Flashcards
BLS Survey
Cards in this deck (20)
- 1Using the systematic approach, if a patient appears CONSCIOUS the rescuer should use which survey and when?Use the ACLS survey for the INITIAL assessment
- 2Assessing for responsiveness in the adult victim involves....? What step is this in the BLS Survey?Tapping the patient and shouting "Are you all right"? and scanning the chest for movement (about 5 to 10 seconds)
This is the first step in the BLS survey. - 3n the adult patient, circulation is assessed by checking the ________pulse for ________ seconds.Carotid pulse for 5 to 10 seconds
- 4You encounter an adult victim lying on the ground and not moving. You assess for responsiveness by tapping his shoulder and shouting "Are you okay"? You watch the victim's chest and find that he is not breathing after 5 to 10 seconds of observation. You ask a passerby to call 9-1-1 and bring a defibrillator if one is available. You check the carotid pulse on the side closest to you and determine that the victim's heart is not beating. What should you do next?Start CPR, beginning with chest compressions at a ratio of 30 compressions to 2 ventilations
- 5You check an adult victim for the presence of a carotid pulse. After 10 seconds you are unsure whether a pulse is present. You should.....Begin CPR, starting with compressions
(If you are unsure whether the patient has a pulse, you should proceed as if the patient is pulseless) - 6Your unresponsive, apneic and pulseless patient has just received a shock from the AED that arrived just moments ago. After the shock has been delivered, you should....Immediately resume CPR, beginning with chest compressions at a ratio of 30 compressions to 2 ventilations
- 7An AED should be used when the patient..... (x3 answers)-The patient is unresponsive
-The patient is apneic or is breathing abnormally (i.e. gasping)
-The patient does not have a pulse - 8What are the four universal steps to operating an AED ?1) Power on the AED
2) Attach electrodes
3) Analyze the rhythm
4) Press the SHOCK button (after 'clearing' the victim). - 9[Two critical concepts in the BLS survey] During CPR providers should try to minimize ____ and maximize______ (Both will increase patient survival during cardiac arrest)Minimize any interruptions during chest compression &
Maximize High-quality CPR - 10Try to limit interruptions in chest compressions to no longer than _____. Examples of x2 interruptions are... Does this 10 second max length apply to extreme circumstances as well? Give an exampleNo longer than 10 seconds
Ex. defibrillation and advanced airway
No an extreme circumstance is an exception to the 10 second rule. Example includes removing the patient from a dangerous environment - 11What happens to the patients circulation when frequent interruptions occur during chest compressionsWhen chest compressions stop, circulation/ blood flow to the brain and heart stops
Duh.... lol - 12What are x4 actions to try and avoid in order to minimize interruptions in chest compressions?-Prolonged RHYTHM analysis
-Frequent or inappropriate PULSE checks
-Taking to long to give BREATHS to patient
-Unnecessary MOVING of the patient - 13List the 5 critical concepts for High-Quality CPR (Remember MY acronym for this)[My acronym: C.R.I.E.S]
C: COMPRESS the chest hard and fast
R: Allow complete chest RECOIL after each compression
I: Minimize INTERUPTIONS in compressions (10 seconds or less)
E: Avoid EXCESSIVE ventilations
S: SWITCH providers every 2 minutes to avoid fatigue - 14Explain in depth this critical concept for High-Quality CPR: "Compress the CHEST (where?) HARD (depth?) and FAST (rate?)"Compress:
-WHERE: The center of the chest (lower half of the sternum)
-DEPTH: at least 2 inches (5 cm)
-RATE: at least 100 compressions per minute
- - 15What are x2 ways to MONITOR CPR QUALITY?Quantitative waveform capnography
& Intra-arterial pressure - 16When using quantitative waveform capnography what is detected that shows the need to improve CPR quality?A PETCO2 of less than <10 mmHg
- 17When using intra-arterial pressure what is detected that shows the need to improve CPR quality?If diastolic (relation phase) pressure is less than <20 mmHg
- 18-During a 2-rescuer CPR, how often should the rescuers switch the compressor role (every # cycles? every # minutes?) -How quickly should the rescuers make the switch ?-The rescuers should switch every x5 cycles (of CPR 30:2) or 2 minutes
-Rescuers should try to change compressor role in less than <5 seconds! - 19Using the systematic approach, if a patient appears UNCONSCIOUS in arrest (cardiac or respiratory) the rescuer should use which survey and when?-Use the BLS survey for the INITIAL assessment
-then AFTER, use the ACLS survey (for more advanced assessment and treatment) - 20My acronym for steps in BLS surveyRAP:---->C-D or ---->RB
R: Check RESPONSIVENESS
A: ACTIVATE response system/ AED
P: Circulation- check carotid PULSE for 5-10 sec.
---NO pulse--->C: CPR ---- D: DEFIBRILLATION)
---YES pulse-----> RB: RESCUE BREATHING
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- Masters Degree ACLS Course (Part 2: Systematic approach- BLS & ACLS Surveys) Flashcards on BLS Survey, created by Carrie Odeneal on 06/05/2015.
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- Carrie Odeneal
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