Advanced Life Support Paramedic Analysis

Advanced Life Support (ALS) is required at a number of horrendous events that can have a disorderly atmosphere, Advanced Care Paramedics (ACP) are called to these events as it is in their scope of practice as a paramedic. High pressure events and heated moments can cause a paramedic to forget how he is required to address the situation and scene. The primary survey is a guideline and contains 6 letters in the form a pneumonic, DRABCD. The primary survey is used in basic life support (BLS) as well as ALS, and each letter is a different aspect of the survey, Danger, Response, Airway, Breathing, Circulation and Defibrillation. In the situation of a cardiac arrest which this is Circulation will replace priority over airway as performing early Compressions …show more content…
Once the defibrillator is hooked up to the patient the secondary will make sure no one is touching the patient and press analyse on the defibrillator. Once the defibrillator has analysed the patient it will then show an ECG rhythm and suggest if the patient is to be shocked or not according to the rhythm. As the patient is unconscious, is not breathing and has no pulse it is suitable to shock the patient, before delivering a shock to the patient there are precautions that must be taken beforehand. As a paramedic you must ensure that before shocking the patient is in a nonconductive environment, a non-explosive environment, no contact environment and no movement. While the defibrillator is charging up to shock the patient it is important that whichever paramedic is not working the defibrillator they will continue CPR on the patient until the defibrillator is charged. Once again before shocking make sure there is no one touching the patient, when shocking the paramedic must always watch the patient the entirety of the time while shocking as you must always make sure that there is no contact with the patient. After shocking the patient, the paramedics must check the patient’s pulse to see if the shock from the defibrillator to the heart restarted the patient’s pulse. If there continues to be no response from the patient, then the paramedics must continue CPR until the patient regains a pulse or until CCP backup arrives. During CPR the paramedic performing compressions must be accurate in providing good positioning while performing and ensure he is at 100 beats per minute and going one-third depth of the patient’s chest. The paramedic handling the BVM must ensure that the face mask is secure on the patients face and