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(EMR)BLS Field Guide

QuestionAnswer
CPR Chest Compressions Adult Hand Position: Compression Depth: One Responder Cycle: Two-Responder Cycle: Hand Position: Two hands on sternum Compression Depth: 5cm(2in) One Responder Cycle: 30 compressions : 2 ventilations Two-Responder Cycle: 30 compressions : 2 ventilations
CPR Chest Compressions Child Hand Position: Compression Depth: One Responder Cycle: Two-Responder Cycle: Hand Position: One or two hands on sternum Compression Depth: 1/3 of the chest depth One Responder Cycle: 30 compressions : 2 ventilations Two-Responder Cycle: 15 compressions : 2 ventilations
CPR Chest Compressions Infant Hand Position: Compression Depth: One Responder Cycle: Two-Responder Cycle: Hand Position: Two fingers on sternum (Just below nipple line or encircling method) Compression Depth: 1/3 of the chest depth One Responder Cycle: 30 compressions : 2 ventilations Two-Responder Cycle: 15 compressions : 2 ventilations
CPR Chest Compressions Neonate Hand Position: Compression Depth: One Responder Cycle: Two-Responder Cycle: Hand Position: Two fingers on sternum (Just below nipple line or encircling method) Compression Depth: 1/3 of the chest depth One Responder Cycle: 3 compressions : 1 ventilation Two-Responder Cycle: 3 compressions : 1 ventilation
Regardless of Age and number of responders, what is the compression rate for CPR? 100–120 per minute
How often should responders switch doing CPR to avoid fatigue? Every two minutes. (About 5 cycles)
Where do you give back blows and how many do you give? Inbetween shoulder blades and 5 firm blows.
What does FBAO stand for? Foreign Body Airway Obstruction
Common causes of anatomical airway obstructions? Tongue and swollen tissues of mouth and throat
Where do you position your fist when giving abdominal thrusts and how many do you give? Just above the navel and well below the lower tip of the sternum. 5 quick upward thrusts.
Where do you position your fist when giving chest thrusts and how many do you give? Thumb side against the sternum and 5 quick thrusts.
When doing CPR on a patient with an airway obstruction. What does it mean if their chest starts to rise when you give a ventilation? The obstruction is now clear.
What should you place behind an unconscious infant's shoulders when inserting an OPA? Padding to maintain a neutral position and avoid hyperextending the neck
What is stridor? A high pitched sound when breathing due to a partially obstructed airway.
Mild Hypoxia SPO2 and Treatment? 91-94%, Nasal canula or standard O2 mask.
Moderate Hypoxia SPO2 and Treatment? 86-90%, non-rebreather mask or BVM with O2 Reservoir
Severe Hypoxia SPO2 and Treatment? 85% or lower, non-rebreather mask or BVM with O2 Reservoir
LPM for Nasal Cannula? Function? 1-4 LPM, Breathing patients only.
LPM for Resuscitation Mask? Function? 6+ LPM, Breathing and non-breathing patients.
LPM for Standard Mask? Function? 6-10 LPM, Breathing patients only.
LPM for Non-Rebreather Mask? Function? 10+ LPM, Breathing patients only.
LPM for BVM? Function? 15 LPM, Breathing and non-breathing patients.
Six rights of medication? 1. Right person? 2. Right medication? 3. Right dosage? 4. Right time? 5. Right route? 6. Right documentation?
How long should you check for possibly absent vitals if the person is hypothermic? 60 seconds.
What is the role of a team leader in high performance CPR? To coordinate actions of first responders, record patient information and communicate with other incoming personnel.
What counts as ROSC? (Return of spontaneous circulation) * Purposeful movement * Spontaneous respirations * Detection of a pulse * Capnopgrahy (sharp rise in reading +35mmHg)
What if someone has ROSC, but inadequate breathing? Continue with ventilations every 5-6 seconds. Optimize SpO2 above 94%.
Adult Normal Breathing Rate 12-20 breaths/min
Child Normal Breathing Rate 16-24 breaths/min
Infant Normal Breathing Rate 30-53 breaths/min
What is the oxygen concentration for normal rescue breathing? 16%
What is the oxygen concentration for Resuscitation mask with and without O2 reservoir? 16%, 50% with reservoir
What is the oxygen concentration for BVM with and without O2 reservoir? 21%, 100% w. reservoir
In high performance CPR, what does responder A do and what does responder B do in step 1? Responder A starts CPR and responder B sets up defibrillator and requests additional resources if needed.
Which responder checks quality of compressions in HP CPR? Responder B.
How does responder A and B switch after five cycles of CPR? After responder A completes the last ventilation, responder B moves beside the patient and starts compressions while Responder A moves to the head.
How long do you hold an EPI pen for after injecting? 10 seconds.
How long must you wait before giving a second dose of epinephrine? 5 minutes.
Signs and symptoms of opioid overdose? Decreased LOR, constricted pupils or rolled back eyes, limp muscles, slow or absent pulse or respiration, low SPo2, cold and pale or blue skin.
What should you do while the AED is charging? Chest compressions
Where do you put a towel on a pregnant women when doing CPR? Right hip
What are three elements of high performance team communication? Closed-loop communication, designated roles, mutual respect
How often should you give ventilation for an adult? Every 5-6 seconds
How often should you give ventilation for a child? Every 3-5 seconds
When are assisted ventilations indicated? Respiratory arrest and irregular breathing rates(Less than 10 breaths per minute or higher than 30 a minute )
What is static CPR? Doing CPR in one place
What is dynamic CPR? Doing CPR on the move
What are obvious signs of death that coincide with no pulse and no breathing. Rigor mortis, dependent lividity, putrefaction, evidence of a non-survivable injury such as decapitation dismemberment or being burned beyond recognition.
What is the chest compression fraction? The percentage of time that compressions are being performed during CPR
Created by: Levelstorm3950
 

 



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