2008 Nyc Remac - Pediatric Code

Front 1

You begin BLS and CPR for a pediatric non-traumatic cardiac arrest, and the monitor shows V-fib. What are your next two step?

Back 1

(1) defibrillate at 2J/KG
(2) resume CPR

Front 2

You have just defibrillated a pediatric patient in V-fib for the very first time. What is your next step?

Back 2

perform 5 cyles of CPR while defibrillator charges at 4J/KG

Front 3

You have just performed 5 cycles of CPR following the initial defibrillation on a child found in V-fib. You perform a rhythm check, and you now have PEA. What are your next two steps?

Back 3

(1) intubate
(2) give ET epi

Front 4

You have just performed 5 cycles of CPR following the initial defibrillation on a child found in VF. You perform a rhythm check, and you are still showing VF. What are your next two steps?

Back 4

(1) defibrillate at 4J/KG
(2) resume CPR

Front 5

You have just defibrillated a pediatric patient in V-fib for the second time. What is your next step?

Back 5

perform 5 cyles of CPR while defibrillator charges at 4J/KG

Front 6

You have just performed 5 cycles of CPR following the initial defibrillation on a child found in V-fib. You perform a rhythm check, and you now have asystole. What are your next two steps?

Back 6

(1) intubate
(2) give ET epi

Front 7

You have just performed 5 cycles of CPR following the initial defibrillation on a child found in VF. You perform a rhythm check, and you now showing pulseless VT. What are your next two steps?

Back 7

(1) defibrillate at 4J/KG
(2) resume CPR

Front 8

You begin BLS and CPR for a pediatric non-traumatic cardiac arrest, and the monitor shows PEA. What are your next two step?

Back 8

(1) intubate
(2) give ET epi

Front 9

You've just intubated a child in cardiac arrest and have gone enroute to the hospital. You notice there is some abdominal distention building. What should you do next?

Back 9

Pass a nasogastric tube.
If unsuccessful, pass an orogastric tube.

Front 10

You were unable to intubate a pediatric you found in asystole, but you are adequately ventillation with BVM and OPA, and there are no signs of distention. What should you do next?

Back 10

Attempt IV/IO.

Front 11

You have just established an IV/IO on a non-intubated pediatric you found in PEA. What should you do next?

Back 11

Administer IV/IO epi.
Repeat every 5 mins.

Front 12

You have just established an IV/IO on an intubated pediatric you found in PEA. What should you do next?

Back 12

Repeat epi via IV/IO
every 5 mins.

Front 13

You have just established an IV/IO on an non-intubated pediatric you found in V-fib. What are the next four steps?

Back 13

(1) Defibrillate at 4J/KG
(2) Resume CPR
(3) IV/IO Amiodarone
(4) IV/IO Epi every 5

Front 14

You have just established an IV/IO on an intubated pediatric you found in V-fib. What are the next four steps?

Back 14

(1) Defibrillate at 4J/KG
(2) Resume CPR
(3) IV/IO Amiodarone
(4) IV/IO Epi every 5

Front 15

You've just defibrillated an intubated pediatric with IV/IO for the third time, and CPR is in progress. What are the next two steps.

Back 15

(1) IV/IO Amiodarone
(2) IV/IO Epi every 5

Front 16

You just failed an IV/IO attempt twice on an intubated pediatric in PEA. CPR is in progress. What should you do next?

Back 16

Repeat ET epi every 5 mins.
Call medical control.

Front 17

You've just shocked a for a third time and resumed CPR on an intubated pediatric VF after two failed IV/IO attempts. What should you do next?

Back 17

Repeat ET epi every 5 mins.
Call medical control.

Front 18

What are your medical control options for pediatric non-traumatic arrest?

Back 18

Repeat
Naloxone
Dextrose
Bicarb
Magnesium
Fluid

Front 19

You have a pediatric PEA on your hands, and you suspect hypovolemia. Name the most appropriate medical control option.

Back 19

Fluid

Front 20

You have a pediatric VF on your hands that is undulating like Torsades. Name the most appropriate medical control option.

Back 20

Magnesium

Front 21

You have a pediatric PEA on your hands, and there is an empty bottle of prescription pain killers nearby. Name the most appropriate medical control option.

Back 21

Naloxone

Front 22

You have a pediatric PEA on your hands with a history of type I diabetes. Name the most appropriate medical control option.

Back 22

Dextrose

Front 23

You have a pediatric PEA on your hands with an extended down time. Name the most appropriate medical control option.

Back 23

Bicarb

Front 24

You have a pediatric PEA on your hands in refractory VF. Name the most appropriate medical control option.

Back 24

Repeat standing orders for Amiodarone or additional defibrillation attempts.

Front 25

What is the total number of times you defibrillate a pediatric VF under standing orders?

Back 25

3

Front 26

Monitor is attached and showing VF. Recite the standing order sequence in 13 steps.

Back 26

Shock, Pump, Shock, Pump. Tube em, Truck em. ET now in. Shock, Pump and end.

(1) Shock
(2) Pump
(3) Shock
(4) Pump
(5) Tube
(6) Transport
(7) ET epi
(8) NG/OG
(9) IV/IO
(10) Shock
(11) Pump
(12) Amio
(13) Epi

Front 27

Monitor is attached and showing VF. Recite the standing order sequence in 13 steps.

Back 27

Pump, Tube Em, Truck Em, ET now in. End.

(1) Pump
(2) Tube
(3) Transport
(4) ET epi
(5) NG/OG
(6) IV/IO
(7) Epi

Front 28

You've just intubated a pediatric VF. What should you do next?

Back 28

Begin transport.

Front 29

You've just intubated a pediatric PEA. What should you do next?

Back 29

Begin transport.