THERAPY 5 - ADV ANCED CARDIAC LIFE SUPPORT (ACLS) QUESTIONS AND ANSWERS WITH SO LUTIONS 2 024 What is the chain of survival in ACLS? - ANSWER 1. Immediate recognition of cardiac arrest and activation of the emergency response system 2. Early CPR with an emphasis on chest compressions 3. Rapid defibrillation 4. Effective advanced life support 5. Integrated post -cardiac arrest care BLS algorithm - ANSWER notice unresponsiveness/no breathing: 1. activate emergency response 2. Start CPR and have someone get defibrillator 3. Check rhythm/shock if indicated and repeat every 2 minutes During BLS, rescuers should: - ANSWER - Perform chest compressions at a rate of 100 -120 per minute - Compress to a depth of at least 2 inches - Allow full recoil after each compression - Minimize pauses in compressions - Ventilate adequately (2 breaths after 30 compressions, each breath delivered over 1 second, each causing chest rise) What do continuous chest compressions do to coronary perfusion pressure? - ANSWER ↑ Coronary Perfusion Pressure leading to return of spontaneous circulation BLS healthcare algorithm: what to do if there IS a definite pulse within 10 seconds? - ANSWER - give 1 breath every 5 - 6 seconds - recheck pulse every 2 minutes BLS healthcare algorithm: what to do if there IS NOT a definite pulse within 10 seconds? - ANSWER - begin cycles of 30 compressions and 2 breaths In BLS healthcare algorithm, after 30 compression and 2 breath cycle and defibrillator arrives, what is done if the rhythm is shockable? - ANSWER give 1 shock and resume CPR immediately for 2 minutes In BLS healthcare algorithm, after 30 compression and 2 breath cycle and defibrillator arrives, what is done if the rhythm is not shockable? - ANSWER Resume CPR immediately for 2 minutes and check rhythm every 2 minutes shockable vs non shockable rhythms - ANSWER What electrical therapies are available? - ANSWER • Automated External Defibrilators • Defibrilation • Cardioversion • Pacing
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