Goal of the PALS Provider Course? - CORRECT ANSWER-...is to improve outcomes for pediatric patients by preparing healthcare providers to recognize and intervene in pt's with respiratory emergencies, shock, and cardiopulmonary arrest using high-performance team dynamics and high-quality individual s...
Goal of the PALS Provider Course? - CORRECT ANSWER-...is to improve outcomes
for pediatric patients by preparing healthcare providers to recognize and intervene in
pt's with respiratory emergencies, shock, and cardiopulmonary arrest using high-
performance team dynamics and high-quality individual skills.
AHA update for CPR sequence from A-B-C to C-A-B?? - CORRECT ANSWER-
Compressions - Airway - Breathing
Why is high quality CPS critical during cardiac arrest? - CORRECT ANSWER-To
provide adequate blood flow to the brain and vital organs. Compressions generate
blood flow.
Critical Elements of high-quality CPR include: - CORRECT ANSWER-Push fast (100-
120 compressions/min infants/kids).
Push hard (1.5" infants, 2" kids, 2-2.4" adol).
Allow recoil (Release completely for heart refill).
Minimize interruptions (only for vent, rhythm check, shock delivery).
Avoid excessive ventilation (Breath given over 1 sec. After advanced airway placed,
deliver 10 breaths / min ( secs)).
BLS Algorithm for Single Rescuer: You arrive at side of unresponsive infant or child, you
should quickly perform (steps 1-3): - CORRECT ANSWER-1. Verify scene safety (do
not become victim yourself).
2. Check for responsiveness (tap shoulder or heal of infants foot and shout "are you
OK?")
3. If unresponsive, shout for nearby help! Activate emergency response system via
mobile devise (if needed).
Assess for Breathing and pulse - CORRECT ANSWER---- Look for no breathing or only
gasping and check pulse (simultaneously). Is pulse definitely felt w/in 10 seconds???
, 3a. Normal breathing and has a pulse? - CORRECT ANSWER-Activate emergency
response system (if not done). Return to victim and monitor until emergency responders
arrive.
3b. No normal breathing, but has a pulse? - CORRECT ANSWER-Provide rescue
breathing:
1 breath every 3-5 seconds, or about 12-20 breaths/min.
-Add compressions if pulse remains <60/min w/ signs of poor perfusion.
-Activate emergency response system after 2 mins (if not done).
-Continue rescue breathing; check pulse every 2 mins. If none, begin CPR.
4. No breathing/only gasping, and no pulse? Did you witness a sudden collapse???
YES - CORRECT ANSWER-Activate emergency response systems (if not done), and
retrieve AED/defibrillator.
4. No breathing/only gasping, and no pulse? Did you witness a sudden collapse??? NO
- CORRECT ANSWER-If you didn't, the 5: CPR.
Begin cycles of 30 compressions and 2 breaths (15:2 ratio if second rescuer arrives).
Use AED as soon as it is available.
6. After ~2 minutes, if still alone, then... - CORRECT ANSWER-activate emergency
response system and retrieve AED (if not done already).
7. AED analyzes rhythm. Shockable rhythm?? YES - CORRECT ANSWER-Give 1
shock. Resume CPR immediately for about 2 minutes (until prompted by AED to allow
rhythm check). Continue until ALS providers take over or victim starts to move.
7. AED analyzes rhythm. Shockable rhythm?? NO - CORRECT ANSWER-Resume
CPR immediately for about 2 minutes (until prompted by AED to allow check). Continue
until ALS arrives or victim moves.
Compression Rate and Compression-to-Ventilation Ratio: - CORRECT ANSWER-
Universal rate for compressions in all cardiac arrest victims is 100 to 120/min.
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