Lifeguard

Because you cannot clearly see injuries inside the body, internal bleeding can be difficult to detect. Which of the following would make you suspect the possibility of internal bleeding?

A person who received a forceful blow to the chest or the abdomen.

The proper hand position for one rescuer chest compression on a 3-month-old infant is?

A: 2 fingertips, just below the nipple line.

When providing CPR on a child or infant?

A: Incher the child or infant has an open airway and provide effective rescue breaths along with chest compressions.

You have been performing CPR on a 9-year- old children for about four minutes. In AED has just arrived. You should?

A: attach the AED quickly and follow the voice prompts.

Air blown into the stomach while giving rescue breaths?

A: can limit long the movement, cause vomiting, and reduce the effectiveness of rescue breathing.

When providing rescue breaths using a bag-mask device, it is highly recommended to?

A: continue use of an oropharyngeal airway, to maintain an open anyway.

Well eating, a woman suddenly grabs her throat and cannot make any sound. You ask, "Are you choking"? She nods yes. You should?

A: deliver abdominal thrust.

You are attending to a patient who was unresponsive and his breathing normally. You are alone and need to activate EMS. You should've?

A: place the person in a recovery position and then activate EMS.

During CPR, you are opening the airway of a person who you suspect has had significant trauma to the head,neck, and back. You should?

A: place your palms and thumbs on both sides of a CPR mask, hook your fingers underneath the angles of the jaw, and displace the jaw with your fingers, moving upward without lifting the head.

You are giving rescue breaths by yourself with a bag-mask device. You should?

A: position the mask on the patient's face using the thumb and index finger of one hand in a "C" shape.

You are alone with an adult patient who is choking. You are performing abdominal thrusts when the patient suddenly collapses. You should ?

A: telephone for help and then perform CPR.

You are treating someone who has sustained a significant blow to the head. He is awake but clearly confused and unable to understand you. A bloody fluid is flowing from one of his ears. What should you do?

Activate EMS immediately and manually stabilize the head with your hands.

When two or more providers are performing CPR on an infant, the compression to ventilation ratio and preferred chest compression method is?

B: 15:2 with two thumbs and the fingers encircling the chest.

The proper depth of chest compressions for an adult patient is?

B: at least 2 inches.

When giving rescue breaths, make sure to?

B: avoid excessive volume.

For proper chest compressions, a patient should be positioned?

B: face-up on a firm, flat surface.

You respond to a 51-year-old man found collapsed inside a closed garage. By standards have gragged him outside onto the lawn. He is unresponsive and does not appear to be breathing normally. You can clearly feel his carotid pulse. What is your next step?

B: give 10 to 12 rescue breaths per minute.

It's a hot day, and you are waiting to check out at the grocery store when the woman standing behind you in line suddenly collapse to the floor.. She is unresponsive and doesn't seem to be breathing. You should?

B: have someone activate EMS and get an AED, if one is unavailable, then check for a carotid pulse.

You are providing care to 23-year-old found unresponsive at a party. She is breathing normally and has a pulse. You should immediately?

B: place the patient in the recovery position.

During CPR, if a child's chest does not rise with the first rescue breath you need to?

B: reposition the airway and give a second rescue breath.

You and another provider are attending to a 17-year-old found unresponsive with occasional gasps. After checking for a pulse, you are not certain if a pulse is present or not. You should?

B: start CPR; 30:2 compressions to ventilations.

You are attending to an adult who has fallen off a ladder from the roof of a nearby house. She is unresponsive, does not appear to be breathing, and has no palpable carotid pluse. To open the airway to give rescue breaths during CPR you should?

B: use a jaw-thrust without head-tilt.

CPR is being performed on a child who was removed from a swimming pool. An AED arrives and is positioned near the child's head. The next step is to?

B: wipe his chest dry before attaching the pads.

You are caring for a person who has difficulty breathing. A bystander tells you she has asthma but does not have her medication with her. Her breathing is fast, weak, and taking significant effort. Her lips look bluish-purple and she appears exhausted. What should you prepare for?

Breathing failure

You are attending to 54-year-old man who collapsed suddenly and is unresponsive. It does not look like he is breathing normally and there is no pluse. There is no suspicion of trauma. You should?

C: Immediately provide CPR, activate EMS.

Well crawling around on the floor, and 11-month-old suddenly starts gagging and coughing forcefully. You should?

C: Watch closely and be ready to take action if the symptoms worsen.

A roofer was electrocuted when his aluminum ladder contacted and energized powerline. The scene has been made safe. An AED has been attached to the patient. The AED has analyzed the heart and a shock is advised. You should?

C: clear the patient and deliver the shock.

You are attending to an unresponsive 4-year-old child who is not breathing normally, but definitely has a carotid pulse. Using a CPR mask or bag-mask device, you should?

C: give 12 to 20 rescue breaths per minute.

