CPR

Question 1

adult out of hospital chain of survival

Answer 1

• activation of emergency responce
• high quality CPR
• defibrillation
• advanced resuscitation
• post - cardiac arrest care
• recovery

Question 2

pediatric out of a hospital chain of survival

Answer 2

• prevention
• activation of emergency responce
• high quality CPR
• advanced resuscitation
• post cardiac arrest care
• recovery

Question 3

adult sequential steps for CPR

Answer 3

1. scene safety
2. check for responsiveness
3. assess breathing & pulse
4. start high quality CPR
5. use AED

Question 4

how many seconds carotid pulse up to?

Answer 4

10 seconds

Question 5

begin CPR minimum compressions

Answer 5

100

Question 6

begin CPR maximum compressions

Answer 6

120

Question 7

begin CPR

Answer 7

100-120 compressions per minute

Question 8

depth at least______ minutes

Answer 8

2 minutes

Question 9

ratio for adult

Answer 9

30:2

Question 10

pulse is found but no breathing

Answer 10

give 1 breath every 6 seconds

Question 11

breaths:
open air way

Answer 11

head tilt / chin lift
modified jaw thrust

Question 12

barrier devices

Answer 12

pocket mask
face shield
bag mask device

Question 13

face shield

Answer 13

delivers breaths over 1 second
looks for visible chest risk

Question 14

bag mask device

Answer 14

use the E-C clamp technique
squeeze bag until chest rise
( no chest rise reposition head TRY AGAIN)

Question 15

rescuer 1

Answer 15

1. postion victim face up on a hard flat surface
2. perform chest compressions
3. allow to complete chest recoil
4. switch roles after 5 CYCLES / 2 MINUTES
5. ration ( 30:2)
6. depth 2 min

Question 16

rescuer 2

Answer 16

1. position yourself at victims head
2. maintain an open air way
   a. head tilt / chin lift
   b. modified jaw thrust
3. give breaths
   a. ration ( 30:2)
4. encourage compressor to
   a. allow complete chest recoil
   b. fast chest recoil
   * 100 - 120 compressions
   * depths at least 2 inches
   c. SWITCH AFTER 5 cycles or 2 min

Question 17

attach pads AED

Answer 17

• bare chest
• remove medication patches

Question 18

shock is advised AED

Answer 18

• clear the victim
• push the shock button
• immediately start CPR

Question 19

no shock advised AED

Answer 19

• check for pulse
• no pulse start CPR

Question 20

ADULT pad placement

Answer 20

• patients upper right
• patients lower left side

Question 21

CHILD under 8 pad placement

Answer 21

• sterum ( back)
• between shoulder blades

Question 22

hairy chest

Answer 22

• shave hair
• use pads to remove hair
• 2 sets of pads

Question 23

water

Answer 23

• remove from water
• wipe down chest

Question 24

implanted pacemaker

Answer 24

• avoid pad over pacemaker
  *move bad below pacemake

Question 25

pregnant women

Answer 25

• use AED on women
• shock will NOT hurt baby
• mother is revived place on her side

Question 26

clothing & jewelry

Answer 26

• remove clothing covering the chest
• know limitations
• have clear roles & responsibilities

Question 27

BLS & sequence infant & children

Answer 27

1. scene safety
2. check for responsive & get help
3. assess breathing pulse ( 10 seconds)
4. breathing & pulse is felt ( monitor)
5. not breathing but pulse is felt
   a. rescue breaths
6. if heart rate is less than 60 with signs of poor perfusion
   a. START CPR
   b. no poor perfusion continue rescue breathing
7. if collapse was not witness
   a. START CPR ( 30:2)
8. if collapse was witness
   a. activate the emergency responce
   b. get an AED
   c. start cpr
9. use the AED as soon as possible

Question 28

brachial artery

Answer 28

infant pulse check

Question 29

2 rescues on an infant /child

Answer 29

• 15:2 ratio
• depth 1/3 of chest or 11/2 inches ( infant)
• depth 1/3 of chest 2 inches ( child)

Question 30

infant/ child techniques

Answer 30

• 2 fingers
• 2 thumb entering hands technique

Question 31

ventilations ( barrier device ) bag mask

Answer 31

• select appropriate size
• head tilt / chin lift

Question 32

AED PADS CHILD

Answer 32

child LESS than 8 front & back

Question 33

mouth to mouth breathing aults & children

Answer 33

• hold the vitims air way open with a head tilt
• pinch the nose with your thumb & inside finder
• take a regular breath & seal your lips around the mouth creating al alright seal.
• deliver 1 breath ever 1 second
• not able to ventilate after two attempts return to chest coimpressions

Question 34

mouth to mouth brealths adults & child

Answer 34

• deliver 1 breath ever 1 second
  a. watch the best rise

Question 35

breathing techniques for infants

Answer 35

• mouth to mouth & nose
• to reduce gastric inflation

Question 36

to reduce gastric inflation

Answer 36

• deliver each breath over 1 second
• deliver just enough air to make the chest rise

Question 37

abdominal thrusts adult or child

Answer 37

• stand or knell around the victim and wrap your arms around the victims waist
• make a fist with one hand
• place the thumb side of your fist agains the victims abdomen in the MIDLINE about the navel & well below the breast bone
• grasp your first with the other hand & press your fist into the victims abdomen with a quick forceful upward thrust
• repeat the thrusts unt il the object is expelled from the airway
• give each new thrust with a separte distinct movement to relieve the obstruction
• obese or pregnant perform chest thrust instead of abdominal thrust

Question 38

unresponsive adult or baby

Answer 38

• call for help
• have someone activate the emergency responce system
• lower victim to the ground
• start cpr with 1 exception
• look into the mouth before breaths if you see any object
• after 5 cycles activate the emergency responce system

Question 39

choking relief infant

Answer 39

• kneel or sit with infant on your lap
• hold the infant face down on your arm supporting the head
• 5 forceful backslaps
• cradle between both forearms & role infants over
• give 5 chest thrusts
• repeat until the object is removed or the infant becomes unconscious