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72 Cards in this Set

  • Front
  • Back
each breath given during CPR should take how long?
1 second
For what rhythms are shocks used?
venticular fibrillation and ventricular tachycardia
What is depth of compressions for infants and children?
one-third to one-half the depth of the chest
definition of "Child" for BLS
1 year to onset of puberty
when do you phone first, when do you start CPR first?
Phone first if witnessed sudden collapse of adult or child; CPR first for 2 minutes if infant or child with unwitnessed arrest or adult with a likely respiratory arrest
What is the difference for victims wth advanced airways?
no cycles of compressions/breaths; compressions are continuous and breaths are every 6-8 seconds
What is the rate of rescue breathing without chest compressions in an adult?
1 breath every 5-6 seconds
What is the rate of breaths for rescue breathing without chest compressions for children?
1 breath every 3 to 5 seconds
What is the rate of breaths for rescue breathing without chest compressions in infants?
1 breath every 3-5 seconds
What is the compression: ventilation ratio for 1 rescuer CPR for victims of all ages?
30:2
What is the compression to ventilation ratio for 2 rescuer CPR for adults?
30:2
What is the compression to ventilation ratio for 2 rescuer CPR for infants and children?
15:2
When are chest compressions recomended in children and infants?
HR < 60 with signs of poor perfusion
where are compressions given for infants?
just below nipple line, over lower half of breastbone
What is the compression rate for adults?
100 / min
What is the compression rate for children?
100 / min
what is the compression rate for infants?
100 / min
Where is pulse checked in adult?
carotid
Where is pulse checked in child?
carotid
Where is pulse checked in infant?
brachial
What is the compression depth for adults?
1 1/2 - 2 inches
What is the compression depth for children?
1/3 to 1/2 the depth of the chest
What is the compression depth for infants?
1/3 to 1/2 the depth of the chest
Do you check a pulse right after a shock?
no
How many shocks are delivered by AED?
one!!!
For what ages are AEDs approved?
above 1 year
When do you use an AED?
no response; no breathing; no pulse
2 exceptions to the phone first rule for lone healthcare providers
(1) adult likely victim of asphyxial arrest (e.g. drowning) (2) unwitnessed arrest in child out of hospital
choking: do we use tongue jaw lift maneuver?
no, just open mouth wide and look for object
do we use abdominal thrusts if victim unresponsive?
no. deliver 2 breaths then cycles of 30 compressions to 2 breaths
characterize severe airway obstruction
poor air exchange, weak cough, high pitched noise on inhalation, cyanosis inabiity to speak, etc..
do we use abdominal thrusts if severe obstruction and responsive?
yes, for child and adult. use back slaps and chest thrusts in infant.
Adult victim is found unresponsive
1. activate emergency response system, 2. get an AED, 3. open airway and check for breathing. 4. Give 2 breaths if not breathing or gasping.
if breath does not make chest rise
open airway again before giving second breath
after giving 2 breaths, what?
check for pulse
How long can you spend checking for a pulse?
5-10 seconds
if you feel a pulse
continue rescue breathing at rate of 1 breath every 5-6 seconds
if victim starts to breath
roll victim into recovery position and monitor
When chest compressions are necessary, how often do you change chest compressors?
every 2 min, when you check for pulse
scenario 1 Q: You are working at your desk when you hear the receptionist call for help. You enter the waiting room to find a 63-year-old man slumped in a chair. You would first
check for a response (gently tap the victim and ask “are you all right?”).
Q: The victim does not answer or respond in any way. You would next
A: activate the emergency response system and send for the AED (you can send someone to do these things).
Q: You lower the victim carefully to the floor. The next thing you should do is
A: open his airway using the head tilt—chin lift technique
Q: After opening the victim's airway, your next step would be to
A: check for adequate breathing.
Q: The victim is not breathing adequately. You should
A: provide 2 breaths (1 second each) using a mask with 1-way valve.
Q: You are able to give breaths that produced visible chest rise. Your next step is to
A: check for a carotid pulse.
Q: The victim has a pulse, but is still not breathing adequately. You continue providing rescue breaths. Another healthcare provider arrives, bringing a bag-mask device. To provide 2-rescuer bag-mask ventilations you position yourself at the victim’s head and use the "E-C clamp" technique to maintain simultaneous mask seal, chin lift, and head tilt while your partner squeezes the bag. You give breaths at a rate of
A: once every 5-6 seconds (rate of 10-12/min).
Q: The victim has a pulse but is not breathing adequately. You should
A: begin rescue breathing, giving a breath every 5 to 6 seconds, each breath lasting 1 second. Provide enough volume to make the chest rise.
Use child pads on an AED for what ages?
1 to 8
Where are the electrodes placed
1) right side of chest directly below collarbone
2) to left of nipple, a few inches below left arm pit
When do you "clear" patient?
during analysis and again before the shock
After the AED gives a shock, what do you do next?
resume CPR beginning with chest compressions
Can you use the AED if the chest is wet?
quickly wipe the chest first
What if patient has a medication patch on?
remove patch before attachin AED pads
what if the chest is hairy
press on the pads. If that doesn't help, rip off the pads which will remove the hair. put new pads on.
What if patient has a defibrillator or pacemaker?
place pad at least 1 inch from device
What if the implanted device shocks the patient?
allow 30-60 seconds for the implanted defibrillator to complete its cycle before using the AED to shock
choking: in cases of mild obstruction
instruct victim to cough to clear obstruction
what do you do for a victim with severe airway obstruction who is responsive?
Abdominal thrusts (the Heimlich maneuver)
How many abdominal thrusts do you give?
repeat until object expelled or victim unresponsive
If choking victim becomes unresponsive,
activate emergency system and get AED
unresponsive choking victim: continue cycles of compressions and breaths until
you remove object and are able to give breaths that cause the chest to rise
when do you check for a pulse in the unresponsive choking victim?
after you have been able to deliver two adequate breaths
Q: When you examine a child, you find her unresponsive. You send your assistant to activate the emergency response system and get the AED while you
use the head tilt—chin lift technique to open her airway and check for breathing for at least 5 seconds and no more than 10 seconds.
The child is not breathing. Your next step is to
give 2 breaths using a mask with 1-way valve.
Your next step is to
check for a pulse.
Q: The child has a pulse with a rate of 90/minute but is not breathing. You begin rescue breathing at a rate of 1 breath every
A: 3 to 5 seconds.
Q: The volume provided with each breath should be
A: enough to cause visible chest rise.
Q: Each rescue breath should be delivered over a period of
A: 1 second.
characterize mild obstruction in choking
able to speak and cough forcefully
treatment of mild obstruction
encourage coughing
choking child with severe obstruction--how long do you do Heimlich?
until obstruction relieved or child becomes unresponsive
Child choking becomes unresponsive, now what?
Send someone to activate emergency response system and get the AED, while you remain with the child. If no one is present, you will remain with the child and activate the system after about 2 minutes of rescue support