Chapter 5a - Primary ax Flashcards
What is the depth required for chest compression?
5cm (2 inches)
What is the rate for chest compression?
100 to 120/min
Name the 6 steps of OHCA chain of survival
Activation of emergency response
High-quality CPR
Defibrillation
Advanced resuscitation
Post-cardiac arrest care
Recovery
What are the services available at cardiac arrest centers? (4)
Hemodynamic support
Neurological expertise
Emergency cardiac catheterization
Targeted temperature management
What do you administer if you suspect a cardiac arrest due to opiod overdose?
Nalaxone by intravenous/intramuscular/intranasal
Specification for cardiac arrest with pregnancy
it’s right to go LEFT - to take pressure off the inferior vena cava being compressed by the baby = grab the belly and pull it towards the left side
order of ax
UABC
order of treatment
CABD (defib)
When is Spo2 now taken?
Right after primary ax in situations where a secondary ax is indicated
How much time do you have to assess ABC in the primary ax?
10 seconds
basic - what do you do for A
open airway (observe for sudden gasp or movement of air)
basic - what do you do for B
look/listen/feel for effective breathing with open airway
basic - what do you do for C
drop one hand down (same side) to take a carotid pulse
If pulse is present, breathing is absent, next step is ___
1 breath every 5-6 seconds
if breathing present, unconscious, next step is ___
maintain airway and further carep
Epinephrine is given at what time interval
1 mg every 3-5 min
if no advanced airway material is available, what is the ratio used for CPR?
30:2 compression-ventilation ratio
what is the acronym used to determine the LOR
AVPU
what is AVPU
alert
verbal stimuli
painful stimuli
unresponsive
what are the 2 test for painful stimuli?
triceps pinch
nailbed pinch 2 trials each
trick to remember glasgow scale
EVM-456
glasgow - 4 in E
spontaneous
glasgow - 3 in E
to voice
glasgow - 2 in E
to pain
galsgow - 1 in E
no response
glasgow - 5 in V
oriented and converses
glasgow - 4 in V
disoriented and converses
glasgow - 3 in V
inappropriate words
glasgow - 2 in V
incomprehensible sounds
glasgow - 1 in V
no response
glasgow - 6 in M
obey commands
glasgow - 5 in M
localizes pain
glasgow - 4 in M
flexion/withdrawal
glasgow - 3 in M
flexion/abnormal
glasgow - 2 in M
extension
glasgow - 1 in M
no response
glasgow scale is on how much
on 15
glasgow scale of under 8
intubate
glasgow scale of 8-12
moderate head injury
glasgow scale of 13-14-15
concussion
name the 4 spheres of LOR/LOC
person
place
time
event
sternal rub is part of the painful stimuli
FALSE not since ILCOR 2005
a survival rate as high as 90% has been reported when defib is achieved within the ___ of collapse
first minute
every minute that passes without defib during cardiac arrest reduces the chances of survival by __ to __%
7 to 10%
what are the two methods to open airway if you suspect a spinal?
- trauma jaw thrust
- trauma chin lift
what is the method used to open airway if spinal is not suspected?
head-tilt chin-lift
one of the most important roles of sports ped doc on the field:
provide/maintain definitive/patent airway
if breahting is absent + they have a helmet: what is the procedure (5 steps)
access airway
remove visor/facemask within 30 sec
give 2 initial breath
maintain AR
breath every 5-6 seconds
if breathing is present: 2 steps
protect/maintain airway
monitor breathing and pulse every 2 min
