Part 1 Flashcards

1
Q

is a series of critical
actions that, when followed correctly, can
decrease the mortality associated with
cardiac arrest.

A

The Chain of Survival

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2
Q

Adult IHCA Chain of Survival

A
  1. Early Recognition and Prevention
  2. Activation of Emergency Response
  3. High-Quality CPR
  4. Defibrillation
  5. Post-Cardiac Arrest Care
  6. Recovery
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3
Q

Adult OHCA Chain of Survival

A
  1. Activation of Emergency Response
  2. High-Quality CPR
  3. Defibrillation
  4. Advanced Resuscitation
  5. Post-Cardiac Arrest Care
  6. Recovery
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4
Q

differs based on
whether the cardiac arrest occurs inhospital or out-of-hospital.

A

Chain of Survival

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5
Q

a life-saving emergency procedure
that combines chest compressions and
artificial ventilation to maintain circulatory
flow and oxygenation during cardiac arrest.

A

Cardiopulmonary Resuscitation (CPR)

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6
Q

can significantly
increase the chances of survival
and reduce the risk of permanent
brain damage in individuals
suffering from cardiac arrest.

A

Immediate CPR

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7
Q

Main Components of CPR

A

Chest Compressions
Airway Management
Rescue Breathing

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8
Q

Main Components of CPR
- A life-saving manual intervention where
rhythmic pressure is applied downwards
onto the victim’s chest to maintain blood
circulation during cardiac arrest.

A

Chest Compressions

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9
Q

Main Components of CPR
- Helps circulate oxygenated blood to vital
organs, especially the brain and heart,
when the heart’s natural pumping action is
halted or ineffective.

A

Chest Compressions

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10
Q

Main Components of CPR
- The process of ensuring a clear and open
passage for air to enter the lungs, which
may involve techniques to prevent or
relieve obstructions.

A

Airway Management

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11
Q

Main Components of CPR
- Maintaining an open airway is paramount in
ensuring adequate oxygenation and
ventilation, particularly during respiratory or
cardiac emergencies.

A

Airway Management

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12
Q

Main Components of CPR
- Administering breaths to a person who is
not breathing or breathing inadequately.
This involves exhaling into the person’s
mouth or nose to provide them with
oxygen

A

Rescue Breathing

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13
Q

Main Components of CPR
- Supplies oxygen to the lungs, which gets
circulated to vital organs by effective chest
compressions.

A

Rescue Breathing

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14
Q

When To Start CPR (3)

A

If you see a victim who is:
• Unconscious/Unresponsive
• Not breathing or has no normal breathing
(only gasping)
• No definite pulse

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15
Q

When Not to Start CPR (5)

A

All victims of cardiac arrest should receive CPR
unless:
• Patient has a valid DNAR (Do Not Attempt
Resuscitation) order.
• Patient has signs of irreversible death
(Rigor Mortis, Decapitation, Dependent
Lividity).
• No physiological benefit can be expected
because the vital functions have deteriorated as in septic or cardiogenic
shock.
• Confirmed gestation of < 23 weeks or birth
weight < 400 grams, anencephaly.
• Attempts to perform CPR would place the
rescuer at risk of physical injury

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16
Q

When To Stop CPR? (6)

A

• Spontaneous signs of circulation are
restored
• Turned over to medical services or properly
trained and authorized personnel
• Operator is already exhausted and cannot
continue CPR
• Physician assumes responsibility (declares
death, takes over, etc.)
• Scene becomes unsafe (such as traffic,
impending or ongoing violence-gun fires,
etc.)
• Signed waiver to stop CPR

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17
Q

The C-A-B

A

• Compressions
• Airway
• Breathing

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18
Q

The C-A-B Core Concept

A

Oxygen to the Brain

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19
Q

create blood flow by
increasing intra-thoracic pressure and
directly compress the heart, generating
blood flow and oxygen delivery to the
myocardium and brain.

A

Compressions

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20
Q

a forceful rhythmic pressing
on the lower half of the sternum, stimulates
the heart’s pumping action, mimicking the
circulation of an actively beating heart.

A

Compressions

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21
Q

Compressions
- If an individual is _, _, _, and _, assuming no circulation is
crucial.

A

unresponsive
not
breathing
not moving
has poor skin color (cyanotic)

22
Q

It’s the hopeful
outcome of CPR-a sign that the heart has
started to beat and circulate blood,
essentially a sign of life.

A

Achieving Return of Spontaneous
Circulation (ROSC)

23
Q

Factors that Improve the Efficacy of Chest
Compressions

A

❖ Adequate Depth
❖ Complete Recoil
❖ Firm Surface
❖ Minimal Interruptions

24
Q

Position of the Victim
- Place the victim faceup on a firm,
flat surface like the _ or
_.

