Basic life support Flashcards

1
Q

What are the shockable cardiac arrest rhythms?

A

Ventricular fibrillation (VF) and ventricular tachycardia (VT)

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2
Q

What is asystole?

A

Most lethal form of cardiac arrest - cessation of electrical activity in the heart (flatline)

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3
Q

What is pulseless electrical activity (PEA)?

A

form of cardiac arrest - ECG shows a heart rhythm that should produce a pulse but does not

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4
Q

Acronym for basic life support

A

Danger, Response, Shout, Airways, Breathing, Circulation

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5
Q

How to open up the airway and prevent tongue obstruction

A

head tilt chin lift or a jaw thrust if possible spinal injury.

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6
Q

How to remove any food from the mouth

A

finger sweep or suction (never do a blind finger sweep)

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7
Q

How to check breathing and circulation

A

Keep the airway open. Palpate a carotid pulse whilst checking for breathing for 10s.

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8
Q

What is agonal breathing?

A

Infrequent gasps/gulps that is not true breathing (so ignore). Can be accompanied by seizure-like movement. Occurs in 40% of cardiac arrests.

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9
Q

Why does agonal breathing occur?

A

Natural reflex when brain is becoming hypoxic (usually due to cardiac arrest)

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10
Q

What should you do if someone is unresponsive and not breathing (cardiac arrest)?

A

Call 999 and start chest compressions (have some get BLS kit and AED)

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11
Q

What PPE should be worn during CPR?

A

droplet PPE (mask, gloves, apron) as ribs can break and stomach contents can come out

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12
Q

How to do chest compressions?

A

Interlock fingers with straight elbow and compress the sternum 5-6cm

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13
Q

How should you alternate between compressions and breaths?

A

30 chest compressions followed by 2 rescue breaths (BVM). Continue until AED arrives. Alternate rescuer every 2 min.

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14
Q

At what rate should chest compressions be done?

A

100-120 compressions per min (2 per second)

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15
Q

What does AED stand for?

A

Automated External Defibrillator

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16
Q

How should you prepare a patient for the AED?

A

Cut clothing covering chest, dry and shave areas where pads are placed.

17
Q

What should you do while placing the AED pads?

A

Continue chest compressions

18
Q

What should you do while the AED is about to shock the patient?

A

Stand clear, don’t touch patient, don’t touch equipment, move O2 meter away

19
Q

How many joules / volts is in one AED shock?

A

150J / 4800 V

20
Q

Name of equipment used for ventilations

A

Bag Valve Mask (BVM)

21
Q

How do you administer ventilations?

A

It’s a 2 person technique where one person holds the mask to the patient’s face from behind ensuring head tilt chin lift. The other person operates the bag.

22
Q

Features of a Bag Valve Mask (BVM)

A

mask, valve/pressure gauge, self-inflating bag, oxygen reservoir, oxygen connector tubing

23
Q

How many litres of oxygen is in an oxygen cylinder?

A

460 litres of oxygen

24
Q

How many litres of oxygen does an oxygen cylinder deliver per minute?

A

15 litres per minute lasting 30 min (460l total)

25
Q

Features of an oxygen cylinder

A

tamper handwheel cover, contents gauge, expiry date and batch label, firtree outlet, hand wheel, flow selector, valve outlet cover

26
Q

How often should oxygen cylinders be checked?

A

Daily

27
Q

What are OPA?

A

Oropharyngeal airway - airway adjuncts are used when the airway is obstructed (chest not rising during ventilation)

28
Q

How to insert an oropharyngeal airway

A

insert upside down, twist 180 degrees, insert

29
Q

What does post resuscitation care involve?

A

reassessing breathing and circulation, reassuring patient, maintain airway, don’t remove AED pads, cover up, keep everything to hand in case of rearrest.

30
Q

Which oxygen mask is used to treat patients with significant hypoxia?

A

Non-rebreather trauma O2 mask

31
Q

How to use a non-rebreather trauma O2 mask

A

Depress the inspiration valve to allow reservoir bag to fill with O2

32
Q

What does CPR stand for?

A

Cardiopulmonary resuscitation

33
Q

What does ROSC stand for?

A

return of spontaneous circulation