BLS
Depth of compressions on an adult
At least 2 inches
During cardiac arrest managment, what is the rate of ventilations with an advanced airway in place?
Once every 6 seconds // 10/min
A stroke that occurs when blood flow to the brain is interrupted by a clot is known as?
Ischemic stroke
Contraindications for nitro (name 2)
Severe bradycardia // tachycardia // hypotension // phosphodiesterase inhibitors within the last 24-48 hours
How often should chest compressors switch?
Every 2 min, 5 cycles
Rate of compressions during high quality CPR
100 to 120 per minute
Excessive ventilation can cause? (Name 2)
Gastric inflation // increase intrathoracic pressure // decrease in venous return to heart // lower cardiac output
=lower chance of survival
Explain the BEFAST stroke assessment.
Balance, Eyes, Facial droop, Arm drift, Speech changes, Time
What is the reccomended dose of Aspririn to a pt treated for ACS?
162-325mg
Explain how to properly size an NPA.
Measure from the tip of the nose to the earlobe.
For a pt in cardiac arrest, when should a defibrillator be used?
As it becomes available
What do you do immediately after defribrillating a pt in vfib?
Resume CPR, compressions
Pt should be given supplementary oxygen when SPO2 is less than ___%?
94%
Name the 4 steps of the ACS algorithm. (At least 3)
Recognize warning signs of cardiac ischemia // assessment, care and hospital preparation // repurfusion goals // treatment
DAILY DOUBLE
name 3 phosphodiesterase inhibitors
PDE5 - sildenafil*, tadalafil, vardenafil, avanafil
PDE4 - roflumilast, apremilast, ibudilast
PDE3 - cilostazol, milrinone*
NONSPECIFIC- theophylline, aminophylline, methlxanthine
Approx Tidal Volume should be ____-____ ml, enough to see chest rise fall
500-600 ml
What medication and dose is recommended for a pt in refractory vfib?
Amiodarone 300mg
Contraindications of fibrinolytic therapy, (list 4)
Brain hemorrhage // prior stroke // abnomal blood vessels in brain // recent bleeding // recent surgery or accidents // hx of clotting problems // hx of diabetes or heart attack
From first medical contact to baloon inflation (Percutaneous Cornoary Intervention) goal is ____ minutes?
Less than 90 minutes
Pt is experiencing palpitations, follows commands with the following VS, BP 122/70, HR 187, ECG shows SVT. What are the treatments steps in order?
Vagal maneuvers // Adenosine, 6mg, 12mg, 12mg // synchronized cardioversion
CCF (Chest Compression Fraction) should be greater than ____ %, ideally greater than ____%
60%, 80%
Within 10 minutes of arriving at ED, pts with STEMI should receive the following: (name 3)
Check VS // obtain medical Hx // review of fibrinolytic checklist // obtain blood studies // obtain portable x-ray
Upon arrival of stroke ot to ED, pt should receive CT scan within ____min; and should have scan evaluated within ____min of arrival
20min // 45 min
A coronary repurfusion - capable medical center is the appropriate EMS destination for which patients in cardiac arrest?
ROSC patients
8 D's of stroke care, name 5
Detection of symptoms, Dispatch, Delivery, Door, Data, Decision, Drug/device, Disposition