CH 21 Flashcards
You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the AED has been applied. The AED does not advise shock. What is your next intervention?
continue CPR
You are preparing a patient in cardiac arrest for an AED when you palpate a small lump below the patient’s right clavicle. How should this modify your placement of the AED?
While placing the pads in the general area you need them, keep them several inches away from the lump.
Which of the following patients should have an automated external defibrillator applied?
A 19-year-old college athlete who collapsed during football practice and is pulseless and apneic
Blunt and penetrating injuries can damage chambers of the heart or cause conditions like:
pericardial tamponade.
Which of the following BEST describes the continued need for prehospital advanced cardiac life support, even when EMTs in the community carry AEDs?
Not all cardiac arrests are due to problems that respond to defibrillation.
Which of the following BEST describes an appropriate shock sequence for the patient in ventricular tachycardia?
Shock, 2 minutes of CPR, reanalyze, shock again if indicated
EMTs arrive at the scene of a cardiac arrest to see a police officer beginning to defibrillate the patient. At what point should the EMTs take over?
After the shock is delivered or a “no shock indicated” message is received
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Part 1
You are transporting a 50-year-old male patient whom you successfully defibrillated at the scene. You are 5 minutes away from the hospital when the patient goes back into cardiac arrest. Which of the following is the BEST course of action?
Tell the driver to stop, analyze the cardiac rhythm, and deliver a shock as necessary.
Your patient is a 66-year-old female who has regained a pulse after a shock with an AED; however, she remains unresponsive and is not breathing adequately. Which of the following should be done next?
Ventilate the patient with high-concentration oxygen and transport immediately.
Once an EMT has begun resuscitative efforts, when may the EMT cease those efforts?
Spontaneous circulation and breathing occur.
Which of the following is NOT a reason that an AED may indicate that there is “no shock advised”?
The patient is in ventricular fibrillation or ventricular tachycardia.
You are on the scene of a 68-year-old male patient complaining of severe chest pain for the last 20 minutes. He has a previous history of myocardial infarction and states it feels “just like the last time.” You have applied oxygen and assisted him in administering aspirin and nitroglycerin with no reduction in the chest pain. Your nearest facility is 5 minutes away, a Level III Trauma Center is 10 minutes away, and a hospital with cardiac catheterization capabilities is 20 minutes away. The patient is requesting to be transported to his cardiologist’s hospital, which is 30 minutes away. Which hospital is the best destination?
The nearest hospital with cardiac catheterization
