CH 21: Resuscitation

Question 1

In which ways does cardiac arrest in children differ from cardiac arrest in​ adults?

Answer 1

Cardiac arrest in children is more likely to be due to respiratory failure.

Question 2

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Part 1
Mechanical CPR devices are used by EMS agencies in order to​ provide:

Answer 2

​high-quality compressions.

Question 3

You are the first on the scene of a​ 72-year-old patient in cardiac arrest. You have your medical supply​ kit, oxygen, and an AED. At least 4 to 5 minutes of​ high-quality CPR has been provided by the police officer who arrived before you. You have confirmed an open​ airway, apnea, and pulselessness. What should you do​ next?

Answer 3

Apply the defibrillator pads and shock as indicated.

Question 4

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?

Answer 4

Continue CPR.

Question 5

What describes the​ EMT’s MOST important role in the ideal provision of emergency cardiac​ care?

Answer 5

Immediate​ high-quality CPR and rapid defibrillation

Question 6

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?

Answer 6

After the shock is delivered or a​ “no shock​ indicated” message is received

Question 7

Which of the following patients should have an automated external defibrillator​ applied?
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Part 1

A​ 6-month-old in severe respiratory distress

A​ 40-year-old female in cardiac arrest due to chest injuries sustained in a motor vehicle crash

A​ 67-year-old man with​ severe, crushing chest pain that is not relieved by nitroglycerin

A​ 19-year-old college athlete who collapsed during football practice and is pulseless and apneic

Answer 7

A​ 19-year-old college athlete who collapsed during football practice and is pulseless and apneic

Question 8

What is the BEST describes an appropriate shock sequence for the patient in ventricular​ tachycardia?

Answer 8

​Shock, 2 minutes of​ CPR, reanalyze, shock again if indicated

Question 9

Which of the following BEST describes the continued need for prehospital advanced cardiac life​ support, even when EMTs in the community carry​ AEDs?

Answer 9

Not all cardiac arrests are due to problems that respond to defibrillation

Question 10

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. What is the BEST course of​ action?

Answer 10

Tell the driver to​ stop, analyze the cardiac​ rhythm, and deliver a shock as necessary.

Question 11

What does ventricular fibrillation​ do?

Answer 11

Prevents the heart muscle from contracting normally

Question 12

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. What should be done​ next?

Answer 12

Ventilate the patient with​ high-concentration oxygen and transport immediately.

Question 13

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?

Answer 13

While placing the pads in the general area you need​ them, keep them several inches away from the lump.

Question 14

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 advises shock. After defibrillating the​ patient, what is your next​ intervention?

Answer 14

Continue CPR.

Question 15

Blunt and penetrating injuries can damage chambers of the heart or cause conditions​ like:

Answer 15

pericardial tamponade.

Question 16

Your patient is a​ 44-year-old female who has collapsed while jogging. She has been unresponsive for 4 to 5 minutes by the time you arrive. Her husband appears to be performing​ high-quality CPR. Which of the following should be your FIRST​ action?

Answer 16

Apply the AED

Question 17

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Part 1
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?

Answer 17

The nearest hospital with cardiac catheterization