BLS AHA

bag-mask device

A manual ventilation device that consists of a bag, mask, reservoir, and oxygen inlet; capable of delivering up to 100% oxygen.

Dispatch calls you to respond to a family home with a 6 year old child you were told that the child was found unresponsive in the backyard the scene is safe upon arrival and you enter with an AED The child is unresponsive after you tap his shoulders and shout are you OK he could be in cardiac arrest what is your next step: A. For 10 tip 15 seconds look for no breathing or only gasping while simultaneously checking for a carotid pulse B. for five to 10 seconds look for no breathing or only gasping while simultaneously checking for a carotid pulse C. for five to 10 second look for no breathing or only gasping while simultaneously checking for the brachial pulse D. for 10 to 15 seconds look for no breathing or only gasping while simultaneously checking the brachial pulse

B. for five to 10 seconds look for no breathing or only gasping while simultaneously checking for a carotid pulse

Dispatch calls you to respond to a family home with a 6 year old child you were told that the child was found unresponsive in the backyard the scene is safe upon arrival and you enter with an AED After checking for breathing and a pulse you verify that the child is not breathing normally but has a pulse his airway is obstructed how do you deliver rescue breaths a. one breath every five to six seconds about 10 to 12 breaths per minute b. two breaths every five to six seconds or about 20 to 24 breaths per minute c. one breath every two to three seconds or about 20 to 30 breaths per minute d. two breaths every two to three seconds or about 40 to 60 breaths per minute

c. one breath every two to three seconds or about 20 to 30 breaths per minute

after checking for pulse the patient is breathing abnormally but a pulse is present what is the ventilation rate?

1 breath every 6 seconds or 10 breaths per minute

You and your team have initiated compression and ventilation the AED was attached and no shock was advised your team has continued CPR for one minute. Respectfully, you tell Leslie that you want her and Justin to switch positions after the AED Leslie repeats back exactly what you said what is this an example of

closed loop communication

Prior to arriving on the scene you sign your crew to individual rules outlining which each member needs to do during the resuscitation attempt which team members are responsible for the following roles assessing the patient and provides compressions

compressor

You notice that your compressor is pushing to facts you deliver the correction kindly calmly and respectfully what is this an example of

constructive intervention

if the AED does not advise a shockable rhythm what should you do

continue CPR for 2 minutes until prompted by AED for a rhythm check, the ALS team arrives, or the patient starts to move.

A local daycare center calls the local emergency number about an unconscious infant you and your partner are a BLS unit and respond equipped with an AED when you arrive you verify the scene is safe and find the infant on the floor of the playroom The infant is unresponsive when you tap her foot and shout are you OK she could be in cardiac arrest what is your next step a. for 10 to 15 seconds look for no breathing or only gasping while simultaneously checking for the brachial pulse b. for 10 to 15 seconds look for no breathing or only gasping while simultaneously checking for the carotid pulse c. for five to 10 seconds look for no breathing or only gasping less simultaneously checking for the carotid pulse d. for five to 10 seconds look for no breathing or only gasping while simultaneously checking for the brachial pulse

d. for five to 10 seconds look for no breathing or only gasping while simultaneously checking for the brachial pulse

You check the infants pause every two minutes and detect that the heart rate is less than 60 per minute with signs of poor perfusion while your colleague begins CPR what action do you need to take a. provide rescue breaths every two to three seconds or about 20 to 30 breaths per minute b. continue to check the infants pulse every two minutes c. counter collies compressions out loud and deliver 2 breaths every 30 compressions d. power on the AED follow the prompts and use the child pads

d. power on the AED follow the prompts and use the child pads

what action should you take as a team during and after a resuscitation that helps team members perform better and brings awareness to their deficiencies

debriefing

while performing CPR when do pauses in compressions typically occur

defibrillation compressor switches pulse checks rhythm analysis intubation

To avoid fatigue when should roles be alternated during compression

every 5 cycles or 2 minutes

if you suspect an opioid associated life threatening emergency in a person who is unresponsive and not breathing normally but has a pulse you should

give one rescue breath every six seconds in an adult and one rescue breath every two to three seconds in a child or infant then if your protocol allows given Naloxone but don't delay breaths to give

mouth-to-mouth resuscitation

1. hold victims airway with a head tilt chin lift and pinch noes 2. take breath and seal lips around victims mouth give 1 breath for 1 second watch chest rise 3. give second breath

