ACLS (practical application)
What is the maximum interval for pausing chest compressions?
10 secs.
How often should you switch chest compressions to avoid fatigue?
About every 2 mins.
You are providing bag mask ventilation to a pt. in respiratory arrest. How often should you provide ventilators?
About every 5-6 sec
How does complete chest recoil contribute to effective CPR?
Allows maximum blood return to the heart
You are the code team leader and arrive to find a patient with CPR in progress. On the next rhythm check you see the Rhythm shown here team members tell you that the patient was well but reported chest discomfort and then collapse. She has no pulse or respirations. Bag mask ventilation are producing visible chest rise and IO access has been established. Which intervention would be your next action?
Epinephrine 1 milligram
A patient has been resuscitated from cardiac arrest. During post rosc treatment the patient becomes unresponsive with the Rhythm shown here. Which action is indicated next?
Give an immediate unsynchronized high energy shock (defibrillation dose)
After initiation of CPR and one shock for ventricular fibrillation this rhythm is present on the next rhythm check. A second shock is given and chest compressions are resumed immediately. An IV is in place and no drugs have been given. A bag mask ventilation are producing visible chest rise. What is your next intervention?
Give epinephrine 1 milligram IV / IO
A patient's 12-lead ECG is transmitted by the paramedics and shows a stemi when the patient arrives in the emergency department the Rhythm shown here is seen on the cardiac monitor. the patient has resolution of moderate 5/10 chest pain after 3 doses of sublingual nitroglycerin. blood pressure is 104 / 70. Which intervention is most important in reducing this patients in hospital and 30-day mortality rate?
Reperfusion therapy
Which action should you take immediately after providing an AED shock?
Resume chest compressions
What action minimizes the risk of air entering the victim's stomach during bag mask ventilation?
Ventilating until you see chest rise
What is the recommend compressions rate fir high quality CPR?
100-120 compressions per minute
What is the recommended depth of chest compression fir an adult victim?
2 inches
A 45yr old woman with a history of palpitations develops light-headedness and palpitations. She had received adenosine 6mg IV for the rhythm shown here, without cardioversion of the rhythm. She is now extremely apprehensive. Her BP is 128/70. What is the next intervention? (Strip shows re-entry SVT)
Administer 12 mg adenosine IV
Your patient is a 56 YO woman with a history of type 2 diabetes who reports feeling dizzy. She is pale and diaphoretic. Her BP 80/60. The cardiac monitor shows sinus bradycardia. She is receiving O2 @4L/min via nasal cannula. An IV has been established. What do you administer next?
Atropine 0.5mg IV
You arrive on the scene to find CPR in progress. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapse. Two shocks have been delivered and an IV has been established. What do you administer now?
Epinephrine 1mg IV
A patient was in refractory ventricular fibrillation. A third shock had just been administered. Your team looks to you for instructions. What is your next action?
Resume high quality chest compressions
A patient becomes unresponsive. You are uncertain if a faint pulse is present. The Rhythm shown here is seen on the cardiac monitor monitor. An IV is in place. Which action do you take next?
Start high-quality CPR
Your patient is not responsive and is not breathing. You can palpate the Carotid pulse. Which action do you take next?
Start rescue breathing
A 35 year-old woman presents with the chief complaint of palpitations. She has no chest discomfort shortness of breath or light-headedness. Her blood pressure is 120 / 78. Which intervention is indicated first?
Vagal maneuvers
Which action is likely to cause air to enter the victim's stomach during bag-mask ventilation?
Ventilating too quickly