How is CPR performed differently when an advanced airway is in place quizlet?

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Terms in this set (46)

Where do you check an infant/child's pulse?

Brachial Artery, upper inner arm

Radial Pulse is found...

In the wrist

How do you deliver rescue breaths for an infant/child

1 breath every 2-3 seconds, or about 20-30 breaths a minute

CPR ratio of compressions to breaths

30 compressions and 2 breaths

When performing chest compressions for an infant, you can use 2 _____ or 2 _____ in the center of the chest

Thumbs or fingers

Where do you perform compressions on an infant

Just below the nipple line

Depth of compressions on a child

2 inches or 5 centimeters

Max amount of time to check for a pulse

10 seconds

In a two rescuer scenario what rate of compressions should the first rescuer use?

30:2

In a two rescuer scenario what rate of compressions should the second rescuer use?

15:2

How long do you check for a pulse in a child/infant?

5-10 seconds

If an infant isn't breathing normally but has a pulse, what should you do?

Provide 1 rescue breath every 2-3 seconds

After an AED delivers a shock to an infant you should resume CPR at what ratio?

15 compressions and 2 breaths with the 2 thumb-encircling hands technique

To avoid fatigue, when should team roles alternate providing compressions?

Every 5 cycles or 2 minutes

Team Roles in High-Performance 6 Rescuer Teams

- Compressor
- Airway
- AED/CPR Coach
- Team Leader (at the foot of the victim assigning roles and makes treatment decisions)
- Timer/Recorder
- Administer Medications

Team roles in a 2 rescuer scenario

Compressor and airway

Team roles in a 3 rescuer scenario

Compressor, airway, Monitor/AED

What is a correct approach for AED pad placement for infants and children less than 8 years of age?

As indicated on the pad packages

Begin CPR on an Infant/Child when the heart rate is ...

60/minute or less

Where do you check the femoral artery pulse

The inner thigh, midway between the hip bone and the public bone and just below the crease where the leg meets the torso

What is the indication for mouth-to-mouth rescue breaths?

When a barrier device is not available

How is CPR performed differently when an advanced airway is in place?

No pauses for ventilations

With an advanced airway in place, rescue breaths should be given at a rate of _____ breath every _____ seconds for adults.

1 breath every 6 seconds

When providing rescue breaths to a child or infant victim, you should give 1 breath every _____ to _____ seconds.

2 to 3

When providing rescue breaths to an adult you should give 1 breath every _____ seconds.

6 seconds (10 breaths/minute)

What are common administration routes for naloxone?

- Intranasal
- Intramuscular
- Intravenous

What is the first step when you suspect an opioid-associated life-threatening emergency?

Give 1 rescue breath every 6 seconds

When an advanced airway is in place, chest compressions should be provided at what rate?

100 to 120 per minute

For an adult with an advanced airway in place, rescue breaths should be given at what rate?

1 breath every 6 seconds

If a chocking victim is pregnant/too large for you to wrap your arms around their waist, you should perform _____ thrusts.

Chest

When providing rescue breaths to a child or infant victim, you should give 1 breath every _____ to _____ seconds.

2 to 3

What is a sign of severe airway obstruction?

Inability to speak

You should deliver _____ back slaps and _____ chest thrusts to a chocking infant who is responsive.

5 back slaps and 5 chest thrusts

What are some of the special considerations when using an AED?

- Water
- Implanted defibrillators/pacemakers
- Excessive chest hair
- Transdermal medicine patches

How does CPR differ in an unresponsive adult choking victim?

The airway is checked for the obstructing object

What are the correct actions to take for scene safety and assessment?

- Verify scene safety
- Look for no breathing and only gasping and check pulse
- Check for responsiveness
- Activate the emergency response system and get an AED
- Begin CPR if no breathing or no gasping and no pulse is felt

You witnessed the collapse of a child and do not have a moblie phone. There is no one around. After confirming no breathing and no pulse, what is your next step?

Leave the victim to activate the emergency response system and get an AED

What are the special considerations for defibrillation in children less than 8 years of age?

- If child pads are not included, use adult pads
- Use smaller-sized pads, if available
- A manual defibrillator is preferred for infants less than 1 year of age

What are the components of a pulse check in an unresponsive victim?

- Assess for a pulse for at least 5 but no more than 10 seconds
- Use 2 or 3 fingers to locate the pulse
- Feel the pulse in the groove to the side of the trachea

Where should AED pads be placed in the anteroposterior placement for adults and children 8 years and older?

Left side of the back/left side of the chest

Where should AED pads be placed in the anterolateral placement for adults and children 8 years or older?

Below the right collarbone/side of the left nipple

While performing high-quality CPR, when do pauses in compressions typically occur?

- Defibrillation
- Compressor switches
- Pulse checks
- Intubation
- Rhythm analysis

How can you achieve a high chest compression fraction?

Minimize pauses in chest compressions

ROC stands for what type of trials

The Resuscitation Outcomes Consortium trials

What is the correct order of steps of the Pediatric Out-of-Hospital Chain of Survival?

1. Prevention
2. Activation of emergency response system
3. High-quality CPR
4. Advanced resuscitation
5. Post-cardiac arrest care
6. Recovery

What is the correct order of steps in the Out-of-Hospital Chain of Survival for adults?

1. Activation of Emergency Response
2. High-Quality CPR
3. Defibrillation
4. Advanced Resuscitation
5. Post-Cardiac Arrest Care
6. Recovery

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How is CPR performed differently when an advanced airway is in place?

When an advanced airway (ie, endotracheal tube, Combitube, or LMA) is in place during 2-person CPR, ventilate at a rate of 8 to 10 breaths per minute without attempting to synchronize breaths between compressions. There should be no pause in chest compressions for delivery of ventilations (Class IIa).

When an advanced airway is in place what is the correct rate of compressions?

Once an advanced airway is in place, the compression to breath ratio should be adjusted as noted below (Table 1). The compression rate for all persons is always 100-120 per minute.

When an advanced airway is in place chest compressions should be quizlet?

the compression rate when advanced airway is in place should remain at 100 to 120/min, with no pause to deliver breaths. a rescuer should give breaths at the rate of 1 breath every 6 seconds during 2 rescuer CPR for an adult when an advanced airway is in place.

When an advanced airway is in place chest compressions should be provided at a rate of per minute?

Push hard at a rate of 100 to 120 compressions a minute. If you haven't been trained in CPR , continue chest compressions until there are signs of movement or until emergency medical personnel take over. If you have been trained in CPR , go on to opening the airway and rescue breathing.