-
one person / unwitnessed CPR
- determine unresponsiveness
- call for help
- establist airway
- check for breathing
- give two breaths
- check for pulse
- NO PULSE? CPR
-
preferred method of establishing airway during CPR
head/chin lift
-
contraindications of head/chin lift
fractured neck, suspension of neck fracture = trauma
-
allows for establishing patent airway in pts with suspected neck fracture
jaw thrust or modified jaw thrust
-
complication of ventilation of CPR
gastric distention
-
complications of external cardiac compressions of CPR
rib fractures (do not stop cpr)
-
which pulse is the best method to check effectiveness of CPR
coratid
-
you cannot remove a cervical collar on during resuscitation, check ___ pulse instead
femoral
-
adult compression ratio
30:2
-
child anfant compression ratio
15:2
-
newborn/neonate compression rate
3:1
-
mild airway obstruction treatment
encouragement
-
severeeeeee airway obstruction
take action
-
most common cause of upper airways obstruction
tongue/soft tissue obstruction = head trauma, unconcious, postop surgery, drug overdose, pt is not alert
-
how many back blows and chest thrust should you give to treating severe airway obstruction on a infant
-
treating pt who is responsive with severe obstruction, perform
abdominal thrust (heimlich maneuver)
-
if pt is obese or a woman in the advanced stage of pregnancy, perform ____ thrusts instead of abdominal thrust
chest
-
if pt becomes UNRESPONSIVE during treatment of severe airways obstruction, what 3 steps should u do
- open airway, remove any visible objects
- begin cpr
- call 911
-
call 911 after ___ cycles of CPR
5
-
hypotension tx
- fluid challenge
- dopamine
- dobutamine
-
bradycardia tx
- atropine
- epi
- external pacemaker
-
-
pulseless vtach
defib at 360
-
if defib is unsuccessful, start
-
make sure synchoronizing is ___ when doing cardiovert
on
-
being cardiovert with ___ joules
50-100
-
cardiovertion is used only for which non-lethal dysrhythmias
- a-fib
- a-flutter
- v-tach w/ PULSE
-
what should you give prior to cardioversion?
midazolam/versed
-
defibrillation is used when emergency ___ cardiac dysrhythimias are present
lethal
-
defib is used only for which lethal dysrhythmias
-
make sure synchoronizing is ___ when doing defib
off
-
being defib at ____ joules
360
-
computerized device that is attached to a pulseless victim with adhesive pads
Automated external defib AED
-
use AED only when a victim has these clinical findings
- no resp
- no breathing
- no pulse
-
if resuscitation bag fills rapidly and collapses easily on MINIMAL PRESSURE then should check the
inlet valve
-
if resuscitation bag becomes difficult to compress and pt compliance is normal, then the pt valve may be
stuck open or closed
-
trachea deviated to oppisite side, hyperresonant percussion note and decreased breath sounds on the affected side
pneumothorax- recommend chest tube
-
trachea deviated to opposite side, dull percussion note and decreased breath sounds on the affected side
hemothorax- recommend chest tube
-
cannot pass suction catheter, decreased b/s.
ett obstruction
-
trache deviated to the left, hyperresonant percussion note on the right, dull percussion on the left. increaseddddddd chest movement on the rightttttttt, decreased on the leftttttt
right mainstem intubation
-
0-80 miles transport
ambulance
-
80-150 miles transport=
helicopter
-
>150 transport=
fixed wing aircraft (airplane)
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