| ?,s |
Answers |
| What is done before conducting BLS Primary Survey? |
1. Check patient responsiveness. 2. Activate EMS. 3. Get an AED. |
| In BLS Survey, what does ABCD refer to? |
Patients Assessment of: Airway, Breathing, Circulation, and Defibrillation need. |
| In Assessment of Airway, What do you want to know? |
If the airway is open |
| In assessment of Breathing, What do you want to know? |
If the patient is breathing and are respirations adequate. |
| In assessment of Circulation, What do you want to know? |
If a pulse is present |
| In assessment of Difibrillation, What do you want to know? |
If no pulse, check for shockable rhythm with a manual defibrillator or use an AED |
| Interruptions in chest compressions should be limited to no longer than...What? |
10 seconds |
| Interruption exceptions during chest compressions are what interventions? |
Defibrillation, Advanced Airway or Moving the patient from a dangerous environment. |
| In Minimizing interruptions what are some things that should be avoided? |
Prolonged rhythm analysis, Frequent or inappropriate pulse checks, Taking too long to give breaths to the patient, Unnecessarily moving the patient. |
| In Airway assessment what ACTION is taken? |
Opening of Airway: Head tilt-chin lift or jaw thrust without head extension. |
| In Breathing assessment what ACTION is taken? |
Look, Listen, & Feel for adequate breathing. Give 2 rescue breaths. Give each breath over 1 sec. Each breath should make the chest rise. Do not ventilate too fast (rate) or too much (volume). |
| In Circulation assessment what ACTION is taken? |
Check carotid pulse for at least 5 sec. but no longer than 10 sec. Perform high-quality CPR until an AED arrives. |
| In Defibrillation assessment what ACTION is taken? |
Provide shocks as indicated. Follow each shock immediately with CPR, beginning with chest compressions. |
| What is the ACLS Secondary Survey's approach? (What 4 General assessments are done?) |
Same as BLS. Assess ABCD |
| Airway Patency in ACLS refers to the the use of what? |
Adjuncts: NPA/OPA |
| Advanced Airway Management refers to what action or intervention? |
Intubation |
| give example(s) of what type or device is used to establish an advanced airway: |
Endotracheal intubation, Combitube, LMA. (King Tube not yet recognized in ACLS Guidelines, but used in SC county). |
| In Breathing assessment of ACLS Secondary What do you give to Patient. (hint-It is a necessity for life). |
Supplementary Oxygen |
| If Bag-mask ventilations are adequate would you still perform placement of an advanced airway? When do you? |
If adequate, insertion of an advanced airway may be deferred until the patient fails to respond to intial CPR & Defibrillation or until spontaneous circulation returns. This is because you want to avoid unnecessary interruptions in chest compressions. |
| If advanced airway device is used, what 4 things should always be done? |
1. Confirm proper integration of CPR & ventilation. 2. Confirm proper placement. 3. Secure to prevent dislodgement. 4. Continue exhaled CO2 measurement. |
| How can you confirm proper placement of an Advanced Airway device? (list at least 2 ways). |
Physical Examination (Chest Rise & Lung & Bowel sounds), Measurement of exhaled CO2, Use of esophageal detector device. |
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