CPR, Chocking, Bleeding, Etc

Question 1

Child CPR steps:

Answer 1

1) Check scene for safety, get parental consent, use PPE
2) Check responsiveness, use shout-tap-shout method (no more than 10sec)
3) If child is Unresponsive, not breathing or gasping CALL 911, get equipment
4) Place child on flat, firm, surface. Kneel beside child.
5) Give chest compressions
6) Give 2 breaths
7) Continue 30:2

Question 2

How many chest compressions to give a child? Hand position? Body position? Depth? Rate?

Answer 2

30 compressions
2 hands centered on chest
Shoulders directly over hands; elbows locked
Depth 2”
Rate 100-120/min
(Allow chest to return to normal position)

Question 3

How many breaths do you give a child in CPR? How often?

Answer 3

2 breaths after every 30 compressions

Question 4

Child CPR, open airway to slightly past- ________ position using the head tilt chin lift technique.

Answer 4

Neutral

Question 5

How long does each breath last in child CPR?

Answer 5

1 sec , makes chest begin to rise; allow air to exit before giving next breath

Question 6

If the first breath does not cause the chest to rise, ______ and ensure proper seal before giving _____ breath. If 2nd breath does not make chest rise, an object may be blocking the airway.

Answer 6

Retilt the head, 2nd

Question 7

In child resuscitation continue giving 30 compressions and 2 breaths, use an ____ as soon as one is available

Answer 7

AED

Question 8

Infant CPR steps

Answer 8

1) Check scene for safety, get parental consent, use PPE
2) Check responsiveness, use shout-tap-shout method
3) If Infant is not responding, not breathing, or gasping CALL 911, get equipment
4) Place infant on flat, firm, surface
5) Give chest compressions
6) Give 2 breaths
7) Continue 30:2

Question 9

How many chest compressions to give an infant? Hand position? Body position? Depth? Rate?

Answer 9

30 compressions
Thumbs side by side, on center of infants chest just below nipple line
Stand or kneel to the side of the infant; hips at slight angle
Depth 1.5”
Rate 100-120/min
(Allow chest to return to normal position after each compression

Question 10

How many chest compressions to breaths for infant CPR? What should be used as soon as one is available?

Answer 10

30:2; use AED as soon as one is available!

Question 11

Steps of using AED

Answer 11

1) Complete check and call steps
2) turn on AED and follow voice prompts
3) Choose appropriate pads
4) Remove clothing and attach pads correctly
5) plug pad connector cable into AED
6) Prepare to let the AED analyze the hearts rhythm
7) Deliver a shock, if the AED determines one is needed
8) After AED delivers shock, or if no shock is advised, immediately start CPR, begin with compressions

Question 12

When using an AED for children and infants up to 8 yrs of age or weighing >55lbs, what size pads and setting to use on AED?

Answer 12

Pediatric pads & pediatric settings

Question 13

When using an AED for adults and children over 8 yrs of age or weighing <55lbs, what size pads and setting to use on AED?

Answer 13

Adult pads

Question 14

If pediatric pads are unavailable and you need to do CPR on an infant or child less than 8yrs (55lbs or less) can you use adult pads?

Answer 14

Yes

Question 15

Do not use pediatric pads on a child older than _____ yrs or weighing more than ____ lbs because shock delivered will not be sufficient.

Answer 15

8 yrs, 55lbs

Question 16

When placing AED chest pads what must you do first?

Answer 16

Remove clothing and if necessary wipe chest dry.

Question 17

For a child where are AED pads placed?

Answer 17

One pad on upper right side of chest; other pad on lower left side of childs chest (a few inches below the left armpit)

Question 18

If the AED pads touch where should they be placed?

Answer 18

Middle of chest and on back between shoulder blades

Question 19

Where to placed AED pads on an infant?

Answer 19

Middle of chest; in between shoulder blades on back

Question 20

When preparing AED to let it analyze the hearts rhythm, what do you need to make sure of? And what do you say?

Answer 20

Make sure no one is touching the child. CLEAR! (loudly).

Question 21

Steps to follow when caring for a choking child

Answer 21

1) Check to verify child is choking (if child can speak, cry, cough forcefully, encourage them to keep coughing. Observe and prepare to act if condition changes.
2) If child is unable to speak, cry or cough CALL 911, get equipment
3) give 5 back blows
4) give 5 abdominal thrusts
5) continue giving sets of 5 back blows/5 thrusts until child can cough, cry, or breath or until child becomes unresponsive

Question 22

When giving a choking child 5 back blows how do you position yourself?

Answer 22

Position yourself to the side and slightly behind the choking child, for a small child you may need to kneel behind them.
Place one on diagonally across the child’s chest and bend them forward at the waist.
Firmly strike the child between the shoulder blades with the heel of your hand. Each back blow should be separate from the other.

Question 23

When giving five abdominal thrusts, how do you stand & position yourself?

Answer 23

You have the child stand up and find their navel with two fingers. If you are standing, move behind them & place your front foot in between the child’s feet with your knees slightly bent.
Make a fist with your other hand in place the thumb side against the child’s stomach right above your fingers. Cover your fist with your other hand.
Pull inward and upwards to give in an abdominal thrust. Each abdominal thrust should be forceful and separate from the other.

