Block 1

Question 1

BLS for HCP

Answer 1

CPR with addition of AED to offer supportive care

Question 2

Adult HCP algorithm

Answer 2

• Recognition & activation
• Pulse check
• Compressions
• Open Airway
• Breathing
• Defibrillation
• Continue until support arrives

Question 3

Recognition & activation

Answer 3

• Victim unresponsive

- No breathing or no normal breathing

Question 4

Pulse check- absent

Answer 4

• Check carotid pulse

- Activate CPR if absent >10 sec

Question 5

Pulse check- present

Answer 5

• Open airway & provide 1 breath every 5-6 seconds

- Recheck pulse every 2 minutes

Question 6

Compressions

Answer 6

• Initial step in CPR

- x 30

Question 7

Open Airway

Answer 7

• Head tilt- chin lift or jaw thrust

Question 8

Breathing

Answer 8

• 2 breaths that make chest rise

- Allow exhalation between breaths

Question 9

Defibrillation

Answer 9

• Attach ASAP

- Minimize time between CPR & shocks

Question 10

High quality CPR

Answer 10

• Rate 100/min
• Depth of 2 inches
• Allow chest recoil
• Minimize interruptions
• Avoid excessive ventilation

Question 11

Simplified algorithm

Answer 11

• Unresponsive -> activate emergency response -> get defib, start CPR -> check rhythm/ shock every 2 min

Question 12

Relief of foreign body

Answer 12

• Are you choking?
• Abd thrusts (chest if obese/ pregnant)
• Repeat until effective or unresponsive

Question 13

Relief of foreign body- unresponsive

Answer 13

Activate emergency response

• Lower to floor
• Unresponsive with no breathing = no pulse check, immediate CPR
• Look into mouth, remove if visible
• Continue CPR for 2 min, if alone, then activate response system

Question 14

Shockable rhythms

Answer 14

• V. fib

- V. tach

Question 15

Non-shockable rhythms

Answer 15

• Asystole

- Pulseless electrical activity

Question 16

Cardioversion therapy- indications

Answer 16

• Unstable tachy >150/min

- AMS, ischemia, acute HF, hypotension & shock

Question 17

Cardioversion therapy- definition

Answer 17

• Defibrillation via electrode or handheld pads
• Place in synchronize mode
• Delivers energy concurrent with QRS

Question 18

Cardioversion therapy- Contraindications

Answer 18

• Critical conditions-> go to unsync
• HR <150
• Direct O2 across chest
• Prep to defib immediately incase of VF

Question 19

Cardioversion therapy- Technique

Answer 19

• Premedicate with sedatives
• Sync, look for R waves
• Clear personnel
• Administer energy based on state

Question 20

Cardioversion algorithm

Answer 20

Tachy -> > 150/ min = immediate cardioversion - > have O2, suction, IV & intubation available -> Premeditate w/ sedative if possible -> synchronized cardioversion

Question 21

Cardioversion- a-fb

Answer 21

120-200 j

Question 22

Cardioversion- stable, monomorphic VT

Answer 22

100J

Question 23

Cardioversion- Other SVT, a-flutter

Answer 23

50-100J

Question 24

Transcutaneous pacing- Def

Answer 24

External pacemakers allow adjustment of HR and current outputs

Question 25

Transcutaneous pacing- Indications

Answer 25

• Unstable bradycardia <50/min
• Hypotension, AMS, shco, ischemia, acute HF unresponsive to meds
• Acute MI with
• Sinus dysfunction,
• Type II second degree heart block
• Third degree heart block
• New left, right or alternating BBB block

Question 26

Transcutaneous pacing- Precautions

Answer 26

• Analgesia for conscious pts

- Avoid carotid pulse for mechanical capture

Question 27

Transcutaneous pacing- Technique

Answer 27

• Position electrodes
• Turn pacer on
• Set demand rate to 80/min
• Set mA output until widened QRS and broad T wave after each spike

Question 28

BLS survey

Answer 28

• Check responsiveness
• Activate emergency response/ AED
• Check circulation
• Defib