CPR
With an adult in apparent opioid overdose, how often can the dose of Narcan you have given the patient be repeated?
Every 2 to 3 minutes as needed.
Extra credit: What problems does Narcan assist with. ** Breathing... It works by binding to opioid receptors in the brain, effectively displacing and blocking the opioids that are causing respiratory depression and loss of consciousness. It is not effective with other drugs (benzo / cocaine...etc).
What do you call the method of unblocking an airway for a FBAO on a responsive infant?
You use five back blows / five chest thrusts.
You have an infant or child in sudden cardiac arrest but your AED has no pediatric pads or pediatric setting...what do you do?
Use the adult pads - chest (front) back (back)
What is the compression and ventilation ratio for 2 person CPR for an infant? child?
15:2
Extra credit: When switching roles of compressions and ventilations......what is maximum goal for time used for switching....Less than 10 seconds
If someone directly asks you to perform a specific action and you respond with a repeat of that action request....That is called?
Closed loop communication - Repeat/confirmation of a requested task.
*The sender may confirm or correct the message.
What is the first link in the chain of survival for an adult? Infant/child?
Adult: Recognize you have an emergency, call 911
Infant / child: Prevention
After giving chest compressions to help move an object that is obstructing the airway...what is your next step?
Look in the airway to see if the object is visible.
Extra: If you think your patient could have a neck injury, what technique do you use?
Trauma airway maneuver or modified jaw thrust
You have a patient that seems to be moving and breathing....what do we do now.
Stop CPR and do a pulse/breathing check.
Extra Credit: Keep monitoring that patient since pulse and breathing can change. Hand over to ALS when they arrive with proper hand off.
Name the links in the Chain of Survival for an adult
Early recognition - Early 911 / Early CPR / Early AED / Early advanced care / continual post care / recovery
Can you treat a patient with an AED if they have a hairy chest? Have been submerged in water? Have a pacemaker? All you have is adult pads?
Yes......remove the hair where the pads will be placed......wipe down the chest to make it dry and be sure to move him to a dry area....don't place the pads right over the pacemaker...adult pads can be used on all age groups
What refers to using available resources to assist in finding solutions to difficult situations?
Problem solving.
You have an adult patient with an obstructed airway, what action do you perform to unblock the airway.
Perform 5 back blows and 5 abdominal thrusts.
What does a shock from the AED do?
Helps restore a regular rhythm by stopping the heart so it can reboot.
Extra: Where do we check the pulse on an adult to see if a shock has worked? the carotid or femoral artery
What is ROSC?
Return of Spontaneous Circulation.
It is restoration of a palpable pulse and effective blood flow to the body following cardiac arrest.
EXTRA: when checking a status of a patient to see if they are becoming responsive where would you check a pulse? Carotid and/or Femoral (strongest pulses)
You are handing your patient over to the hospital. Who should give them the patient status and provided care?
Team leader for that call.
You have a patient with a tube (IGEL) in place. What changes need to take place regarding compressions and ventilations?
Since the tube is providing oxygen to the patient directly in their lungs, change to 1 ventilation every 6 seconds with continuous compressions.
You are alone and an infant that you have been treating for choking goes unresponsive, what do you do next?
Do chest compressions.
You noticed there is a task that has been missed and not assigned. What do you do?
Tell the team leader and assist them in finding the missed task.
You have a late term pregnant female that goes into cardiac arrest...what do you do?
Perform high quality CPR...may also require a left uterine displacement.
EXTRA: Left Uterine Displacement (LUD) is a technique used in pregnant patients—especially later in pregnancy—where the uterus is gently moved or tilted toward the mother’s left side.
You have a patient you have assessed with no pulse no breathing. To assist the patient you do chest compressions and breathing. What is the term when you make a clear decision based on your findings and what comes next?
Critical thinking=> information and action.
When do you start providing high quality CPR?
As soon as you have recognized the patient is in SCA. (sudden cardiac arrest)****immediately
After you look in the mouth and you can see the object, you sweep to get it out. What do you do next if the object is not visible?
Whether the object is visible or not, the next step is to try to give effective breaths to see if the airway is clear.
What do you do to check a patient that is showing signs of ROSC?
Check their carotid or femoral artery. We would use these because they are the strongest arteries.
What is the most efficient method to provide ventilations with a BVM if other rescuers are available.
Two person technique: One rescuer seals the mask using two handed method and other rescuer gives ventilations watching for chest rise.
When you have determined the scene is safe, and you notice that your patient is on their side, unresponsive and you do not see any excessive bleeding......what is your next best action...
Check for responsiveness-be sure they are responsive or unresponsive before determining next steps.