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18 Cards in this Set
- Front
- Back
Step 1)
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BSI!
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Step 2)
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Manually open airway
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Step 3)
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Insert simple adjunct
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Step 4)
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Ventilate patient at rate of 10-12 per minute with visible chest rise and fall
(critical fail if you don't begin ventilations in 30 seconds, critical fail if you don't ventilate at at least 10 per minute, critical fail if no chest rise and fall) (examiner will notify you once ventilation is being performed without difficulty) |
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Step 5)
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(after examiner notifies you that ventilation is being performed without difficulty)
Attach oxygen to reservoir to bag-valve-mask device and connect to high-flow oxygen to regulator (critical fail if you fail to provide high flow/concentration of oxygen) (examiner will now direct you to insert a non-visualized airway) |
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Step 6)
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Direct assistant to pre-oxygenate patient at rate of 10-20 per minute (or once every 3-6 seconds)
(critical fail if missed) |
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Step 7)
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Check/prepare airway device
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Step 8)
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Lubricate distal tip of device
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Step 9)
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Position head properly
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Step 10)
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Perform tongue-jaw lift
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Step 11)
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Insert device in accordance with manufacturer's instructions
(critical fail if missed three times in a row) |
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Step 12)
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Adequately inflate cuffs and remove syringes
(critical fail if missed) |
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Step 13)
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Attach or direct attachment of BVM to the device and ventilate
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Step 14)
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Confirm placement and ventilation by observing chest rise, auscultation over epigastrium, and bilaterally over each lung
(critical fail if any components are missed) Adjust device as necessary to ensure adequate chest rise and AVOID gastric ventilations! |
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Step 15)
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Secure device or confirm that device remains properly secured
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What are the critical fails?
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1) Failure to initiate ventilations within 30 seconds, or any interruption in ventilations over 30 seconds
2) Failure to voice and provide high concentration oxygen 3) Failure to ventilate at a rate of at least 10 per minute 4) Failure to produce visible chest rise and fall 5) Failure to pre-oxygenate at 10-20 breaths per minute before insertion of non-visualized airway device 6) Failure to insert device properly within 3 attempts 7) Failure to inflate cuffs properly (remember to REMOVE the syringes or the cuffs will deflate) 8) Failure to confirm ventilations by observing chest rise, auscultating over epigastrium and bilaterally over each lung 9) Inserting adjunct in dangerous manner |
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Can you list all fifteen steps in a row?
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1) BSI!
2) Open airway manually 3) Insert simple adjunct 4) ventilate at 10-12 breaths/minute (examiner says that ventilation is being performed without difficulty) 5) Attach or direct attachment of BVM to adjunct and connect to oxygen at 100 percent, 15 lpm (examiner tells you to insert non-visualized airway) 6) Direct assistant to pre-oxygenate patient at 10-20 breaths per minute 7) Check/prepare device 8) Lubricate distal tip of device 9) Position head properly 10) Perform tongue-jaw lift 11) Insert device 12) Inflate cuffs, remove syringes 13) Attach/direct attachment of BVM to device and ventilate 14) Confirm chest rise, auscultate over epigastrium and each lung 15) Secure device or confirm device is properly secure |
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Good job!
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No... great job!
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