Give 2 reasons why you should avoid Hyperventilating a patient when assisting ventilations.
1) Aspiration risk 2) Increases intrathoracic pressure, decreases venous return to the heart, and diminishes cardiac output.
For patients with a likely asphyxial arrest, What is the sequence of actions for a Lone rescuer?
Perform 2 min (5 cycles) of CPR before leaving the patient to activate the emergency response system and get an AED. Then return to the patient, resume CPR, and use the AED if indicated.
What are the steps of closed-loop communication that a team leader should use?
1) Give assignment or order to team member. 2) Confirm it was heard and understood by receiving a clear response and good eye contact from the team member. 3) Listen for confirmation that the task was done before assigning another task.
When team resusitative efforts become ineffective what should the team then do?
go back to the basics and talk as a team.
What 3 things are going to be an essential role of the team leader to be monitoring and reevaluating?
1) The patients status 2) Interventions that have been performed. 3) Assessment findings.
ACLS guidelines state to typically limit suction attempts to...How many secounds?
10 seconds or less
With ET tube suctioning; How far or How do you measure the distance you can insert the suctioning catheter?
Insertion of the catheter beyond the tip of the ET tube is not recommended due to the chance that it may injure or stimulate cough and/or bronchospasm. To prevent this take note of the length of ET tube used and mark with thumb and forefinger.
If you are called on-scene to witnessed arrest in 6 min what should you do first?
If call-to-response time interval is longer then 4-5min perform 2min of CPR (5 cycles) before defibrillating patient. if under 4-5min shock first.
AED use; If a patient is lying on snow or in a small puddle...
Action: Ok to use the AED. (ACLS p. 39)
AED use; If a patient has an implanted pacemaker...
Not contraindicated as long as the electrode is not placed directly over the device. (at least 1in. to either side of the implanted device.
What ALS drugs are involved in cases of VF/Pulseless VT according to ACLS.
E.V.A ; Epi, Vasopressin, Amiodarone,
What are the energy doses of monopasic and biphasic defibrillator to effectively terminate VF.