Skills Review

Multi-Provider Child CPR Rate

15:2

An adult patient with an endotracheal tube (ET) in place experiences cardiac arrest and requires CPR. Which of the following statements are true when performing high-quality CPR with an ET tube in place?

the provider performs continuous compressions without pausing for ventilations and the provider delivers 1 ventilation every 6 seconds

For children or infants in respiratory arrest, deliver 1 ventilation every how many seconds?

3-5

You are working with a BLS team performing CPR on a 62-year-old female patient. Which actions demonstrate high-quality CPR?

compress the chest at a rate of 100 to 120 per minute

A young adult is brought into the emergency department by his mother. After completing a rapid assessment, you determine the patient is in cardiac arrest related to an opioid overdose. While the team initiates CPR, you prepare to administer naloxone. Which route(s) would be most appropriate to administer the naloxone?

intranasal, intravenous (IV), and intramuscular (IM)

When an advanced airway is in place for a patient, which rule does NOT apply?

30:2

ARC

1. Assess 2. Recognize 3. Care

How long should you wait before administering a second dose of naloxone?

4 minutes

BVM should provide how much air when providing CPR to an adult?

400-700 mL (depresses bag halfway)

A CCF of at least what is needed to promote optimal outcomes, and the goal should be 80%?

60%

a CCF of at least 60% is needed to promote optimal outcomes, and the goal should be?

80%

Adult Compression Depth

AT LEAST 2 inches, but NO GREATER than 2.4 inches

Rapid assessment of Mrs. Bailey's breathing reveals irregular, gasping breaths. You correctly identify this pattern of breathing as?

agonal

You and another provider are caring for a patient who is in cardiac arrest. You suspect that your patient has overdosed on an opioid. When should you administer intranasal naloxone?

after initiating CPR

A 5-year-old child experiences cardiac arrest and requires CPR. You ensure that high-quality CPR is administered when you compress the chest to which depth?

about 2 inches deep

An adult patient with a suspected opioid overdose is in respiratory arrest. Which of the following actions are most appropriate?

administer naloxone if your facility's protocol allow, check the pulse and breathing about every 2 minutes, and provide 1 ventilation every 5 to 6 seconds

BVM

bag valve mask

A 4-year-old child is unresponsive. Her pulse rate is 65 bpm, but she is not breathing normally. Which of the following actions are appropriate?

deliver 1 ventilation every 3 to 5 seconds and check the pulse & breathing about every 2 minutes

An adult patient has stopped breathing but has a pulse. Which action would be appropriate?

give 1 ventilation every 5-6 seconds

An adult patient is unresponsive. You have opened their airway and are simultaneously checking for breathing and a pulse. To check for normal breathing, which actions are appropriate to do?

look to see whether the chest rises and falls, listen for escaping air, and feel for breathing against the side of your cheek

You are performing CPR on an 11-month-old infant. A second provider prepares to apply the AED pads, placing the pads at which locations?

middle of the infant's chest on the sternum or on the back between the scapulae

Mrs. Bailey is unresponsive. You suspect she may have a head injury. Which technique should you use to open Mrs. Bailey's airway?

modified jaw-thrust maneuver

You suspect that an unresponsive patient has sustained a neck injury. Which technique should you use to open the patient's airway?

modified jaw-thrust maneuver

What should the team do after Jenna completes 30 chest compressions?

open Mrs. Clark's mouth, look for an object and perform a finger sweep IF AN OBJECT IS SEEN

What is the first step of the Pediatric Cardiac Chain of Survival?

prevention of arrest

You are alone and caring for a 9-month-old infant with an obstructed airway who becomes unresponsive. Which action should you perform first?

provide 30 chest compressions, initiating CPR

A child is unresponsive and not breathing. You and another provider are present. You stay with the child to begin CPR. Which actions would be appropriate for the second provider to do?

retrieve the AED & BVM and activate EMS or the resuscitation team

ROSC

return of spontaneous circulation

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

the pads risk touching each other or the manufacturer recommends doing so