(2022) BLS Heart Code Top Exam
Questions and answers, 100% Accurate.
After positioning yourself directly above the victim's head, what is the correct order of steps for using a
bag-mask device? - ✔✔-1. Place the mas
...
(2022) BLS Heart Code Top Exam
Questions and answers, 100% Accurate.
After positioning yourself directly above the victim's head, what is the correct order of steps for using a
bag-mask device? - ✔✔-1. Place the mask on the victim's face, using the bridge of the nose as a guide
for the correct position
2. Use the E-C clamp technique to hold the mask in place while you lift the jaw to hold the airway open
3. Squeeze the bag to give breaths (1 second each) while watching for chest rise
How are breaths delivered using a bag-mask device? - ✔✔-1 breath over 1 second, while watching for
chest rise
Why an AED is needed - ✔✔-- Most sudden cardiac arrests are triggered by abnormal heart rhythms
called arrhythmias
- Two life-threatening arrhythmias that can cause cardiac arrest are pulseless ventricular
tachycardia(pVT) and ventricular Fibrillation (VF) where the heart's electrical impulses suddenly become
chaotic and ineffective
- Blow flow to the brain stops abruptly, and the victim loses consciousness
-Death usually follows unless a normal heart rhythm and pulse are restored within minutes
Why is an AED needed? - ✔✔-To analyze the heart rhythm and provide a shock
After an AED delivers a shock, what should the rescuers do next? - ✔✔-Resume CPR, starting with chest
compressions
How to Use an AED - ✔✔-Step 1: Power on the AED if needed
- Follow the prompts (as a guide to next steps)
Step 2: Choose adult pads for victim 8 years of age and older
- Attack the adhesive AED pads to the victim's bare chest
- Follow the diagrams on the pads
Step 3: When AED prompts you, clear the victim during analysis. Be sure no one is touching the victim,
not even the rescuer in charge of giving breaths
- Some AEDs will tell you to push a button to allow the AED to begin analyzing the heart rhythm; others
will do automatically
- The AED may take a few seconds to analyze
Step 4:
If the AED advises a shock:
- it will charge and then tell you again to clear the victim
- Clear the victim before delivering the shock
- Pressure the shock button
- The shock will produce a sudden contraction of the victim's muscles
- After any shock delivery, immediately resume CPR
If no shock is needed:
- Immediately resume CPR, starting with compressions
Where should the AED pads be placed in the anterolateral placement for adults and children 8 years or
older? - ✔✔--Below the right collarbone
-Side of left nipple
AED pad placement: Adults and children 8 years and older - ✔✔-Anterolateral Placement:
- place one pad directly bellow the right collarbone
- Place the other pad to the side of the left nipple, with the top edge of the pad a few inches below the
armpit
Anteroposterior placement:
- Place one AED pad on the left side of the chest, halfway between the tip of the breastbone and left
nipple with upper edge of the pad below the nipple line
- Place the other pad on the left side of victim's back, beneath the should blade, next to the spine
What is recommended to minimize interruptions in compressions when using an AED? - ✔✔-- Continue
with a high-quality CPR until an AED prompts to clear
- If no shock is advised and after any shock delivery, immediately resume high-quality CPR, starting with
chest compressions
- When 2 or more rescuers are present, one rescuer should continue chest compressions while the other
prepares the AED
Scene Safety, Responsive and Assessment - ✔✔-The first step in the adult BLS sequence for 1 or 2 or
more rescuers is to verify the scene is safe
Check for responsiveness and get help. Tap the victim's should and shout, "Are you OK?
If the victim is not responsive, shout for nearby help. If you are alone get the AED/defibrillator; if
someone else is available send that person to get it
Next, look for no breathing or only gasping and check the pulse simultaneously. Is a pulse definitely felt
within 10 seconds?
If there is normal breathing and a pulse felt, monitor until emergency responders arrive
If there is no normal breathing and pulse is felt, provide rescue breathing, Give 1 breath every 6
seconds, or 10 breaths/min. Check the pulse every 2 minutes and if there is no pulse, start CPR. If
possible opioid overdose, administer naloxone if available per protocol
If there is no normal breathing or only gasping and a pulse is not felt, start CPR. Perform cycles of 30
compressions and 2 breaths and use the AED as soon as it is available
Once the AED arrives, check the rhythm
If the rhythms is shockable, give 1 shock and resume CPR immediately for 2 minutes until prompted by
the AED to allow a rhythm check
If rhythm is nonshockable, resume CPR immediately for 2 minutes, until prompted by the AED to allow a
rhythm check
Continue CPR until ALS provider take over or the victim starts to move
Adult BLS algorithms for health care providers - ✔✔-Verify Scene Safety
Check for Responsiveness
- Tap the victim's shoulders and shout, "Are you OK?"
- If the victim is not responsive, shout for nearby help.
- Activate the emergency response system via mobile device
- Get the AED or send someone to do so
Look for no breathing or only gasping and check the pulse( simultaneously). Is a pulse definitely felt
within 10 seconds?
