BLS & ACLS Surveys
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| What is done before conducting BLS Primary Survey? | 1. Check patient responsiveness. 2. Activate EMS. 3. Get an AED.
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| In BLS Survey, what does ABCD refer to? | Patients Assessment of: Airway, Breathing, Circulation, and Defibrillation need.
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| In Assessment of Airway, What do you want to know? | If the airway is open
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| In assessment of Breathing, What do you want to know? | If the patient is breathing and are respirations adequate.
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| In assessment of Circulation, What do you want to know? | If a pulse is present
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| 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
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| Interruptions in chest compressions should be limited to no longer than...What? | 10 seconds
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| Interruption exceptions during chest compressions are what interventions? | Defibrillation, Advanced Airway or Moving the patient from a dangerous environment.
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| 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.
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| In Airway assessment what ACTION is taken? | Opening of Airway: Head tilt-chin lift or jaw thrust without head extension.
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| 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).
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| 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.
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| In Defibrillation assessment what ACTION is taken? | Provide shocks as indicated. Follow each shock immediately with CPR, beginning with chest compressions.
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| What is the ACLS Secondary Survey's approach? (What 4 General assessments are done?) | Same as BLS. Assess ABCD
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| Airway Patency in ACLS refers to the the use of what? | Adjuncts: NPA/OPA
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| Advanced Airway Management refers to what action or intervention? | Intubation
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| 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).
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| In Breathing assessment of ACLS Secondary What do you give to Patient. (hint-It is a necessity for life). | Supplementary Oxygen
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| 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.
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| 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.
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| 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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drdunncmt
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