Chapter 40 Responding To Field Code

Question 1

What is active compression-decompression CPR (ACD-CPR)?

Answer 1

A manual technique that involves compressing the chest and then actively pulling it back up to its neutral position or beyond (decompression); it may increase the amount of blood that returns to the heart and, therefore, the amount of blood ejected from the heart during the compression phase.

Question 2

What does asynchronous mean?

Answer 2

When two rescuers perform ventilations and compressions individually; ventilations are not timed and do not require waiting for the other rescuer to pause.

Question 3

What are automated external defibrillators (AEDs)?

Answer 3

Defibrillators that can analyze the patient’s heart rhythm and determine whether a defibrillating shock is needed to terminate ventricular fibrillation or ventricular tachycardia.

Question 4

What is an automatic transport ventilator (ATV)?

Answer 4

A portable mechanical ventilator attached to a control box that allows variables of ventilation (ie, rate and tidal volume) to be adjusted.

Question 5

What is chest compression fraction (CCF)?

Answer 5

An indication of how well the team is minimizing pauses in chest compressions; it is calculated by dividing the amount of time compressions are delivered by the amount of time compressions are indicated. The proportion of time compressions are provided during a code should be 60% or greater.

Question 6

Who is the code team leader?

Answer 6

The code team member who has responsibility for managing rescuers or team members during a cardiac arrest, as well as choreographing the group’s efforts.

Question 7

Who are the code team members?

Answer 7

Members of the resuscitation team trying to revive the patient.

Question 8

What is defibrillation?

Answer 8

The use of an unsynchronized direct current electric shock to terminate ventricular fibrillation or pulseless ventricular tachycardia.

Question 9

What is manual defibrillation?

Answer 9

A mode available on automated external defibrillators, allowing the paramedic to interpret the cardiac rhythm and determine whether defibrillation is indicated (rather than the monitor making the determination).

Question 10

What is Medical Orders for Life-Sustaining Treatment (MOLST)?

Answer 10

A form that communicates a patient’s wishes in specific situations that is intended to be honored by all providers, regardless of the care setting; also called Physician Orders for Life-Sustaining Treatment (POLST).

Question 11

What is Physician Orders for Life-Sustaining Treatment (POLST)?

Answer 11

A form that communicates a patient’s wishes in specific situations that is intended to be honored by all providers, regardless of the care setting; also called Medical Orders for Life-Sustaining Treatment (MOLST).

Question 12

What does return of spontaneous circulation (ROSC) mean?

Answer 12

The return of spontaneous heartbeat and blood pressure during the resuscitation of a patient in cardiac arrest.

Question 13

What is the SMART mnemonic?

Answer 13

A mnemonic used to describe the objectives of a community-based program to improve the survival of patients in out-of-hospital cardiac arrest: Specific, Measurable, Attainable and Achievable, Realistic and Relevant, and Timely.

Question 14

What is targeted temperature management (TTM)?

Answer 14

A procedure intended to lower body temperature in patients who are in a coma after return of spontaneous circulation; ideally performed in the hospital setting; formerly called therapeutic hypothermia.