EMR/Medical Directives

Question 1

During CPR, when handing off care to paramedics, what information is important to report?

Answer 1

Numbers of analyzes and number of shocks delivered

Question 2

During CPR, if chest rise cannot be visualized with each ventilation, what would be some considerations?

Answer 2

• Repositioning patients airway
• Suctioning anything that might impede ventilations
• Inserting an OPA
• Using a BVM with two-handed mask seal
• Ensure appropriate tidal volume with each breath
• Assess for signs of gastric distension
• Prepare suction for possible emisis

Question 3

What is the proper compression to ventilation ratio for an adult/someone with obvious signs of puberty?

Answer 3

30:2

Question 4

What is the proper compression to ventilation ratio for a child (1 year to signs of puberty)?

Answer 4

15:2 if multiple rescuer, 30:2 if single rescuer

Question 5

What is the proper compression rate for adult and child CPR?

Answer 5

100-120 cpm

Question 6

What is the proper compression depth for adult CPR?

Answer 6

5-6cm

Question 7

What is the proper compression depth for child CPR?

Answer 7

5cm or 1/3 chest depth

Question 8

What is the proper compression to ventilation ratio for an infant (>30 days-1 year)?

Answer 8

15:2 if multiple rescuer, 30:2 if single rescuer

Question 9

What is the proper compression rate and depth for infant CPR?

Answer 9

100-120 cpm, 4cm or 1/3 chest depth

Question 10

What is the proper ratio of compressions to ventilations for a neonate (<30 days)?

Answer 10

3:1 for both single and multiple rescuer CPR

Question 11

What is the proper rate and depth for neonatal CPR?

Answer 11

120 events/minute, 1/3 chest depth

*event is either a compression or ventilation

Question 12

During a medical cardiac arrest, if the AED indicates a shockable rhythm, what should be done during the charging phase?

Answer 12

Compressions until fully charged and ready to be delivered

Question 13

During a hypothermic cardiac arrest, what should be done after the first analysis?

Answer 13

After identifying either a shockable or non-shockable rhythm, compressions and ventilations should have no interruption until care is transferred to paramedics or patient demonstrates clear signs of life

Question 14

What is a consideration regarding the airway in a hypothermic cardiac arrest patient?

Answer 14

Limit the use of an OPA to only those patients who cannot be effectively ventilated using other manual procedures