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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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