CRITICAL CONCEPTS

Question 1

Signs of poor perfusion 
Temp
Altered mental status 
Pulse
Skin

Answer 1

Temperature: cool extremities
Altered mental state: continued decline in consciousness/responsiveness
Pulses: weak pulse
Skin: paleness, mottling, later cyanosis

Question 2

Compression depth in adults vs children and infants

Answer 2

Adults and adolescents: at least 2 in (5 cm)
Children: at least 1/3 of the diameter (approx 2 in or 5 cm)
Infants: at least 1/3 of the diameter (1 1/2 in or 4 cm)

Question 3

Teams can achieve key metrics and increase CCF by doing the following

Answer 3

• pre charge the defibrillator: 15 seconds before a 2-minute rhythm check, this will analyze and give a shock if needed within 10 seconds or less
• perform a pulse check during the pre charge phase, checks doing compressions is not reliable
• compressor hover over chest ready to start compressions again after rhythm is analyzed decreases unnecessary pauses
• have the next compressor ready to take over immediately
• intubate without pausing compressions
• deliver medication during compressions

Question 4

Whether you’re a team member or a team leader, Nader standing your role and others roles will help you how

Answer 4

• Anticipate what actions will be performed next

- how to communicate and work as a member or as a leader of a high-performance team

Question 5

CPR Coach Roles

Answer 5

The CPR coach role is designed to help a high-performance team achieve the key metrics of high-quality CPR by providing feedback about

• compressors rate, depth, and recoil
• delivery of ventilations (rate and volume)
• compression pauses

Question 6

How long do you continue to use the Evaluate-Identify-Intervene concept

Answer 6

Continue using sequence until child is stable

• after each intervention
• when the child’s condition changes or deteriorates

Question 7

Very slow or very fast respiratory rate is a warning sign

Answer 7

A consistent respiratory rate or less than 10 or more than 60 breaths per minute in a chid of any age is often abnormal and warrants further assessment for the presence of a potentially serious condition

Question 8

What does bradypnea or irregular respiratory rate often signal

Answer 8

Impending arrest
Bradypnea and or irregular respiratory rate i an acutely ill infant or child is often an ominous clinical sign and often signals impending arrest