Nyc-Remac Vs Bcls Defibrillation Guidelines

Front 1

AHA BCLS:

If there is no movement or response from an adult patient, the next step is...

Back 1

activate emergency response system and get AED.

Front 2

NYC REMAC:
In arrests not witnessed by EMS...

Back 2

perform 2 mins of CPR prior to defibrillator use.

Front 3

AHA BCLS:

True or False:
Perform two full minutes of CPR in an unwitnessed adult arrest prior to defibrillator use.

Back 3

False:
BCLS guidelines call for immediate defibrillation as soon as the defibrillator arrives UNLESS you are on an EMS crew with an response time greater than 4-5 minutes.

Front 4

NYC REMAC:

True or False:
Perform two full minutes of CPR in an unwitnessed arrest prior to defibrillator use.

Back 4

True.
NYC REMAC calls for two full minutes of CPR prior to defibrillation in arrests not witnessed by the EMS crew, because of an average response time of over 5 minutes.

Front 5

You are taking an BCLS exam. When do you defibrillate an adult victim of cardiac arrest who was found unresponsive.

Back 5

As soon as the defibrillator arrives.

Front 6

You are taking an NYC REMAC exam. When do you defibrillate an adult victim of cardiac arrest who was found unresponsive?

Back 6

After two full minutes of CPR.

Front 7

AHA BCLS:

For all adult victims of cardiac arrest, you would perform defibrillation...

Back 7

as soon as possible
(unless you are EMS with 4-5 min response time).

Front 8

AHA BCLS:

For the lone rescuer with a pediatric patient who collapses suddenly, what is the first course of action?

Back 8

Leave the child to call 911 and get AED.

Front 9

For the lone rescuer with a pediatric patient who is unresponsive, what is the first course of action?

Back 9

Perform five cycles of CPR before leaving the child to activate the emergency response system.

Front 10

NYC REMAC:

For the adult patient found by EMS in cardiac arrest...

Back 10

perform two full minutes of CPR prior to defibrillator use.

Front 11

AHA BCLS

For the adult patient found in cardiac arrest...

Back 11

leave the patient or send a second rescuer to call 911 and get the defibrillator.

Front 12

What is the rationale for the difference between EMS and healthcare facility protocols with respect to immediate defibrillation versus immediate CPR?

Back 12

When EMS arrives more than 4-5 minutes after dispatch (normal in NYC), a brief period of CPR before defib improves survival rates.

On scene healthcare providers and bystanders can offer immediate defibrillation, because there is less chance of extended hypoxia.

Front 13

Two Rescuer - BCLS:

You find a child who has no movement or response. What is the first thing you would do?

Back 13

Send someone to call 911 and get AED. Perform 2 minutes of CPR prior to defibrillator use.

Front 14

BCLS - one rescuer.

A child suddenly collapses and becomes unresponsive. What is the first thing you should do?

Back 14

Leave the child, call 911, get AED.

Front 15

BCLS

You have just begun performing CPR on a child you found unresponsive, and the defibrillator arrives. What should you do?

Back 15

Continue CPR for a full two minutes before defibrillating.

Front 16

BCLS

You have just begun performing CPR on a child who suddenly collapsed in front of you, and the defibrillator arrives. What should you do?

Back 16

Stop CPR. Attach AED and defibrillate immediately.

Front 17

NYC REMAC:

For an unwitnessed adult in V-fib, what should you do first?

Back 17

two minutes of CPR
then defibrillate

Front 18

NYC REMAC:

For an unwitnessed child in V-fib, what should you do first?

Back 18

immediately defibrillate

Front 19

What is the difference between BCLS and REMAC in the handling of an unwitnessed child in V-fib?

Back 19

BCLS
If the collapse wasn't sudden, you would perform 2 minutes of CPR before even checking the rhythm. If it was a sudden collapse, you would get AED and defib immediately.

REMAC
Defibrillate any child found to be in Vfib immediately.

Front 20

What is the difference, in BCLS versus REMAC, between the handing of an adult, unwitnessed arrest?

Back 20

BCLS:
Help, AED, and shock immediately.

REMAC:
Two minutes of CPR before defibrillation.

Front 21

BCLS:

In pediatric cases, in which case is it appropriate to perform CPR for two full minutes prior to defibrillation?

Back 21

In the case of any child in cardiac arrest who did not suddenly collapse.

Front 22

BCLS:

In pediatric cases, in which case is it appropriate defibrillate immediately?

Back 22

In the case of sudden collapse.

Front 23

BCLS:

In pediatric cases, what factor determines whether you should perform two full minutes of CPR or run for the AED immediately?

Back 23

The deciding factor is
sudden collapse

Front 24

NYC REMAC

In adult cases, what factor determines whether you should perform two full minutes of CPR or defibrillate immediately?

Back 24

The deciding factor is
EMS witnessed arrest

Front 25

In both REMAC and BCLS, name the times when two minutes of CPR is recommended prior to defibrillation.

Back 25

REMAC:
Unwitnessed adult arrest

BCLS:
Non-sudden child arrest

Front 26

BCLS:

You have found an adult unresponsive. What is the first thing you should do?

Back 26

Shout for help. If alone, immediately leave the patient, activate the emergency response system, get AED.