CPR Review

Child

*age 1-8 years old *depth 2 inches or 5 cm *15 compressions and 2 bags *When you say "Are you okay?" do not shake child, tap on the heel of baby's foot

how is choking best relieved in a responsive infant?

5 back slaps and 5 chest thrust

Choking on infant

5 back slaps, 5 compressions -repeat 5 cycles, hold infant facedown with head slightly lower than the chest, resting on your forearm

How much time should you take while rotating in a 2 rescuer situation?

5 seconds, get up, do NOT move on your knees (will make the process slower)

A 21-year-old intoxicated college student turns blue and appears to be struggling to breath while eating a hot dog at a bar. You are concerned that this student may have choked. What is the best method to clear the obstruction from the airway?

Abdominal thrust (Heimlich maneuver)

What is the technique we use when using the Air Mask?

CE

You are alone when you encounter a person in what appears to be cardiac or respiratory arrest. What are the first three steps you should take to stabilize the person? Check for danger, ____________, and send for help.

Check for response

IHCA

In hospital cardiac arrest

If you suspect that an unresponsive victim has head or neck trauma, what is the preferred method for opening their airway?

Jaw-thrust

Team work

Know roles, coach other members, know your limits (if you are not sure of doing something, DO NOT do it!)

Why are ventilations delivered to a pediatric arrest person before seeking assistance in single-rescuer scenarios?

Most pediatric cardiac arrests are due to respiratory arrest.

What medicine should you use for an Opoid-Associated Life-Threatening Emergencies?

Naloxone

Does the first rescuer stop compressions as soon as the AED arrives?

No

Agonal Gasp

Not a normal breathing

OHCA

Out of hospital cardiac arrest

The proper steps for operating an AED are:

Power on the AED, attach electrode pads, analyze the rhythm, and shock the person.

How to give compressions to a Adult?

Put heel of one hand on the center of the chest. Put the other hand on top ring finger on the nipple. Let the chest come back up after each compression.

What is the third link in the adult out-of-hospital Chain of survival?

Rapid defibrillation

After delivering a shock with and AED, what is the next step in caring for a person?

Resume CPR

What does ROSC mean?

Return of spontaneous circulation

What age is considered an infant for BLS purposes?

Under one year

How to give compressions to infants?

Use 2 fingers of 1 hand to give compressions. Place them on the breastbone, just below the nipple line

When can you switch during the AED?

When AED says "analyzing"

What best describes sudden cardiac arrest?

When an abnormal rhythm develops and the heart stops beating unexpectedly.

A 49-year-old female suffers a witnessed cardiac arrest. She has a known cardiac history per her family. You notice a bulge in the upper left chest under the skin. There is a healed incision overlying that bulge. Which is true of AED use?

You should avoid placing pads over the bulge

in a conscious choking victim who becomes unresponsive?

abdominal thrust

How many compressions should be given in one minute for victims of any age for CPR?

at least 100

What does AED stand for?

automated external defibrillator

Where should you check for pulse on an infant?

brachial pulse

The 5 steps in the Adult Chain of Survival include all of the following except: a) Early CPR b) Rapid defibrillation c) Use of cardiovascular medications d) ntegrated post-cardiac arrest care

c)Use of cardiovascular medications

what is the meaning of the initials CPR

cardiopulmonary resuscitation

Where should you check for pulse for a child?

carotic pulse

When is CPR required?

no pulse or breathing & unconscious

What age should a child be to be able to put adult pads on?

older than 8 years old

What should you do if you feel NO pulse?

start CPR

Why is it important to compress the appropriate depth in CRP?

to cause circulation

the visible rise of the chest with each rescue breath tells you what?

you are doing it correctly

the visible rise of the stomach which rescue breathing could be a clue of what?

you are doing it wrong

What can occur if breaths are given too quickly or with too great a volume?

you can put air in the stomach

Measurement of depth for infants

1 1/2 inches (4cm)

Breaths for infants and children

1 breath every 3 to 5 seconds (12 to 20 breaths per minute), give each breath 1 sec, check for chest rise, check for pulse about every 2 minutes

Breaths for adults

1 breath every 5 to 6 seconds (about 10 to 12 breaths per minute), give each breath 1 sec, check for chest rise, check for pulse about every 2 minutes.

What to say/do? (in most cases)

1- Scene is safe(check if scene is safe for both, you and the patient) 2- Hey hey, are you okay? (check for response) 3- someone help 4- check for pulse (should take 5 to 10 seconds) 5- someone call 911 and get an AED (this will be backup for you) 6- start CPR

HIgh-Quality CPR

1- Start compressions within 10 seonds 2- Push hard, push fast (rate of 100 to 120/min) 3- Measurements 4- Allow complete chest recoil 5- Minimize interruptions 6- Give effective breaths 7- Avoid excessive ventilation

AED instructions

1- Turn on 2- Attach pads (clean if wet, shave if hairy, remove medicine patch and apply pads, if pacemaker apply under NOT over)

Pediatric Chain of Survival

1. Prevention of cause 2. Early CPR 3. Activation of EMS 4. Advanced life support 5. Post-cardiac care *1 rescuer: rate of 30:2 *1/3 of chest= 5cm or 2 inches -If you don't witness start compressions -If you witness call for help

CPR is initiated and the person's pulse returns, but he is not breathing. What ventilation rate should be used for this person?

10-12 breaths per minute

what is the compression ventillation ratio for 2 rescue infant CRP?

100 comp per minute breaths ever 6 to 8 seconds

Measurement of depth for adults

2 inches (5cm)

Measurement of depth for children

2 inches (5cm), one third the depth of chest