In a conscious infant who is choking, you would first give five back slaps followed by:
five chest thrusts.
True or False. You need to use less ventilatory pressure to inflate a child's lungs because the airway is smaller than that of an adult.
False. More pressure is required because the smaller lungs provide more resistance.
True or False. AEDs are approved for use in children under one year of age.
True. However, use a pediatric dose attenuator if one is available. If not, use the AED anyway.
Brain damage is possible if brain is without oxygen for:
4 to 6 minutes.
Brain damage is likely if brain is without oxygen for:
more than 6 minutes.
The American Heart Association’s (AHA) chain of survival (five things):
Early access
Early CPR
Early defibrillation
Early advanced care
Integrated post-arrest care
What part of the American Heart Association’s (AHA) chain of survival requires public education and awareness which includes early warning signs of cardiac arrest and immediate activation of EMS?
Early access
What part of the American Heart Association’s (AHA) chain of survival requires advanced airway management, manual defibrillation, IV access, and administration of medications?
Early advanced care
What part of the American Heart Association’s (AHA) chain of survival requires controlling temperature to optimize neurologic recovery in the field, maintaining glucose levels in the patient who is hypoglycemic, and other interventions when indicated?
Integrated post-arrest care
AEDs are safe for infants and children older than:
1 month of age
When do you apply an AED to a child?
Apply after the first five cycles of CPR.
For children 1 month to 1 year of age, a ____ ____ is preferred; if this is not available, use pediatric-sized pads and ____-____ system. If neither is available, an AED without a dose-attenuating system may be used.
manual defibrillator
dose-attenuating
Place AED electrodes at least _″ to the side of a pacemaker.
1
If the patient is in ____, pull them out and dry the skin before attaching AED electrodes.
water
If the patient is in a small puddle of water or in the snow, the AED can be used, but the patient’s ____ should be dry.
chest
Remove ____ ____ and wipe the skin to remove the medication residue prior to attaching the AED pads.
transdermal patches
Circulates only ____-____ of normal “heart-pumped” blood
one-third
When providing CPR alone, you must give both chest compressions and artificial ventilations at a ratio of:
30:2.
In two-person CPR, it is recommended to switch positions every _ minutes with no more than a __-second break between the compression cycle.
2
10
Valve device placed between the ET tube and bag-mask device that limits the air entering lungs during the recoil phase between chest compressions.
Impedance threshold device (ITD)
Depresses the sternum via a compressed gas-powered plunger which results in uniform delivery of compressions.
Mechanical piston device
Composed of a constricting band and backboard that is electrically or pneumatically driven to compress the heart by putting inward pressure on the thorax.
Load-distributing band CPR or vest CPR
Never ____ a child to determine responsiveness.
shake
If you find an unresponsive, apneic, pulseless child, perform CPR for _ minutes and then call the EMS system.
2
Check pulses in ____ or ____ arteries in children.
carotid
femoral
Once you begin CPR, continue until one of the following occur (using the mnemonic ____):
STOP
S—Patient Starts breathing and has a pulse
T—Patient is Transferred to another trained responder
O—You are Out of strength
P—Physician directs you to discontinue
High-pitched sound that occurs when the object is not fully blocking the airway
stridor
During two-rescuer CPR, the compressor and ventilator switch positions. While rescuer one is finishing his or her cycle of 30 compressions, rescuer two should:
A. give two breaths and prepare to start compressions.
B. suction the patient's mouth and give two more ventilations.
C. move to the opposite side of the patient's chest.
D. assess for a carotid pulse for 15 seconds.
C. move to the opposite side of the patient's chest.
When performing CPR on a child, you should compress the chest:
A. to a depth of 1″ to 2″.
B. 70 to 80 times per minute.
C. until a radial pulse is felt.
D. with one or two hands.
D. with one or two hands.
A patient should be placed in the recovery position when he or she:
A. is semiconscious, injured, and breathing adequately.
B. is unconscious, uninjured, and breathing adequately.
C. has a pulse but is unconscious and breathing shallowly.
D. has experienced trauma but is breathing effectively.
B. is unconscious, uninjured, and breathing adequately.
