctioning once the appropriate catheter is selected
What is suction during withdrawal for no longer than 10 seconds
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