EMS and CPR
When beginning CPR, start with: A. Rescue breathing B. Chest compressions C. Calling for help D. An AED
Chest compressions
How do you know you are effectively ventilating the patient?
Chest will rise and fall
What is the correct word for C in C.A.B.? A. Cardiopulmonary B. Circulation (Compressions) C. Cardiac Arrest D. Cerebral Vascular
Circulation (compressions)
Hypothermia is when a patient is extremely: A. Hot B. Confused C. Exhausted D. Cold
Cold
Switch chest compressors how often?
Every 2 minutes
When multiple rescuers are present, rescuers should switch compressors how often? A. Every 20 cycles B. Every 15 cycles C. Every 10 cycles D. Every 5 cycles
Every 5 cycles
After an AED has been used, CPR is no longer necessary A. True B. False
False
You should still perform CPR on a patient when EMS arrives. A. True B. False
False
Which of the following would be most important when attempting to ventilate a patient with facial trauma? A. Have a suctioning device close by in case significant blood or vomit needs to be suctioned out of the airway B. Consider a tracheotomy in the field if facial trauma is excessive and bleeding and swelling are present C. Tilt the head back to properly ventilate the patient D. Establish a nasal airway immediately
Have a suctioning device close by in case significant blood or vomit needs to be suctioned out of the airway
What should you NOT do to a patient
Hyperventilate
Chest compression depth decreases when compression rates _______
Increase
What method should be used to open the airway of a victim with a suspected head or neck injury? A. Head tilt-chin lift B. Jaw thrust C. Heimlich maneuver
Jaw thrust
Interruptions in chest compressions should be limited to: A. Less than 10 seconds B. 2 seconds C. 5 seconds D. There should never be interruptions in chest compressions
Less than 10 seconds
What is the preferred method of ventilation in the field for a patient who is not able to breathe on his own? A. Two-person bag-valve-mask B. Mouth-to-mask ventilation C. Mouth-to-mouth ventilation D. One-person bag-valve-mask
Mouth-to-mask ventilation
Doing compressions to slowly fails to generate _______
Pressure.
Our goal at he scene of a cardiac arrest is to achieve what
ROSC and Positive neurotic function
High quality CPR consist of
Rate of 100 to 120 Proper depth 2-2.4 inch Recoil Avoid hyper ventilation Minimize interruptions
When compressions are performed to fast this will prevent ________ which in turn will decrease ____
Recoil, blood flow
Seeing chest rise and fall tells us that ________
The airway is open
Which of the following is NOT a true statement? A. The nasopharyngeal airway is less likely to stimulate the gag reflex B. The oropharyngeal airway is a better choice for a patient who is having seizures C. The oropharyngeal airway should be selected for an unconscious patient D. A conscious patient is likely to experience the gag reflex with the use of an oropharyngeal airway
The oropharyngeal airway is a better choice for a patient who is having seizures
An AED can be used on an infant. A.True B.False
True
No more than 120 chest compressions should be performed on the patient per minute. A. True B. False
True
When a patient is unconscious and non-responsive CPR should be performed. A. True B. False
True
Each breath should take _____ second
1
Minimize interruptions to less than what?
10 seconds
At what rate should chest compressions occur? A. 60 to 70/min B. 90 to 100/min C. 100 to 120/min D. 180 to 200/min
100 to 120/min
A normal respiratory rate for an adult is ____ while a normal respiratory rate for a newborn is ____. 12 to 20 and 30 to 60 8 to16 and 20 to 40 12 to 20 and 16 to 24 22 to 30 and 50
12 to 20 and 30 to 60
According to the AHA we should use ______ people when we use a BVM
2
When performing CPR on an infant, you should use:
2 fingers
Single rescuers should use a compression-to-ventilation ratio of: A. 15 compressions to 2 breaths B. 90 compressions to 2 breaths C. 15 compressions to 1 breath D. 30 compressions to 2 breaths
30 compressions to 2 breaths
The lungs are made up of how many lobes? 2 6 5 4
5
If manually ventilating a patient, you should squeeze the bag every ____ seconds for an adult and every ____seconds for a child. A. 5 to 6, 3 to 5 B. 8 to 10, 6 to 8 C. 2 to 3, 6 to 8 D. 5 to 6, 5 to 6
5 to 6, 3 to 5
Compressions should be started within how many seconds after determining patient has no pulse?
