Chapter 21 Quiz Flashcards
(24 cards)
Which of the following BEST describes an appropriate shock sequence for the patient in ventricular tachycardia?
Shock, 2 minutes of CPR, reanalyze, shock again if indicated
Which of the following is NOT a reason that an AED may indicate that there is “no shock advised”?
The patient is in ventricular fibrillation or ventricular tachycardia.
You are the first on the scene of a 72-year-old patient in cardiac arrest. You have your medical supply kit, oxygen, and an AED. At least 4 to 5 minutes of high-quality CPR has been provided by the police officer who arrived before you. You have confirmed an open airway, apnea, and pulselessness. Which of the following should you do next?
Apply the defibrillator pads and shock as indicated.
Which of the following should NOT be done during defibrillation?
Continued ventilation during the analysis phase to prevent hypoxia
Which of the following patients should have an automated external defibrillator applied?
A 19-year-old college athlete who collapsed during football practice and is pulseless and apneic
If an EMT is tasked with managing the family of a patient who is deceased after termination of resuscitation, what is an effective care strategy?
Be straightforward and use direct language.
In which of the following ways does cardiac arrest in children differ from cardiac arrest in adults?
Cardiac arrest in children is more likely to be due to respiratory failure.
Mechanical CPR devices are used by EMS agencies in order to provide:
high-quality compressions.
You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the AED has been applied. The AED does not advise shock. What is your next intervention?
Continue CPR.
You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the AED has been applied. The AED advises shock. After defibrillating the patient, what is your next intervention?
Continue CPR.
All of the following are elements of adult high-performance CPR, EXCEPT:
compressing the patient’s chest to no more than 1 inch in depth before allowing full relaxation.
What does ventricular fibrillation do?
Prevents the heart muscle from contracting normally
You are transporting a 50-year-old male patient whom you successfully defibrillated at the scene. You are 5 minutes away from the hospital when the patient goes back into cardiac arrest. Which of the following is the BEST course of action?
Tell the driver to stop, analyze the cardiac rhythm, and deliver a shock as necessary.
Once an EMT has begun resuscitative efforts, when may the EMT cease those efforts?
Spontaneous circulation and breathing occur.
Your patient is a 66-year-old female who has regained a pulse after a shock with an AED; however, she remains unresponsive and is not breathing adequately. Which of the following should be done next?
Remove the AED, assist the patient’s ventilations with a bag-valve mask and supplemental oxygen, and keep reassessing the pulse.
Which of the following BEST describes the continued need for prehospital advanced cardiac life support, even when EMTs in the community carry AEDs?
Not all cardiac arrests are due to problems that respond to defibrillation.
Which of the following describes the EMT’s MOST important role in the ideal provision of emergency cardiac care?
Immediate high-quality CPR and rapid defibrillation
When using an AED, which of the following people is responsible for calling to “clear” the patient before delivering a shock?
EMT operating the defibrillator
Blunt and penetrating injuries can damage chambers of the heart or cause conditions like:
pericardial tamponade.
Your patient is a 44-year-old female who has collapsed while jogging. She has been unresponsive for 4 to 5 minutes by the time you arrive. Her husband appears to be performing high-quality CPR. Which of the following should be your FIRST action?
Apply the AED.
You are on the scene of a 68-year-old male patient complaining of severe chest pain for the last 20 minutes. He has a previous history of myocardial infarction and states it feels “just like the last time.” You have applied oxygen and assisted him in administering aspirin and nitroglycerin with no reduction in the chest pain. Your nearest facility is 5 minutes away, a Level III Trauma Center is 10 minutes away, and a hospital with cardiac catheterization capabilities is 20 minutes away. The patient is requesting to be transported to his cardiologist’s hospital, which is 30 minutes away. Which hospital is the best destination?
The nearest hospital with cardiac catheterization
You are preparing a patient in cardiac arrest for an AED when you palpate a small lump below the patient’s right clavicle. How should this modify your placement of the AED?
While placing the pads in the general area you need them, keep them several inches away from the lump.
Which of the following people is allowed to continue providing patient care when the patient is to be “cleared” for delivery of a shock via the defibrillator?
A.
The EMT performing bag-valve mask ventilations
B.
The provider who is ventilating the patient, so long as the patient has been intubated by a paramedic so that the provider does not directly touch the patient
C.
Anyone in contact with the patient below the level of the patient’s knees
D.
None of these
D.
None of these
EMTs arrive at the scene of a cardiac arrest to see a police officer beginning to defibrillate the patient. At what point should the EMTs take over?
After the shock is delivered or a “no shock indicated” message is received
