Resuscitation Flashcards
Ventricular Tachycardia and Ventricular Fibrillation are considered what
Dysrhythmia
When both ventricles pump so rapidly that they have no time to fill, and so there is no or inadequate blood to pump
Ventricular Tachycardia
A chaotic mechanical response to chaotic electrical activity leads to a quivering motion of the heart that fails to pump any blood
Ventricular Fibrillation
These account for more than 85 percent of all arrest situations, and most of these dysrhythmias (roughly 89 percent) are caused by acute coronary syndrome
Dysrhythmia
Sudden blunt trauma to the anterior chest, such as being struck by a baseball or diving chest first onto hard ground, can lead to sudden cardiac arrest dysrhythmias
Commotia Cordis
This implies that the heart has stopped pumping due to issues related to systemic hypoxia
Asphyxial cardiac arrest
Patients with this cardiac arrest generally have very low oxygen levels and elevated carbon dioxide levels in their blood making quality ventilations very important
Asphyxial
These breaths are an indication of cardiac arrest
Agonal
If cardiac arrest is identified, primary assessment stops and __________________ should be started immediately
Chest compressions
Chain of survival
(1) recognition and activation of the emergency response system, (2) immediate high-quality CPR, (3) rapid defibrillation, (4) basic and advanced emergency medical services, and (5) advanced life support and postarrest care
For infants, children, and adults, the chest should be compressed at a rate of
100 - 120 per minute
In cardiopulmonary resuscitation what is the ratio of compressions and breathing
2 breaths per 30 compressions
In pediatric patients, if 2 rescuers available CPR ratio of compressions and breathing can be adjusted to what
2 breaths per 15 compressions
“asynchronous ventilations,” means they deliver
low-volume ventilations without interrupting compressions
manual defibrillation is
when Paramedics and physicians can use cardiac monitor/defibrillators to visually identify a dysrhythmia and choose to deliver a shock
A monophasic defibrillator sends a
single shock (this is what monophasic means) from the negative pad to the positive pad
A biphasic defibrillator sends
the shock first in one direction then the other
The “triangle of life” is
the triangle represents the first three providers attending the patient. On either side of the patient, one provider delivers compressions and the other attaches the AED. At the head of the patient, the third provider manages the airway and delivers ventilations
return of spontaneous circulation (ROSC)
ROSC occurs when the heart begins to beat on its own again. Most commonly, this is recognized by a patient’s starting to breathe
what is asphyxial cardiac arrest
a cardiac arrest caused by systemic hypoxia, typically due to a respiratory disorder
what is asystole
a condition in which the heart has ceased generating electrical impulses. Commonly called flatline
what is compression fraction
the amount of time chest compressions are being performed compared with the total time of patient contact
what is pulseless electrical activity (PEA)
a condition in which the heart’s electrical rhythm remains relatively normal, yet the mechanical pumping activity fails to follow the electrical activity, causing cardiac arrest