5-10 seconds
With an advanced airway it is 1 breath every ___ seconds
6
Positive neurological function means what
A brain that works
Ventilations with an advanced airway means
A tube in the trachea
ALS stands for what
Advance life support
If the patient's chest is not inflating during the breathing task you should check the patient's: A. Pulse B. Airway
Airway
CPR consists of which of the following components? A. Chest compressions B. Airway C. Breathing D. All of the above
All of the above
For Adults, you should never: A. Compress slower than 100/min. B. Lean on victim's chest during compressions. C. Compress in-depth less than 2 inches. D.Allow interruption during compressions. E. All of the above.
All of the above
When checking for circulation/pulse you should locate: A. Carotid artery if victim is a child. B. Brachial artery if victim is an infant. C. Carotid artery if victim is an adult. D. All of the above.
All of the above
Adult chain of survival
1. Early activation (call 911) 2. Early CPR 3. Early AED 4. Early ALS 5. Early Post cardiac care
If you witness a child collapse, you should:
Activate EMS
After each compression: A. Check the pulse B. Allow complete chest recoil C. Provide rescue breathing D. Yell for help
Allow complete chest recoil
Which of the following is NOT a sign of labored breathing? A. Use of accessory muscles to breathe B. An infant with a respiratory rate of 12 breaths per minute C. Diminished breath sounds D. An adult with a respiratory rate of 12 breaths per minute
An adult with a respiratory rate of 12 breaths per minute
The Advanced Cardiovascular Life Support Provider Course is designed for: A. Nurses B. Physicians C. EMTs D. Any healthcare providers that direct or participate in cardiovascular emergencies
Any healthcare providers that direct or participate in cardiovascular emergencies
Children's CPR is given to: A. Anyone who's height is less than 4' 6". B. Anyone who's weight is less than 60 lb. C. Children under the age of 15. D. Children under the age of 8.
Anyone who's weight is less than 60 lb.
What is the correct chest compression depth for an adult? A. At least 2 inches B. At least one third the depth of the chest C. Half the depth of the chest D. At least 1 inch
At least 2 inches
The CABs of CPR are: A. Cuts, Air and Burns. B. Circulation/Compressions, Airway and Breathing. C. Children, Adults and Babies. D. None of the above
Circulation/Compressions, Airway and Breathing.
When communicating with team members, the team leader communicates by taking these steps: 1. The team leader gives a message, order, or assignment to a team member. 2. By receiving a clear response and eye contact, the team leader confirms that the team member heard and understood the message. 3. The team leader listens for confirmation of task performance from the team member before assigning another task. What type of communication do these steps represent?
Closed-Loop Communication
Asynchronous with chest compressions means
Continuous chest compressions
Complete chest recoil allows for what?
Refill of the heart
ROSC stands for what
Return of spontaneous circulation
You come across a scene where the patient appears to be in respiratory distress and is making a gurgling noise. You immediately know that you need to A. Perform chest thrusts on the patient B. Intubate the patient C. Suction the patient immediately D. Log-roll the patient
Suction the patient immediately
Which of the following would be the most appropriate choice for positioning an unresponsive patient with suspected trauma? A. Jaw thrust technique B. Head-tilt chin-lift technique C. Side-facing chin-lift technique D. Triple-airway maneuver
Jaw thrust technique
You are manually ventilating a patient using a bag valve mask (BVM). The patient is connected to a pulse oximetry and the oxygen saturation reading is 80. You do not see the chest rise. What steps can you take? A. Squeeze the bag much faster. B. Do a finger sweep of the mouth to make sure it's clear. C. Put down the ambu bag and start mouth to mouth resuscitation using a barrier device. D. Reposition the head and make sure you have a tight seal with the mask
Reposition the head and make sure you have a tight seal with the mask
You're called to a home and find an unresponsive male. Family members said he "passed out." You assess the scene to be safe. The next thing you should do is: A. Check the patient's blood sugar; he might be a diabetic. B. Get a blood pressure to determine if it's too low and may have caused him to pass out. C. Simultaneously check for a pulse and breathing. D. Get a temperature to determine if he has heat stroke.
Simultaneously check for a pulse and breathing
Which of the following would be considered an indicator of adequate ventilation? A. The patient has a distended abdomen B. The patient has a heart rate of 120 beats per minute C. The patient is being ventilated a minimum of 12 times per minute D. The patient's skin has a bluish tinge
The patient is being ventilated a minimum of 12 times per minute
CPR sequence includes A. Compressions B. Airway C. Breathing D. All the above
All the above
Pediatric Chain of Survival A. Prevention B. CPR C. Early activation 911 D. Early ALS E. Integrated post care F. All the above
All the above