Question 24

Caring for a child that is choking & the child becomes unresponsive, what’s your next step?

Answer 24

Lower the child to the floor and begin CPR starting with compressions. After each set of compressions and before attempting breaths, open the child’s mouth, look for the object and, if seen, remove it with a fingers sweep.

Question 25

Steps for caring for a choking infant

Answer 25

1) check and verify infant is choking 2) if infant is unable to cry or cough CALL 911 and get equipment 3) give 5 back blows 4) give 5 chest thrusts 5) continue giving sets of 5 back blows and 5 thrusts until infant can cough, cry or becomes unresponsive

Question 26

When you're giving an infant that is choking a five back blows, how do you hold the infant?

Answer 26

Hold the infant in a face down position along your forearm using your thigh for support. Keep the infant's head lower than their body. Give them back blows, with each one separate from the others. Keep your fingers up to avoid hitting infant's head or neck.

Question 27

Explain how to give an infant 5 chest thrusts, when they are choking.

Answer 27

Turn the infant face-up (support their head and neck) and a lower them on to your thigh. Keep the infants head lower than their chest. Give 5 quick chest thrusts about 1.5" deep with 2 fingers in the center of the infants chest. (Each chest thrust should be separate from the others.)

Question 28

When you're helping a choking infant and they become unresponsive, what is your next step?

Answer 28

Lower the infant to a firm, flat, surface, begin CPR, start with compressions. After each set of compressions and before attempting breath, open the infants mouth, look for the object and, is seen, remove it with a pinky sweep.

Question 29

Steps for using direct pressure for bleeding

Answer 29

1) Check scene, obtain consent, use PPE 2) immediately call 911, get equipment 3) find source of bleeding 4)tell child to expect pain from the pressure needed to control the bleeding. 5) place dressing on the wound (use homeostatic dressing if available and bleeding is life threatening.) 6) apply steady, firm, pressure directly over the wound. 7) apply a roller bandage only if bleeding stops before EMS arrives 8) monitor for rebleeding. If bleeding occurs, do not apply additional dressing or bandage. Remove bandage and leave only the single dressing on wound in place. Apply direct pressure. 9) after care, remove gloves, wash hands

Question 30

What are the steps for checking an injured our ill person?

Answer 30

1) Check scene for safety, obtain consent, use PPE 2) check responsiveness using shout-tap-shout method 3a) if the person does not respond, responds but is not fully awake, is not breathing or is only gasping, or has life threatening bleeding or another obvious life-threatening condition, call 911 and get equipment. Then give care based on the condition found and your level of training and continue your check to determine if additional care is needed. 3b) if the person is responsive or fully awake and does not appear to have a life threatening condition interview the person ask questions about signs and symptoms allergies and medications and medical conditions. Do a focus check based on what the person told you, how the person is acting and what you see. Do not ask the person to move, if you suspect ahead and neck or spinal injury. Do not ask the person to move any area of the body that causes discomfort or pain. 4) after completing check call 911 and get equipment

Question 31

How many chest compressions do you give in adult? Hand position? Body position? Depth? Rate?

Answer 31

30 two hand centered on the chest shoulders directly over hands elbows locked Depth at least 2" Rate 100 to 120 per minute

Question 32

Giving CPR to an adult is close to the same as a child but difference is in compressions ___

Answer 32

Depth

Question 33

What's the ratio of chest compressions to breath for an adult?

Answer 33

30:2

Question 34

The steps for caring for a choking adult is similar to that of a child but there is a difference in the way you give back blows explain how:

Answer 34

Position yourself to the side and slightly behind the choking person. Place one arm diagonally across the person's chest and bend them forward at the waist. Firmly strike the person between the shoulder blades with the heel of your hand. Each back flow should be separate from the other.

Question 35

Caring for a choking adult is similar to that of a child but when giving abdominal thrust what is the different position that you stand in?

Answer 35

Have the person stand up and find their navel with two fingers. Move behind the person and place your front foot in between the person's feet with your knees slightly bent. Make a fist with your other hand and place the some side against the person's stomach right above your fingers. Cover your first with your other hand. Alternatively you may give chest thrusts to a person who is too large to wrap your arms around, pregnant or in a wheelchair.

Question 36

Using direct pressure for bleeding on an adult, is similar to that of a child, but whenever you are applying pressure directly over the wound, what's different when you are doing that for an adult?

Answer 36

Put one hand on top of the dressing and put your other hand on top. Position your shoulders over your hands and lock your elbows. Push down as hard as you can. His blood is soaks through the original gauze, you do not need to do anything, but you can put another gauze pad on top. Replace the new gauze pad if blood soaks through that the pads. Do not remove the original gauze pad and do not stack multiple gauze pads. (Leave original pad, you can change out second gauze pad as needed)

Question 37

When applying a roller bandage to an adult how do you apply it?

Answer 37

Apply bandage over dressing and secure it firmly. Check for circulation beyond the injury before and after applying the bandage.