Cardiac Arrest and Shock Assessment

Compression rate should be in a range of _______________ compressions per minute and depth of compression should be in a range of 2- 2.5 inches

100 - 120

Because you are worried the patient is in shock, you lay the patient down on the floor and ask your partner to check a full set of vitals while you try to gather some more information. You call for advanced resources, strat to get the patient placed on a nonrebreather mask and the friend of the patient tells you while you are working that the patient is otherwise healthy. They were eating lunch and the symptoms started with her feeling a little short of breath and complaining of a scratchy voice. As you are placing the nonrebreather and doing a primary survey, the patient looks like this: The eyes are swollen and there is a rash to the skin diffusely that the patient nods to say is itchy. Your partner reports the blood pressure is 84/50, the pulse is 130, the respiratory rate is still 40. What do you think is the most likely cause of this patient's shock?

Anaphylaxis

Question 8 Where should AED pads should be placed? Choose all that apply 1 point On the right anterior chest wall and left lateral chest wall On the stomach and the back On the left lateral chest wall and the back Anterior left chest wall and posterior upper back (lined up with anterior pad)

Anterior left chest wall and posterior upper back (lined up with anterior pad) On the right anterior chest wall and left lateral chest wall On the left lateral chest wall and the back (REALLY all 4)

Which of the following are good ways to maximize effectiveness of chest compressions? Choose all that apply 1 point Coordinate changing the person doing compressions with rhythm analysis Check for a pulse for at least 10-15 seconds Continue doing compressions while placing the AED pads Don't check for a pulse after a shock is delivered and immediately continue another 2 minutes of compressions

Check for a pulse for at least 10-15 seconds Don't check for a pulse after a shock is delivered and immediately continue another 2 minutes of compressions Continue doing compressions while placing the AED pads all 4

After you establish that the scene is safe, how would you like to prioritize with your partner the following actions

Check for a pulse, start CPR, apply AED pads, administer oxygen X Anterior left chest wall and posterior upper back (lined up with anterior pad) X Start CPR, apply AED pads, turn on the monitor check for a pulse

You are dispatched to a restaurant for a 28 yo female with trouble breathing. You arrive on scene and find a very worked up employee followed by a family member who is equally distraught. Both of them are urging you to hurry and get to the patient. She is in distress. Given the above information what is your first priority?

Establish the scene is safe

In contrast to many other types of medical emergencies, you will usually stay and work this cardiac arrests on scene rather than prioritizing rapid transport. What is the main reason for that?

High quality chest compressions are difficult/impossible to provide while moving a patient

Your scene is safe and given the concern for a sick patient, you bring all of your equipment to evaluate the patient. You come across a patient that is sitting in a tripod position and appears in distress. Her eyes are open and she appears very anxious. She is able to answer your questions with one word answers, she is breathing about 40 times a minute and she has a weak radial pulse that you feel while you are beginning your assessment. The patient's airway and breathing are in tact although have very concerning features. A weak radial pulse in a patient with other signs of distress make you think this patient might have signs of shock. Which of the following are 3 of the 4 main categories of shock that you learned?

Hypovolemic, cardiogenic, distributive

What is the appropriate treatment for you to provide for this patient as an EMT? Choose all that apply

Observation on scene to check for resolution of symptoms Rapid transport to the hospital Epinephrine .3 mg intramuscular + 1 Epinephrine .3 mg IV or Benadryl 25 mg orally

4. Question 4 What are other symptoms that would suggest this patient's symptoms are related to anaphylaxis? Choose all that apply

Wheezing on lung exam Swelling to the back of the throat