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BLS & ACLS Surveys

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.
Created by: drdunncmt