ACLS

An adult patient in respiratory arrest with a pulse is ventilated via bag valve mask:

10 to 12 times per minute (RATIONALE - When there is no advanced airway in place, ventilations should be given 10 to 12 times per minute. This translates to one ventilation every 5 to 6 seconds.)

During cardiopulmonary resuscitation, deliver oxygen at:

100% (RATIONALE - CPR is performed during cardiac arrest and 100% oxygen should be administered during cardiac arrest.)

At what heart rate does tachycardia usually become symptomatic

150 bpm

9-What is the correct dose for Procainamide?

20-50 mg/min

-The ratio of compressions to breaths in adults is:

30:2

Which of the following is the correct initial dose of adenosine for the treatment of supraventricular tachycardia?

6 mg IV

Narrow-complex supraventricular tachycardia is best treated with:

Adenosine

Q:2-Why is proper size important when using an OPA or NPA?

All of the above

The effectiveness of CPR can be estimated by:

All of the above (Arterial diastolic blood pressure, Quantitative waveform capnography, Central venous oxygen saturation.) (RATIONALE - All of these measures can inform providers about the quality of CPR. The quantitative waveform capnography goal is at least 10 mm Hg during CPR. Arterial diastolic blood pressure should be at least 20 mm Hg during CPR. Central venous oxygen saturation as measured by a Swan-Ganz catheter or equivalent should be at least 30%.)

10-A male patient experiences crushing chest pain. You respond and are performing initial care. What drug should you consider giving in all Acute Coronary Syndrome (ACS) patients?

Aspirin

Chest compressions for an adult are performed:

At a rate between 100 and 120 compressions per minute

The leader in team resuscitation must:

Be able to perform all the skills if needed

-You respond to a patient in distress and find an unresponsive male lying on the floor gasping for air. What step should you take next?

Check pulse

The correct sequence for basic life support is:

Compressions, Airway, Breathing

Which of the following signs is NOT part of the Cincinnati Prehospital Stroke Scale?

Confusion or disorientation

5-You are treating a cardiac arrest patient. The AED is having problems analyzing the rhythm. Which of the following is the correct response?

Continue chest compressions

Q:4-Asystole is a common rhythm and should be treated with all the following EXCEPT:

Defibrillation

Pulseless electrical activity is treated with _______?

Epinephrine (RATIONALE - Epinephrine is the standard treatment for PEA. Unsynchronized cardioversion is not recommended because PEA is not considered a "shockable" rhythm.)

6-All Acute Coronary Syndrome (ACS) patients benefit from supplemental oxygen, and a nasal cannula should be used.

False

Pulse checks should be done for at least 10 seconds.

False

Q:3-You respond to a swimming pool where a person is floating facedown and is unresponsive. Which action do you perform first?

High-Quality CPR

The most common reversible causes of PEA are called the "H's and T's" and include all of the following EXCEPT:

Hypocalcemia (RATIONALE - Hypocalcemia is not a common cause of PEA, nor is it part of the H's and T's mnemonic.)

Hypotension following cardiac arrest is NOT treated with:

IV calcium infusion (RATIONALE - Fluid resuscitation and/or "pressors" like epinephrine and dopamine are used to maintain blood pressure after cardiac arrest. Hypocalcemia, if present, can be treated separately but this is not a standard treatment for hypotension.)

Recommended ED door to balloon inflation time for a STEMI patient is:

No longer than 90 minutes

-You are the paramedic on an ambulance transporting a 65-year-old female. The patient is connected to the monitor and you see this rhythm; she has a palpable pulse. What is the rhythm?

Sinus bradycardia (RATIONALE - There is a P wave at an appropriate length of time before a normal QRS complex during each heartbeat. The only apparent anomaly is that the rate is very slow.)

7-Your co-worker is acting strange. Which of the following suggests the possibility of a stroke?

Slurred speech Dizziness Arm weakness All of the above

An EMT discovers STEMI on a 12-lead ECG in the ambulance. The best option is to:

Take the patient to a hospital capable of providing PCI, 15 minutes away

The initial recommended dosage of atropine for symptomatic bradycardia is 0.5 mg IV.

True

Q:8-Which of the following are treated with synchronized shocks?

Unstable atrial fibrillation

The goal for initiation of fibrinolytic therapy in appropriate stroke patients is:

Within 1 hour of arrival to the ED