BLS

Question 1

Initial action for any injured patient (adult or child)

Answer 1

1. verify seen safety by:
2. check for responsiveness
3. activate emergency response system via mobile device
4. Get AED and emergency equipment or send someone to do so (not necessary unless you witness a sudden collapse in a peds patient)

Question 2

After verifying seen safety, what is the next step for an adult?

Answer 2

Look for breathing and definite feeling of pulses

Question 3

how long do you check for a pulse in an adult?

Answer 3

for 10 seconds

has to be definitive pulse!

Question 4

If there is normal breathing and pulse in an adult, what do you do?

Answer 4

Monitor until emergency responders arrive

Question 5

If there is NO normal breathing, but pulse is felt in adult, what do you do and how frequent?

Answer 5

Provide rescue breathing

a) 1 breath every 6 seconds
b) Check for pulse every 2 minutes to verify it is there (if not continue CPR)
c) adminster narcan if opioid OD

Question 6

If there is no breathing (or only gasping) + no pulse, what do you do for adult?

Answer 6

Start CPR

30 compressions and 2 breaths
Wait for AED to arrive

Question 7

Once an AED arrives, what do they do after CPR in adult

Answer 7

check rhythm to see if it is shockable

Question 8

If a rhythm is shockable for an adult, what do you do?

Answer 8

1 shock
CPR for 2 minutes
Continue this cycle

Question 9

If a rhythm is NOT shockable for an adult, what do you do?

Answer 9

Resume CPR for 2 minutes without shocking

keep checking the rhythm

Question 10

After verifying seen safety, what do you do for a pediatric patient?

Answer 10

SAME AS ADULT

Look for breathing and definite feeling of pulses for 10 seconds

Question 11

If there is normal breathing and pulse in a peds, what do you do?

Answer 11

Same as adult

monitor until EMS

Question 12

What to do if there is no normal breathing but pulse felt in peds?

Answer 12

Provide rescue breathing
1 breath every 2-3 seconds or 20-30 breaths per min

assess pulse for no more than 10 seconds

Question 13

After assessing pulse, what are you looking for for a peds patient

Answer 13

HR < 60 BPM with signs of poor perfusion

Question 14

what to do if HR < 60 BPM with signs of poor perfusion in peds patient

Answer 14

Start CPR

Question 15

what to do if HR is not < 60 BPM OR there are no signs of poor perfusion in peds patient?

Answer 15

Continue rescue breathing and check pulse every 2 minutes

if pulse disappears, start CPR

Question 16

What do you do if you are alone and you witness a sudden collapse of peds patient and noticed there is no breathing or pulse for 10 seconds?

Answer 16

Activate emergency response system and retrieve AED/defib

Question 17

If there was no sudden collapse OR there was and you activated emergency response system and retrieve AED/defib in a peds patient that is not breathing and has no pulse, what is the next step for 1 rescuer? What if another rescuer arrives?

Answer 17

start chest compressions 30 compressions for each 2 breaths

use AED asap

if a 2nd rescuer arrives, do 15 compressions and 2 breaths

Question 18

If you are still alone after 2 minutes after starting CPR in peds, what do you do?

Answer 18

activate emergency response system and retrieve AED

Question 19

After activating AED and performing CPR for 2 minutes and alone, what do you do?

Answer 19

Check if rythm is shockable and follow adult guidelines

Question 20

What are the differences in management if you have a 2nd rescuer for BLS for peds?

Answer 20

1. 2nd rescuer activates emergency response system and retrieves AED and emergency equipment AS SOON AS POSSIBLE, while other rescuer stays with the child
2. 1st rescuer performs 30 chest compressions and 2 breaths, and when the 2nd rescuer returns, perform 15 compressions and 2 breaths

otherwise the same :)