Resuscitation in Cardiac Arrest

Question 1

this focuses on management of the airway, ventilation, and oxygenation, and resstoring adequate circculation.

Answer 1

resuscitation

Question 2

this occurs when the ventricles of the heart, for any of a variety of reasons, are not contracting or when the cardiac output is completely ineffective and no pulses can be felt. The worst manifestation of cardiac compromise

Answer 2

cardiac arrest

Question 3

the uncoordinated twitching of the heart is known as

Answer 3

ventricular fibrillation

Question 4

following cardiac arrest brain cells begin to die within

Answer 4

4-6 minutes

Question 5

sudden death occurs when a patient dies within

Answer 5

1 hour of the onset of signs and symptoms

Question 6

what r the 3 phases the patient goes through following cardiac arrest that lead to biological death

Answer 6

electrical pulse
circulatory phase
metabolic phase

Question 7

this phase begins immediately upon cardiac arrest and ends 4 minutes afterwards. heart still has good supply of oxygen and glucose

Answer 7

electrical phase

Question 8

this phase begins 4 minutes-10 minutes following CA, during this phase oxygen stores have been exhausted and the myocardial cells shift from aerobic to anaerobic metabolism. results in little energy production, the heart is not prepared for defibrillation and is not prone to restarting

Answer 8

circulatory phase

Question 9

this phase begins 10 min after cardiac arrest and glucose has large amount of acid build-up. tissues begin to die, sodium attracts water inside the cell which eventually ruptures and dies or leads to organ death

Answer 9

metabolic phase

Question 10

is from the time the patient goes into cardiac arrest until CPR is effectively being performed

Answer 10

downtime

Question 11

is the total time from when the patient went into cardiac arrest until you delivered the patient to hospital

Answer 11

total downtime

Question 12

this occurs when a patient regains a spontaneous pulse during the resuscitation effort, the patient begins to breath on their own

Answer 12

return of spontaneous circulation

Question 13

in cardiac arrest this is defined as a patient who survives to be discharged from the hospital

Answer 13

survival

Question 14

is when a EMT witnesses the patient become apneic and pulseless

Answer 14

witnessed to cardiac arrest

Question 15

when EMT arrives onscene and the patient is already unresponsive

Answer 15

unwitnessed cardiac arrest

Question 16

when would you not begin resuscitation

Answer 16

valid DNR
POLST
MOLST (Medical orders for life sustaining treatment
person who is decapitated of in rigor beyond the point of resuscitation

Question 17

who termed the chain of survival

Answer 17

American Heart Association

Question 18

what r the 5 links to the Adult chain of survival

Answer 18

1. immediate recognition and activation
2. early cpr
3. rapid defibrillation
4. effective life support
5. integrated post cardiac arrest care

Question 19

what r the 5 links to the Pediactric chain of survival

Answer 19

1. prevention of arrest
2. early high quality CPR performed by bystanders
3. rapid activation of EMS or other emergency responders
4. effective life support and rapid transport to medical facility
5. integrated post cardiac arrest care

Question 20

what r the 2 most critical factors to successful resuscitation

Answer 20

high quality chest compressions

early defibrillation