Emergency Care - Core Concepts

Question 1

True or False:

Most emergencies are respiratory in origin as a result of prolonged hypoxemia.

Answer 1

True

Question 2

Cord clamping should be done immediately if

Answer 2

Placental circulation is compromised. (placenta previa, placental abruption, blood loss)

Question 3

What are the target SpO2 ranges for the following times:

1 minutes
5 minutes
10 minutes

Answer 3

1 minutes = 60%-65%
5 minutes = 80%-85%
10 minutes = 85%-95%

Question 4

Does a self inflating bag provide flow if you are not squeezing it?

Answer 4

No.

A flow inflating bag will deliver continuous flow to the mask even when you are not squeezing it.

Question 5

What is the initial FiO2 setting for the following ages

35 weeks or over
< 35 weeks

Answer 5

35 weeks or over = 21%

< 35 weeks = 21%-30%

Question 6

What are your recommended PIP, PEEP, and rate parameters when using a resuscitator?

Answer 6

PIP between 20-25
PEEP of 5
Rate of 40-60

Question 7

What is the best indicator of adequate PPV?

Answer 7

Rapid rise in HR. Adequate chest rise and BBS are also useful in determining appropriate PPV.

Question 8

If chest rise is not visible during resuscitation, what should you do?

Answer 8

MR SOPA

Mask
Reposition
Suction mouth and nose
Open mouth and move jaw forward
Pressure - Increase it
Airway - Consider an ETT or LMA

Question 9

When the HR is < 60 despite 30 seconds of effective PPV, what should you do?

Answer 9

Start chest compressions.

Question 10

What is your compression:breath ratio in the neonatal environment?

Answer 10

3:1

“one and two and three and breathe”

In one minute, there should be a total of 90 compressions and 30 breaths given.

Question 11

What FiO2 is recommended during resuscitation?

Answer 11

100%

Question 12

What is the recommended IV site for neonatal resuscitation?

Answer 12

Umbilical vein.

Question 13

If the baby stays cyanotic despite good ventilation, what should you suspect?

Answer 13

A congenital heart defect. Request an echocardiogram

Question 14

CPR for infant/children:

What is the 1 rescuer compression:breath ratio?
2 rescuer ratio?
What is the compression rate?
How long until pulse check?

Answer 14

What is the 1 rescuer compression:breath ratio? 30:2
2 rescuer ratio? 15:2
What is the compression rate? 100-120
How long until pulse check? 2 minutes

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Question 15

CPR for neonates:

What is the compression:breath ratio?
What is the compression/breath rate?
How long until pulse check?

Answer 15

What is the compression:breath ratio? 3:1
What is the compression/breath rate? 90 compressions, 30 breaths a minute (120 events/min)
How long until pulse check? 1 minute

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