You are attending to a neighbor who is unresponsive, not breathing, and pulse less. Your spouse has activated EMS while you begin CPR. You have just given your first set of compressions and are ready to give your initial rescue breaths using a CPR mask. You should?

C: inspect the mask to make sure the one-way valve is in place.

To "observe universal precautions" means?

C: managing all blood and other body substance as it they fart infectious.

You have determined a 47-year-old man is unresponsive. In order to assess for normal breathing, you should?

C: quickly look at the face and chest.

You find an 11-year-old child who is unresponsive, blue, and is not breathing normally. Her friend states that she collapsed and stop moving after playing the "pass out" choking game. You are the only trained provider. You need to?

C: send the friend to activate EMS and then AED, then check for a carotid pulse.

Standing in line at a local government facility, a middle-aged man suddenly collapses. The man is unresponsive and he occasionally gasps for breath. He looks dead. This condition is most likely caused by and treated with?

C: sudden cardiac arrest, CPR, defibrillation.

You are performing CPR on your uncle who collapsed at a family gathering where you are the only trained rescuer. What is the most a

C: use a CPR mask with a one-way valve.

A coworker thinks she may have accidentally swallowed something poisonous. She is responsive and looks worried but does not look or feel sick. What should you do?

Call the Poison Help line.

It is safe for you to help someone who has been injured by a cutting machine. She is responsive, so you introduce yourself and ask if you can help. She agrees and you assess she has no difficulty breathing. A quick scan for bleeding reveals a heavily bleeding wound on her left upper leg. What is your next action?

Control the bleeding for the injury on her leg.

You are the first aid provider on scene for a responsive person whose shirt sleeve caught fire while he was welding. The scene is safe and you have removed his burning shirt. He has a burn on his forearm about the size of your palm that has damaged the skin. What will be your initial treatment for the burn?

Cool a burn with cool or cold water as quickly as possible.

The proper depth of chest compressions in a 3-year-old child is at least

D: 1/3 the chest or about 2 inches

You are performing CPR on an adult man who has collapsed. EMS has been activated and another provider shows up with an AED. She turns on the device and the voice prompts begin. What is the next step?

D: Cut open or tear away the patients shirt to allow for the application of the deliberation pads to a bare chest.

You are attending to a child who is unresponsive but breathing normally. No trauma is suspected, and the scene is safe. You want to protect the child's open airway. You have extended the arm nearest to you up alongside the head, brought the other arm across his chest, and have the bag in his hand against his cheek. Your next step should be to?

D: Grasps the shoulders and hip and roll the child toward you.

You are attending to a child who is unresponsive and not breathing after being stuck by an automobile. To initially open the airway to give rescue breaths use the?

D: Jaw thrust without head-tilt.

Prompt defilbillation in sudden cardiac arrest is?

D: The most effective treatment for ventricular fibrillation.

What is the compression per minute rate for CPR (Or all ages)?

D: at least 100.

Two providers are performing CPR. To prevent fatigue and maintain the quality of chest compressions, they should?

D: change positions about every two minutes with compressions interrupted as little as possible.

The links in the "chain of survival" in adults are?

D: early recognization and activation of EMS, early CPR, early defibrillation, early advanced life-support, and integrated post-cardiac arrest care.

You are at the park with your dog, walking near a group of teenagers who are skateboarding along the park path. Suddenly, they start shouting for help. One of the teenagers is on the ground and not moving you should?

D: pause for a brief moment and look for obvious hazards.

You are part of a three person teach performing CPR. One rescuer is giving chest compressions. You are one of two people giving rescue breaths using bag-mask device. Your partner will hold and squeeze the bag. You should?

D: position the mask on the person's face, with your palms and thumbs on both sides of the mask.

The links in the "chain of survival" in children are?

D: prevention, early CPR, early activation of EMS, early pediatric advanced life support, and integrated post-cardiac arrest care.

What is NOT considered a part of a community-wide emergency medical services (EMS) system?

Emergency action plan for a workplace.

What tool can you use to help reduce the time it takes to get a person with a suspected stroke treated at a hospital?

FAST assessment

You approach an ill employee who works near the furnaces in the glass blowing shop. She is responsive but confused. Her skin is dry and very warm, almost hot to your touch. What care should you provide for her?

Get her to a cooler place and begin immediate cooling.

You have been called to assess a person who accidentally struck his head on a low-hanging steel beam. Witnesses tell you he was initially stunned and slow to respond, but seems much better now. He seems normal to you, but is still a bit confused about what happened. What should you do?

Have him seek evaluation by a healthcare provider or EMS personnel as soon as possible.

Your coworker who has been standing in place a long time while monitoring a production line tells you that he suddenly feels light-headed and warm. How should you respond?

Have him sit down in a cool area and drink some cold water.

