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BDS3 OSCE > BLS > Flashcards

BLS Flashcards

1
Q

What are the changes with BLS for cardiac arrest since covid

A
  • Wear non-AGP PPE for assessment and chest compressions
  • AGP PPE needs to be worn for airway interventions and ventilations
  • The A (airway) in DRS ABC has now been removed - do not open the airway and do not do head tilt chin lift
  • Humidity moisture exchange filter added to bag valve mask
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2
Q

What is the sequence for dealing cardiac arrest

A
  1. check for danger
  2. check for response
  3. shout for help
  4. check breathing and circulation
  5. start chest compressions
  6. AED
  7. Airway intervention/ventilation
  8. Post-resus care
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3
Q

What is the process for checking for response

A
  • Make sure patients mouth and nose covered
  • Gently shake
  • Speak loudly
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4
Q

When shouting for help, what should you ask the person to do

A

Get the emergency kit

Call 999

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5
Q

What should the person calling 999 say to emergency services

A
  • Cardiac arrest
  • Not breathing
  • Location
  • Contact number
  • Covid status
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6
Q

What is the process of checking breathing and circulation

A
  • Palpate carotid pulse
  • Hand on chest
  • Check at same time for 10 seconds
  • Agonal breathing may be seen - ignore it
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7
Q

What PPE must be worn for chest compressions

A

non AGP PPE at least

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8
Q

What is the technique for chest compressions

A
  • Interlock fingers & straight elbows
  • Compress 5-6cm
  • 100-120 compressions per minnute
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9
Q

How do we prepare the patient for AED

A
  • Cut through clothing
  • Dry up any sweat
  • Shave chest if required
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10
Q

What should you ensure when delivering shock

A

ensure you are far from the patient, do not touch any equipment and move oxygen 1m away

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11
Q

What levels of the dental school will you find an AED

A
  • 1
  • 3
  • 4
  • 6
  • 7
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12
Q

What must be worn for airway intervention / ventilation

A

full AGP PPE

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13
Q

What has been added to the bag valve mask since covid

A

HME

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14
Q

What should oxygen be set at

A

15L of 100% oxygen per minute

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15
Q

If patients chest doesn’t rise and fill in first 2 ventilations what should you do

A

use oropharyngeal airway adjuncts

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16
Q

How do we size oropharyngeal airway adjuncts

A
  • Rule of thumb is green for female and orange for male
  • To size, one finger on mandible and size from here to the incisors
17
Q

How do we insert oropharyngeal airway adjuncts

A
  • To insert, put in upside down and twist 180
  • Once inserted keep going with 30:2
  • If patient chest still doesnt rise, just continue
18
Q

What is the post resus care

A
  • Reassess B + C
    • Reassure casualty even if unconscious
    • Maintain airway
    • Deliver oxygen via bag valve masque
  • Do not remove AED pads
  • Can cover up to maintain dignity and keep warm
  • Be prepared for re-arrest
19
Q

What is the sequence for choking

A
  1. ask can the cough
  2. if unable to cough, 5 back blows
  3. if doesn’t work, 5 abdominal thrusts
  4. keep going between the 2 until relieved or unresponsive
  5. CPR if becomes unresponsive
20
Q

How do you do back blows

A
  • Lean person forward, supporting them at the front
  • Apply blows between shoulder blades using heel of one hand
21
Q

How do you do abdominal thrusts

A
  • Stand behind the person and put both your arms around upper part of abdomen
  • Lean person forward
  • Clench your fist and place it between the navel and ribcage
  • Grab fist with other hand and pull sharply inwards and upwards
22
Q

How many rhythms are there in a cardiac arrest and how many are shockable?

A

4 - 2 are shockable

23
Q

What are the shockable rhythms?

A

Ventricular fibrilation (Vfib)

Pulseless ventricular tachycardia (V-tach)

(asystole and pulseless electrical activity are the non-shockable ones)

24
Q

What do you do if you pt does not have a shockable rhythm?

A

Continue CPR till ambulance arrives (remember everyone is an organ donar now)

BDS3 OSCE (65 decks)

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