Scene Safety and Assessment

1. scene safety 2. check for responsiveness 3. activate ERS and get an AED 4. check for pulse

Children chest compression rate

100-120/ min

children chest compression depth and hand placement

2 in depth 2 or 1 Hand(S) on the lower half of the breast bone

resuscitation triangle roles

AED/monitor/defibulator compressor airway

Prior to arriving on the scene you sign your crew to individual rules outlining which each member needs to do during the resuscitation attempt which team members are responsible for the following roles provides ventilation

airway

Dispatch calls you to respond to a family home with a 6 year old child you were told that the child was found unresponsive in the backyard the scene is safe upon arrival and you enter with an AED You check the child's pulse after two minutes of providing rescue breaths and cannot feel a pulse you immediately begin CPR after performing CPR for two more minutes the child still does not have a pulse and you are still alone what is your next step a. Continue compressions b. Getting used an AED c. continue rescue breaths d. wait for advanced life support providers to enter

b. Getting used an AED

Dispatch calls you to respond to a family home with a 6 year old child you were told that the child was found unresponsive in the backyard the scene is safe upon arrival and you enter with an AED You are still performing CPR as a single rescuer the AED detects shockable rhythm and advises a shock after delivering one shock you immediately resume CPR and what ratio of compressions to breaths a. cycles of 30 compressions an one breath b. cycles of 30 compressions and 2 breaths c. cycles of 15 compressions an one breath d. cycles of 15 compressions and two breaths

b. cycles of 30 compressions and 2 breaths

The infant isn't breathing normally but has a pulse what do we need to do a. Provide CPR with cycles of 30/ 2 b. provide rescue breaths with one breath every two to three seconds c. provide rescue breaths with one breath every five to six seconds d. provide CPR with cycles of 15/2

b. provide rescue breaths with one breath every two to three seconds

Dispatch calls you to respond to a family home with a 6 year old child you were told that the child was found unresponsive in the backyard the scene is safe upon arrival and you enter with an AED After turning on the AED you follow the prompt you know how to use child pads for infants and for children younger than eight years but the pediatric pads are unavailable what should you do a. Resume chest compressions until pediatric pads become available b. use the adult pads c. wait for advanced life support providers to arrive d. turn off the aed

b. use the adult pads

after 4 minutes of rescue breathing no pulse is present what actions should be taken immediately

begin CPR and turn on AED

Dispatch calls you and your partner to respond to an unresponsive female at a local gym you were told that the person collapsed during their workout the scene is safe upon arrival and you enter with an AED you check for a response and do not receive one what is your next step after calling for help. a. turn on AED b. immediately begin CPR c. check for breathing and pulse d. wait for code team to arrive

c. check for breathing and pulse

The aed detects a shockable rhythm and advises a shock after delivering one shock you and your partner immediately resume CPR by using what ratio and which compressions technique a. complete cycles of 15 compressions and two breaths and use the two finger technique b. complete cycles of 30 compressions and two breaths and use the two finger technique c. complete cycles of 15 compressions and two breaths and use the two thumb encircling hands technique d. complete cycles of 30 compressions and two breaths and use two thumb encircling hands technique

c. complete cycles of 15 compressions and two breaths and use the two thumb encircling hands technique

assigning your team members to individual roles and outlining what each member needs to do during the resuscitation attempt is an example of what

clear roles and responsibilities

delivery routes of naloxone

intravenous intramuscular and intranasal

how can you achieve a high chest compression action

minimize pauses in chest compressions

Prior to arriving on the scene you sign your crew to individual rules outlining which each member needs to do during the resuscitation attempt which team members are responsible for the following roles operates the AED and alternates with the compressor after every five cycles or two minutes to avoid fatigue

monitor/ defibulator

Naloxone (Narcan)

opioid antagonist

A bag masked device is used to

provide positive pressure ventilation to a victim who is not breathing or breathing abnormally

which team role makes treatment decisions and assign roles

team leader

in opioid related emergencies if the patient does not have a pulse

you may give Naloxone after starting CPR