Ch 11 EMT

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Emergency! Orange book, 10 ed

When ventilating an apneic adult with a simple barrier device, you should deliver each breath:

while watching for adequate chest rise.

Several attempts to adequately open a trauma patient's airway with the jaw-thrust maneuver have been unsuccessful. You should:

carefully perform the head tilt-chin lift maneuver.

Which of the following is NOT a BLS intervention?

A)abdominal thrusts
B)chest compressions
CORRECT C)cardiac monitoring
D)automated defibrillation

During two-rescuer CPR, the compressor and ventilator switch positions. While rescuer one is finishing his or her cycle of 30 compressions, rescuer two should:

move to the opposite side of the patient's chest.

Abdominal thrusts in a conscious child or adult with a severe upper airway obstruction are performed:

until he or she loses consciousness.

After the patient's airway is intubated during two-rescuer CPR, you should:

deliver one rescue breath every 6 to 8 seconds.

After establishing that an adult patient is unresponsive, you should:

open the airway.

An apneic infant or child should be ventilated a maximum of _______ times per minute.

20

Which of the following techniques should you use to dislodge a foreign body airway obstruction in a patient who is in an advanced stage of pregnancy or who is very obese?

chest thrusts

The main benefit of using a mechanical piston or load-distributing band device for chest compressions is:

the elimination of rescuer fatigue that results from manual compressions.

What is the minimum number of chest compressions that should be delivered per minute to a 4-month-old infant?

100

What percentage of exhaled oxygen is delivered during mouth-to-mask breathing without supplemental oxygen?

16%

The proper depth of chest compressions on a 9-month-old infant is:

one third to one half the diameter of the chest.

Signs of a sudden severe upper airway obstruction include all of the following, EXCEPT:

A)acute cyanosis.
B)inability to speak.
C)grasping the throat.

CORRECT D)forceful coughing.

Which of the following is considered an obvious sign of death and would not require the initiation of CPR?

dependent blood pooling

A patient should be placed in the recovery position when he or she:

is unconscious, uninjured, and breathing adequately.

What is the correct ratio of compressions to ventilations when performing two-rescuer child CPR?

15:2

You should deliver chest compressions to an unconscious adult patient in cardiac arrest by:

compressing the sternum between the nipples.

A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should:

begin CPR until an AED is available.

CPR will NOT be effective if the patient is:

prone.

Which of the following maneuvers should be used to open a patient's airway when a spinal injury is suspected?

jaw-thrust

Complications associated with chest compressions include all of the following, EXCEPT:

A)rib fractures.
B)liver laceration.
CORRECT C)gastric distention.
D)a fractured sternum.

Basic life support (BLS) is defined as:

noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest.

You have assessed an unresponsive middle-aged female and determined that she is in cardiac arrest. When you apply the AED pads, you note that she has a medication patch over the same area where one of the AED pads will be placed. You should:

remove the medication patch, wipe away any medication residue, and apply the AED pads.

To ensure that you will deliver the appropriate number of chest compressions during one-rescuer adult CPR, you should compress the patient's chest at a rate of about _______ per minute.

100

Which of the following is NOT an indication to stop CPR once you have started?

Care is transferred to a bystander.

CPR should be initiated when:

A valid living will is unavailable

When performing CPR on a child, you should compress the chest:

with one or two hands

In two-rescuer adult CPR, you should deliver a compression to ventilation ratio of:

30:2

If gastric distention is interfering with your ability to adequately ventilate a patient, you may have to:

apply manual pressure to the abdomen

Your initial attempt to ventilate an unresponsive apneic 30-year-old man is met with resistance and you do not see the chest rise. Your second ventilation attempt is also unsuccessful. You should:

perform 30 chest compressions.

In MOST cases, cardiopulmonary arrest in infants and children is caused by:

respiratory arrest.

When assessing the pulse of an unresponsive infant, you should palpate the ________ artery.

brachial

Gastric distention will MOST likely occur:

if you ventilate a patient too fast.

After ________ minutes without oxygen, brain damage is likely.

6

The MOST appropriate treatment for a patient with a mild upper airway obstruction includes:

administering oxygen and transporting immediately.

Which of the following statements regarding ventricular fibrillation (V-fib) is MOST correct?

A)It is an uncommon dysrhythmia in patients with sudden cardiac arrest.
B)AEDs should not be used to defibrillate patients in V-fib.
C)The only indication for immediate defibrillation is V-fib.

CORRECT D)Survival rates decrease by 7% to 10% for each minute that V-fib persists.

Most prehospital cardiac arrests occur as the result of:

a cardiac arrhythmia.

Which of the following statements regarding the use of the AED in children is MOST correct?

A)AEDs should never be used on children younger than 8 years or less than 55 pounds.
B)AEDs are only effective in pediatric patients if severe trauma is the cause of their cardiac arrest.

CORRECT C)AED use in children between 1 and 8 years of age involves pediatric pads and an energy reducer.

D)AEDs are not used in pediatric patients because they do not experience ventricular fibrillation.

You and your partner arrive at the side of a 60-year-old woman who suddenly collapsed about 7 minutes ago. She is unresponsive, apneic, and pulseless. You should:

perform cardiopulmonary resuscitation (CPR) for about 2 minutes and then apply the AED.

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