A

floor
backboard

25
Q

Position of the Victim
- On softer surfaces like _,
chest compressions force the
victim’s body to sink in, reducing
effectiveness.

A

mattresses

26
Q

Compression to Ventilation Ratio

A

30:2

27
Q

Compression Rate

A

100-120 per minute

28
Q

Compression Depth

A

Atleast 2 inches (5 cm) but should not exceed 2.4 inches (6 cm)

29
Q

Chest Recoil
- Ensure _ chest
reexpansion after each
compression to _ blood
flow.

A

complete
maximize

30
Q

Chest Recoil
- Avoid _ & maintain equal
times for compression and recoil.

A

leaning

31
Q

Minimizing Interruptions
- Aim for a _ of 80% for best
outcomes.

A

Chest Compression
Fraction (CCF)

32
Q

Minimizing Interruptions
- Only move victims if there’s a _ or _

A

direct threat
CPR inefficacy

33
Q

involves techniques
and interventions designed to ensure an
unobstructed pathway for air to enter the
lungs

A

Airway management

34
Q

This process is crucial to facilitate spontaneous
breathing or the delivery of mouth-to-mouth
breaths during CPR.

A

Airway Opening

35
Q

Airway Opening Maneuvers (2)

A

Head-Tilt/Chin-Lift Maneuver
Jaw-Thrust Maneuver

36
Q

Airway Opening Maneuvers
- “Place one of your hands on the patient’s
forehead, and place the other hand
beneath the chin, just under the bony part
of the jaw

A

Head-Tilt/Chin-Lift Maneuver

37
Q

Airway Opening Maneuvers
- With the first hand, tilt the patient’s head
backward.
• Simultaneously, lift the lower jaw and draw
the chin forward with the other hand.

A

Head-Tilt/Chin-Lift Maneuver

38
Q

Airway Opening Maneuvers
- Ensure that you do not press too hard on
the chin soft tissues; this might reflexively
block the airway

A

Head-Tilt/Chin-Lift Maneuver

39
Q

Airway Opening Maneuvers
- This maneuver is preferred when the
patient has a suspected head or neck
injury. It avoids disturbing the cervical spine
region.

A

Jaw-Thrust Maneuver

40
Q

Airway Opening Maneuvers
- To perform this maneuver, position yourself
behind the patient.
• Rest your elbows on the firm surface on
either side of the patient’s head.
• Position your fingers under the patient’s
lower jaw, just behind the angle of the jaw.
• Lift the jaw manually with both hands to
thrust the jaw forward.

A

Jaw-Thrust Maneuver

41
Q

Delivering breaths to a person who is not
breathing or breathing inadequately, either
through mouth-to-mouth or using devices.

A

Breathing

42
Q

Supplies the lungs with oxygen, which,
when combined with chest compressions,
ensures oxygenated blood reaches vital
organs.

A

Breathing

43
Q

When to give rescue breaths (2)

A

• When the patient is unresponsive, has a
pulse, and is either gasping ineffectively or
not breathing.
• When two rescuers are available on the
scene immediately after cardiac arrest.
One rescuer can focus on chest
compressions while the other carries out
rescue breathing.

44
Q

Devices Used in Giving Rescue Breaths (3)

A

Face Shield
Pocket Masks
Bag Valve Mask

45
Q

Devices Used in Giving Rescue Breaths
- This flat, plastic sheet can be placed over
the patient’s mouth and nose.

A

Face Shield

46
Q

Devices Used in Giving Rescue Breaths
- It usually has a hole in the center through
which air can be blown.

A

Face Shield

47
Q

Devices Used in Giving Rescue Breaths
- The hole is fitted with a one-way valve or
filter to prevent the backflow of air and fluid.

A

Face Shield

48
Q

Devices Used in Giving Rescue Breaths
- Healthcare professionals and emergency
responders usually use this.

A

Pocket Masks

49
Q

Devices Used in Giving Rescue Breaths
- This pear-shaped mask can be placed
directly over the patient’s nose and mouth
to achieve a tight seal.

A

Pocket Masks

50
Q

Devices Used in Giving Rescue Breaths
- is a device that delivers
air under positive pressure into the lungs

A

Bag Valve Mask

51
Q

Devices Used in Giving Rescue Breaths
- The bag-mask device delivers 21% oxygen
(typical room air level), superior to the 17%
in exhaled air.

A

Bag Valve Mask

52
Q

Devices Used in Giving Rescue Breaths
- It can also be connected to an oxygen
supply, delivering a higher percentage of
oxygen.

A

Bag Valve Mask