Heartcode BLS

You and your colleague respond to an adult victim who is unresponsive. After assessing that the victim is not breathing and has no pulse, what do you instruct your colleague to do?

Activate the emergency response system and get the AED

When should the rescuer operating the AED clear the victim?

During analysis and before shock delivery

The infant is unresponsive when you tap her foot and shout "Are you OK?" She could be in cardiac arrest. What is your next step?

For 5-10 seconds, look for no breathing or only gasping while simultaneously checking the brachial pulse

You check the child's pulse after 2 minutes of providing rescue breaths and cannot feel a pulse. You immediately begin CPR. After performing CPR for 2 minutes the child does not have a pulse and you are still alone. What is your next step?

Get and use an AED

How do you open the airway for breaths if a single rescuer is present?

Head tilt-chin lift

After 4 minutes of rescue breathing, no pulse is present during a pulse check. What immediate actions should be taken?

Immediately begin CPR and turn on the AED

You tap and shout to check for responsiveness, but the pt does not respond. What is your next step after calling for help?

Check for breathing and a pulse

After checking for breathing and a pulse, you verify that the child is not breathing normally but has a pulse. His airway is not obstructed. How do you deliver rescue breaths?

1 breath every 2-3 seconds, or about 20-30 breaths/min

After checking for breathing and a pulse, you find that the pt is not breathing normally but has a pulse and needs rescue breathing. What is the correct ventilation rate?

1 breath every 6 seconds (10 breaths a min)

You check the infant's pulse every 2 minutes and detect the heart rate is less than 60/min with signs of poor perfusion. While your colleague begins CPR, what actions do you need to take?

Power on the AED, follow the prompts, and use the child pads

The AED detects a shockable rhythm and advises a shock. After delivering 1 shock, you and your partner immediately resume CPR by using what ratio and which compressions technique?

complete cycles of 15 compressions and 2 breaths, and use the 2 thumb-encircling hands technique

You are still performing CPR as a single rescuer. The AED detects a shockable rhythm and advises a shock. After delivering 1 shock, you immediately resume CPR with what ratio of compressions to breaths.

cycle of 30 compressions and 2 breaths

What are the correct actions to take for scene safety and assessment?

-verify scene safety -look for no breathing and only gasping and check pulse -activate the emergency response system and get an AED -check for responsiveness

prior to arriving on scene, you assign your crew to individual roles, outlining what each member needs to do during the resuscitation attempt. Which team members are responsible for the following roles? 1.Assesses the pt and provides chest compressions 2. operates the AED and alternates with the compressor after 5 cycles/2 minutes to avoid fatigue 3. provides ventilation

1. compressor 2. monitor/defibrillator 3. airway

Rate of chest compressions in children?

100 to 120/min

As you provide CPR, your colleague arrives, turns on the AED and follows the prompts. The AED analyzes the rhythm and does not advise a shock. After you immediately resume CPR, how do you continue treating the pt?

Continue CPR until prompted by the AED to allow a rhythm check, the ALS team arrives, or the patient starts to move

The child is unresponsive after you tap his shoulders and shout "Are you OK?" He could be in cardiac arrest. What is your next step?

For 5-10 seconds, look for no breathing or only gasping while simultaneously checking the carotid pulse

After turning on the AED, you follow the prompts. You know to use child pads for infants and for children younger than 8 years, but the pediatric pads are unavailable. What should you do?

Use the adult pads

assigning your team members to individual roles and outlining what each member needs to do during the resuscitation attempt is an example of what element of high-performance team dynamics?

clear roles and responsibilities

During CPR on a child, you should place 1 or 2 hands over the ______ of the ______

lower half, breastbone

How can you achieve a high chest compression fraction?

minimize pauses in chest compressions

If an infant isn't breathing normally but has a pulse, what do you need to do?

provide rescue breaths, with 1 breath every 2-3 seconds

When performing chest compressions for an infant in a 2-rescuer situation, you should put 2 _____________ in the center of the chest, on the lower half of the breastbone

thumbs

Why is an AED needed

to analyze the heart rhythm and provide a shock

Two life-threatening arrhythmias that can cause cardiac arrest are pulseless ventricular tachycardia and _______

ventricular fibrillation

Depth of chest compressions for infants?

~1.5 inches

Depth of chest compressions in children?

~2 inches