FireRescue1 - Return of Spontaneous
Circulation (BLS) Final Exam
A family member informs you that the patient, a 74 year-old female experienced weakness
and then chest pain prior to her collapse and she had no other significant medical history.
Based on these findings you suspect the cause of the arrest was: - ANSA. a mild
exacerbation of emphysema
B. a significant cardiac episode - Correct Answer
C. a pulmonary embolism
D. carbon monoxide poisoning
The two interventions most likely to improve the chance of ROSC are: - ANSA. early
recognition of the cause of arrest
B. IV placement and early administration of Epinephrine
C. advanced airway placement
D. high quality compressions and early defibrillation - Correct Answer
While evaluating a patient after a sudden cardiac arrest, your partner suggests ventilations
at a rate of 20-30 per minute. In this case, your partner's suggestion is: - ANSA. correct. But
only if the patient has an advanced airway in place.
B. correct. This range is a good starting point for adult ventilations.
C. incorrect. Over ventilation can be just as detrimental to the patient as under ventilation. -
Correct Answer
D. incorrect. Ventilation immediately following cardiac arrest should be at a rate of 25-35 per
minute.
A patient has remained in refractory v-fib and the paramedic has charged the defibrillator for
a second shock. After clearing the patient the shock is administered and the provider
assigned to compressions immediately begins chest compressions prior to checking for a
pulse. In this case, his technique is: - ANSA. not advisable because residual electrical
current can stay in the chest for ten to fifteen seconds
B. not advisable because chest compression immediately following successful defibrillation
can disrupt the newly established heart rhythm.
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