Check your knowledge: Multiple - provider CPR/AED
When you simultaneously check for breathing and a pulse, you note the patient is not breathing normally but has a pulse. What should you do next?
Deliver one ventilation every 5 to 6 seconds, each lasting about 1 second, while checking for breathing and pulse about every 2 minutes.
You and two other providers, Amanda and Ryan, witness an adult patient collapse in the hospital hallway. You perform a visual survey and check for responsiveness. When the patient doesn't respond to the shout - tab - out sequence, you tell Amanda to activate the rapid response team and Ryan to retrieve the AED and BVM. Then, you open the airway in simultaneously check for breathing and a pulse. They both repeat your instructions back to you to "close the loop." Did the team respond appropriately?
Yes
You and the team delivered one shock to the patient, then performed about 2 minutes of CPR. You have been performing compressions and are starting to fatigue. What should you do?
You should anticipate a compression change and verbalize the coordination plan to switch. You should switch off compressions when the AED analyses again.
Amanda returns and announces the code team is on the way and Ryan returned stating, "I have the AED and BVM." After providing 2 minutes of ventilations, you open the airway and simultaneously check for breathing and a pulse. The patient is not breathing normally and does not have a pulse. What should the team do next?
You should immediately perform 30 chest compressions, while Amanda prepares to deliver 2 ventilations. Ryan should set up the AED, attach the pads and tell everyone to "clear" as the AED begins to analyse.
You will switch "compressor" rolls with Ryan during the AED analysis. What actions should the team do during the analysis to ensure the switch occurs in less than 10 seconds?
Ryan should have his hands a few inches over the patient's chest, preparing to take over compressions. You and Amanda should clear the patient while preparing to deliver ventilations and operate the AEF. After the shock is delivered or if no shock is advised, Ryan should immediately begin compressions - he does not need to wait for the AED prompt shock delivered.
