PALS - Team Response Scenario: Theo James

During analysis, the providers will switch roles and transition to multiple-provider CPR. When Ana-Lisa takes over chest compressions, which compression-to-ventilation ratio should the team use?

15:2

Next, Amy must simultaneously check for breathing and a pulse. Choose the recommended location to perform the pulse check.

Amy should simultaneously check for breathing and a carotid pulse for at least 5 seconds but no more than 10.

When applying the AED pads, Ana-Lisa used an anterior/posterior placement. When should providers use this placement method for a child?

For a child, you may use an anterior/posterior placement if the pads risk touching each other or the manufacturer recommends doing so. In this case, Ana-Lisa used the anterior/posterior pad placement according to the manufacturer's recommendation.

After determining that Theo is unresponsive, Amy must open the airway using the head-tilt/chin-lift technique and simultaneously check for breathing and a pulse. To accurately assess Theo's breathing, she should open the airway to a ________ position.

Slightly past-neutral

Based on her rapid assessment findings, Amy recognized that Theo was in cardiac arrest and initiated CPR. If Theo were unresponsive and not breathing normally but had a pulse of ≤ 60 bpm with signs of poor perfusion, which action would Amy take?

Tell Joe to get help and an AED. Begin CPR. Continue compressions and ventilations. Check the pulse and breathing about every 2 minutes.

After Ana-Lisa took over compressions, Joe and Amy worked together to operate the BVM. Joe maintained an open airway and sealed the mask with both hands in the E-C position, while Amy delivered ventilations. This is the recommended technique for operating the BVM when enough providers are available. True or false?

True

If Theo were a smaller child or toddler, Amy could use a one-hand technique to perform high-quality chest compressions. True or false?

True

When performing single-provider CPR on Theo, Amy was correct to use a compression-to-ventilation ratio of 30:2. True or false?

True - When performing single-provider CPR on a child, the compression/ventilation ratio is 30:2.

Amy performed high-quality chest compressions on Theo. What is the correct chest compression depth for a child?

Amy compressed the chest about 2 inches (5 cm) or one-third the anterior-posterior diameter of the chest.

The team continued to provide high-quality CPR until the resuscitation team arrived and relieved them. In which situations would the team stop performing CPR?

If the team saw signs of return of spontaneous circulation (ROSC), such as spontaneous movement or normal breathing, they would stop performing CPR on Theo. Remember, you should continue CPR until: Other trained providers arrive and relieve you. You see signs of return of spontaneous circulation (ROSC), such as spontaneous movement or normal breathing. You are presented with a valid do not resuscitate (DNR) order. You are too exhausted to continue. The situation becomes unsafe.