Chapter 5a - Primary ax Flashcards

1
Q

What is the depth required for chest compression?

A

5cm (2 inches)

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2
Q

What is the rate for chest compression?

A

100 to 120/min

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3
Q

Name the 6 steps of OHCA chain of survival

A

Activation of emergency response
High-quality CPR
Defibrillation
Advanced resuscitation
Post-cardiac arrest care
Recovery

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4
Q

What are the services available at cardiac arrest centers? (4)

A

Hemodynamic support
Neurological expertise
Emergency cardiac catheterization
Targeted temperature management

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5
Q

What do you administer if you suspect a cardiac arrest due to opiod overdose?

A

Nalaxone by intravenous/intramuscular/intranasal

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6
Q

Specification for cardiac arrest with pregnancy

A

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

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7
Q

order of ax

A

UABC

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8
Q

order of treatment

A

CABD (defib)

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9
Q

When is Spo2 now taken?

A

Right after primary ax in situations where a secondary ax is indicated

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10
Q

How much time do you have to assess ABC in the primary ax?

A

10 seconds

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11
Q

basic - what do you do for A

A

open airway (observe for sudden gasp or movement of air)

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12
Q

basic - what do you do for B

A

look/listen/feel for effective breathing with open airway

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13
Q

basic - what do you do for C

A

drop one hand down (same side) to take a carotid pulse

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14
Q

If pulse is present, breathing is absent, next step is ___

A

1 breath every 5-6 seconds

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15
Q

if breathing present, unconscious, next step is ___

A

maintain airway and further carep

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16
Q

Epinephrine is given at what time interval

A

1 mg every 3-5 min

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17
Q

if no advanced airway material is available, what is the ratio used for CPR?

A

30:2 compression-ventilation ratio

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18
Q

what is the acronym used to determine the LOR

A

AVPU

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19
Q

what is AVPU

A

alert
verbal stimuli
painful stimuli
unresponsive

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20
Q

what are the 2 test for painful stimuli?

A

triceps pinch
nailbed pinch 2 trials each

21
Q

trick to remember glasgow scale

22
Q

glasgow - 4 in E

A

spontaneous

23
Q

glasgow - 3 in E

24
Q

glasgow - 2 in E

25
galsgow - 1 in E
no response
26
glasgow - 5 in V
oriented and converses
27
glasgow - 4 in V
disoriented and converses
28
glasgow - 3 in V
inappropriate words
29
glasgow - 2 in V
incomprehensible sounds
30
glasgow - 1 in V
no response
31
glasgow - 6 in M
obey commands
32
glasgow - 5 in M
localizes pain
33
glasgow - 4 in M
flexion/withdrawal
34
glasgow - 3 in M
flexion/abnormal
35
glasgow - 2 in M
extension
36
glasgow - 1 in M
no response
37
glasgow scale is on how much
on 15
38
glasgow scale of under 8
intubate
39
glasgow scale of 8-12
moderate head injury
40
glasgow scale of 13-14-15
concussion
41
name the 4 spheres of LOR/LOC
person place time event
42
sternal rub is part of the painful stimuli
FALSE not since ILCOR 2005
43
a survival rate as high as 90% has been reported when defib is achieved within the ___ of collapse
first minute
44
every minute that passes without defib during cardiac arrest reduces the chances of survival by __ to __%
7 to 10%
45
what are the two methods to open airway if you suspect a spinal?
- trauma jaw thrust - trauma chin lift
46
what is the method used to open airway if spinal is not suspected?
head-tilt chin-lift
47
one of the most important roles of sports ped doc on the field:
provide/maintain definitive/patent airway
48
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
49
if breathing is present: 2 steps
protect/maintain airway monitor breathing and pulse every 2 min