Adult BLS
That's Shocking
Rhythm ID
PEA& Adult Arrest Care
100
Compression-to-ventilation ratio used by a lone healthcare rescuer for an adult with no advanced airway.
What is 30:2?
100
What is the recommend defibrillation energy sequence for the Zoll R series biphasic device.
1st shock 120J, 2nd shock 150J, 3rd and subsequent shocks at 200J
100
Name this rhythm with no pulse
What is Pulseless Electrical Activity (PEA)?
200
You should switch compressors while doing Adult CPR how often?
What is every 2 minutes or sooner if fatigued.
200
What is the recommended 1st energy selection for an adult who is unstable in regular narrow-complex tachycardia with a pulse needing a synchronized cardioversion?
What is 100J
200
You have delivered the 2nd shock at 150J. What is your next action?
What is Resume CPR, starting with compression.
200
First-line rhythm management for PEA in adult arrest.
High-quality CPR, IV/IO access, as soon as possible administer Epinephrine 1mg IVP every 3-5 minutes, identify and treat reversible causes, and intubation if indicated.
300
An adult is unresponsive, not breathing normally, and has a pulse. What BLS support is indicated?
Give 1 breath every 6 seconds (10/min), activate the response system, reassess pulse around every 2 minutes, give naloxone if opiod overdose is suspected.
300
What are the immediate actions after a shock for VF/pVT?
Resume CPR immediately, starting with compressions, continue for 2 minutes before rhythm/pulse reassessment.
300
Name this rhythm with a pulse.
What is Sinus Bradycardia.
300
Name any 4 "H" reversible causes to consider
Hypovolemia, hypoxia, hydrogen ion (acidosis, Hypo-/hypokalemia, hypothermia
400
What is the adult compression rate and depth target?
100-120/min and at least 2 in (5cm)
400
You see this rhythm on the monitor. Identify this rhythm that has no pulse. CPR is started. What is your next action?
Pulseless Ventricular Tachycardia (pVT)
Immediately defibrillate (unsynchronized) starting with 120J.
400
Name any 4 "T" reversible causes to consider.
Tension pneumothorax, cardiac tamponade, toxins, pulmonary thrombosis, coronary thrombosis.
500
An unresponsive adult is gasping. What immediate actions begin the adult BLS response?
Active the emergency response system and call for an AED/defibrillator, check breathing and pulse for no more than 10 seconds, if no pulse, begin CPR starting with compressions.
500
Identify this rhythm and the initial treatment. BP 120/70, RR 22, HR 220, Sat 96% on RA, No complaints pain.
Narrow Complex Tachycardia (NCT) Rhythm is regular.
Patient is stable. Attempt Vagal Maneuvers, then administer 1st dose- Adenosine 6mg rapid IVP. Administer a 2nd dose- at 12mg rapid IVP if needed.
500
What are the 3 ways to check placement of an ET Tube after intubation while doing CPR?
5 Point Auscultation, Wave form capnography, Color metric CO2 detector.