Normal breathing, pulse felt
- monitor until emergency responders arrive
No normal breathing, pulse felt
- 1 breath every 6 seconds, or 10 breaths/min
- Check the pulse every 2 min
- If no pulse, start CPR
- If possible opioids overdose, administer naloxone if available per protocol
No normal breathing and only gasping, pulse not felt
- Start CPR
- Perform cycles of 30 compressions and 2 breaths
- Use AED as soon as it is possible
Once the AED arrives, check the Rhythm:
Shockable rhythm:
- give 1 shock and resume CPR immediately for 2 minutes (until prompted by AED to allow rhythm
check)
Nonshockable Rhythm
- Resume CPR immediately for 2 minutes ( until prompted by AED to allow rhythm check)
Continue CPR until ALS provider take over or the victims starts to move
Pediatric Chain of Survival - ✔✔-Early recognition and prevention
Activation of Emergency Response
High- Quality CPR
Advanced resuscitation
Post Cardiac Arrest Care
Recovery
What is the perferred method for pulse in an infant? - ✔✔-Place 2 or 3 fingers on the inside upper arm,
midway between the infant's elbow and shoulder
What are the correct actions to take for scene safety and assessment? - ✔✔-Verify scene is safety
Check for responsiveness
Activate the emergency response system and get an AED
Look for no breathing and only gasping and check pulse
Begin CPR if no breathing or no gasping and no pulse felt
When should the rescuer operating the AED clear the victim? - ✔✔-During Analysis and before shock
delivery
Critical Components of Chest compressions: Children - ✔✔-Rate: 100 to 120/min
Depth: approximately 2 inchest(5 cm)
Hand Placement: 2 hands on the lower half of the breastbone (sternum); Could use 1 hand for a very
small child
Chest Recoil: allow complete recoil, do not lean on the chest
Minimizing Interruptions: limit interruptions to less than 10 seconds
You and your colleague respond to an adult victim who is unresponsive. After assessing the victim is not
breathing and has no pulse, what do you instruct your colleague to do? - ✔✔-Activate the emergency
response system and get AED
What is the target rate for chest compression for children? - ✔✔-100 to 120/min
During CPR on child, you should place 1 or 2 hand over the________ of the _________ - ✔✔-Lower half;
Breastbone
Two life-threatening arrhythmias that can cause cardiac arrest are pulseless ventricular tachycardia and
_________ - ✔✔-Ventricular fibrillation
During CPR on a child, interruption to chest compression should be limited to no more than ______
seconds - ✔✔-10
Critical Components of Chest Compressions: Infants - ✔✔-In infants rescuer should compress at a rate of
100 to 120 per minutes, to a depth of approxiatemly 1 1/2 inches (4 cm)
For 1 rescuer, 2 finger should be positioned in the center of the chest, just below the nipple line
For 2 rescuers, use the 2 thumb, encircling hands technique by positioning the thumbs in the center of
the chest, just below the nipple line
One rescuer may also use the 2 thumb, encircling hand technique or the hell of 1 hand
You should allow complete recoil of the chest after each compression
It important to avoid leaning on the chest between compressions
Interruption in chest compressions should be limited to less than 10 seconds
When performing chest compression for an infant, you can use 2 thumbs or put 2 _____ in the center of
the chest, just below the _____ line - ✔✔-fingers, nipple
When performing chest compression for an infant in a 2-rescuer situation, you should put 2 ______ in
the center of the chest, on lower half of breast bone - ✔✔-thumbs
What are the recommended compression-to-ventilation rations for infants and children? - ✔✔-1
Rescuer: 30: 2
2 or more rescuers: 15:2
Witnessed Vs Unwitnessed Collapse: Children and Infants - ✔✔-Witnessed Collapse of child/infant:
- If you are alone with no mobile phone, leave the victim to activate the emergency response system
and get the AED before beginning CPR. Use the AED as soon a it it available
- If you are not alone, send someone to get the AED to begin CPR immediately. Use the AED as soon as it
is available
- If you are with someone, you should send them to get the AED and begin CPR immediately
Unwitnessed Collapse Children/ Infants:
- If you are alone, start CPR with cycle of 30:2
- If you are not alone, send someone to get the AED and begin CPR immediately. Used the AED as soon
as it is available
- After about 2 minutes, if you are still alone, activate the emergency response system and get an AED if
not already done
- Use the AED as soon as it is available
1. immediately give 2 min of CPR, then leave the victim to activate emergency response system and get
AED
2. Return to child or infant and resume CPR
3. use AED as soon as it is available
What is a correct approach for AED pad placement for infants and children less than 8 year of age? -
✔✔-As indicated on the pad packages
AED pad placement: Infants and Children less than 8 year of age - ✔✔-Pad Choice:
- If your AED includes smaller-sized pads that are designed for children under 8 year of age, use them
-If not, use the adult pads while making sure that they don't touch or overlap
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