Week 8: Cardiopulmonary Resuscitation

Question 1

What is the chain of survival

Answer 1

The chain of survival symbolises the best approach to the treatment of the deteriorating

Question 2

Components of the Chain of Survival

Answer 2

Early Recognition: To prevent cardiac arrest
Early CPR: To buy time
Early Defibrillation: To restart the heart
Post Resus Care: To restore quality of life

Question 3

When assess vital signs

Answer 3

• On admission
• Change in health stats
• Before and after any activity/procedure that may alter vital signs

Question 4

Significant of vital signs

Answer 4

Recognising acute deterioration relies on detecting, understanding and interpreting abnormal vital signs and
other observations, and escalating care appropriately

Abnormalities in respiratory rate, pulse & blood pressure are early cues to detecting the deteriorating patient

Question 5

NSQHS Standard Requirements

Answer 5

• Staff to recognise clinical deterioration
• Means to escalate care
• Respond to clinical deterioration

Question 6

Failure to recognise and respond to clinical deterioration

Answer 6

• Not monitoring physiological observations consistently
• Not understanding observed changes in physiological observations
• Lack of knowledge of signs and symptoms that could signal deterioration
• Lack of formal systems for responding to deterioration and
• Lack of skills to immediately manage the deteriorating patient

Question 7

Chain of Prevention

Answer 7

• Education
• Monitoring
• Recognition
• Call for Help
• Response

Question 8

What does Chain of prevent assist in

Answer 8

• Deterioration
• Cardiac arrests and deaths
• Admissions to ICU
• Inappropriate resuscitation attempts

Question 9

Common factors seen in cardiac arrests:

Answer 9

• Most arrests are predictable
• Deterioration in up to 80% of patients prior to cardiac arrest
• Tachypnoea early sign - hypotension often later
• Hypoxaemia and hypotension common pre-arrest in review of arrested patients