A coworker of yours is complaining of not feeling well. He says he has a severe pressure and discomfort in his chest. His skin is pale, and he is sweating. He asks you not to make a fuss over him, but you know he has problems with his heart. What should you do?

Have someone activate EMS and get an AED, if one is available.

You are caring for a person who has fallen onto a concrete floor from a high ladder. He is responsive and has a small bruise on his forehead. What should you do?

Have someone activate EMS while you manually stabilize his head.

You are eating lunch in the cafeteria at work when another employee at a nearby table stands up suddenly and grasps his hands to his throat. You go to help and ask him if he is choking. How can you tell if the obstruction is severe and requires your help?

He cannot speak or make any sounds.

You are sitting outside with a coworker when he is stung by a bee. He becomes very anxious and tells you he is allergic to bee stings. Within minutes, his face and lips are swollen and his effort to breathe becomes more difficult. What should you do?

Help to find his prescribed epinephrine auto-injector and assist him in self-administering it.

You are caring for a person who has fallen and injured her forearm, which is lying at an unnatural angle. You cut away her shirt sleeve to reveal an open wound with exposed bone and minor bleeding. What should you do?

Immobilize the limb as found using padding to fill the gaps around and under the arm.

Why is angling the body and face towards the ground important when placing a person in the recovery position?

It helps keep fluids and the tongue clear from the airway.

You are caring for a person whose tooth has been accidentally knocked out. She has no other issues you are concerned about. Proper care for the knocked out tooth includes:

Keeping the tooth moist, in saliva.

You have responded as a first aid provider to a coworker who has accidentally cut himself on his forearm. He is responsive and safe to approach. He has his hand clamped down on the wound, but there is a pool of blood on the floor and blood is still dripping from beneath his hand. What approach will you take to control bleeding?

Pack a hemostatic dressing into the wound and apply direct pressure over the dressing.

Smoke is coming out of a utility room where you know a coworker has been working. What should you do?

Pause and assess for hazards before entering the room.

You are caring for a coworker with a nosebleed. What should you do to provide care?

Pinch the soft portion of the nose and have him tilt his head forward, chin down.

You respond to a report of a coworker collapsing in the lunch room. When you arrive she is lying on the floor not moving. Other employees are looking to you to take charge. You find her to be unresponsive so you direct others to activate EMS and get the company's AED. During your breathing assessment, you determine she is breathing normally. What is your next step?

Place her in the recovery position to protect her airway.

You are waiting for EMS to arrive while caring for a person with an altered mental status. If the person's level of responsiveness becomes severely diminished, what should you do?

Place him in a recovery position to maintain and protect the airway.

You have responded to an employee fall in the manufacturing plant where you work. Your assessment makes you suspect the responsive employee may have injured his back. He has fallen into an aisle way that sometimes has forklift traffic. How should you address that?

Place the person on a blanket and drag him to the side of the aisle.

What is the general underlying cause of shock?

Poor blood flow creates a shortage of oxygen to body tissues.

You are talking with a group of coworkers when one of them suddenly collapses to the ground. Her whole body is jerking and convulsing. What is your immediate care?

Protect her from further injury by moving away from her any objects she might bump into.

You have been called to help a visitor to your workplace who was interacting normally but suddenly became confused, shaky, and pale. The person he is with tells you he is diabetic and a medical alert bracelet confirms that. The man is able to follow simple commands and can swallow without trouble. How should you respond?

Provide glucose tablets or something that contains dietary sugars.

You are a trained first aid provider and you encounter a motor vehicle accident scene while driving to work. Two cars are involved, and it looks like people are injured. You think about stopping but you hesitate because it all seems so overwhelming to handle. What should you do?

Stop and help to the best of your ability. EMS should arrive shortly and take over care.

You are finishing up a job in the shop area at work when you hear a series of loud thumps and then someone yelling out. You cautiously move around a corner to take a better look and see a coworker sprawled on the ground at the bottom of a flight of stairs. She is groaning and appears to be in pain. Some blood is visible on her forehead. What leads you to believe she might be seriously injured?

The suspected mechanism of injury.

What is the basic purpose of Good Samaritan laws?

To encourage bystanders to help those in need by protecting anyone who volunteers assistance.

You are attempting to control bleeding on a coworker who has cut himself while using a hand tool on a job site. How should you best address the possibility of being exposed to an infectious bloodborne disease?

Wear protective barriers such as gloves, regardless of your relationship with the person you are helping.

On a bitterly cold day, you are caring for a fellow logger whom you suspect of having frostbite on his fingers. A rural EMS service is on the way to your logging site. What general care should you provide?

Wrap the affected fingers in a clean towel or pad, keeping them still and protected.

You are a newly trained first aid provider responding at work to a report of someone who has collapsed. Which of the following best describes your role in a medical emergency?

You are trained to recognize, assess, and prioritize the need for first aid care.