WGB BLS

Question 1

Opiod priority

Answer 1

Ventilation / CPR
over
Naloxone / Narcam

Question 2

Change in CPR for Children / Infants

Answer 2

Child - Same, can use one hand

Infant
1 provider - two fingers
2 providers - Encircling thmbs

Adjult + Child - 2” or 1/3 chest
Infant - 1 1/2” or 1/3

Question 3

CPR or ventilation

Answer 3

CPR
unless suspect airway issue
- Drowning
- Other hypoxic event

Question 4

How to check pulse

Answer 4

Adult - Carotid
Child - Carotid
Infant - Brachial (inside elbow)

Question 5

Opiod overdose triad

Answer 5

1) Pinpoint pupils
2) Respiratory depression
3) Unconsous or severe sleapiness

Look for:
Cyanosis Track marks Paraphernalia
History

Question 6

When to stop CPR

Answer 6

• ROSC
• Help arrives
• DNR presented
• Exhausted
• Unsafe

Question 7

What are the 4 key components of closed loop communications

Answer 7

• Sender
• Message
• Receiver
• Feedback

Question 8

Head tilt for ventilation

Answer 8

Adult - past neutral
Child - slightly past neutral
Infant - neutral

Question 9

When to use pediatric pads

Answer 9

<= 8 YO or < 55 lb

Warning: Never use ped pads when not appropriate

Question 10

Key elements of adult CPR

Answer 10

• 100-120 compressions / minute
• Compress 2-2.4”
• Full recoil
• Keep interruptions <10 sec

Question 11

Team leader key responsibilities

Answer 11

4

1. Assign roles
2. Priorities & directs activities
3. Coaches
4. Leads debriefing

Question 12

Call first or care first - Child

Answer 12

Call first

 1. Witness collapse
 2. Known cardiac condition

Care first

 1. 2 mins of care
 2. Call for help

Infant: Take them with you

Question 13

Signs of obstructed airway

Answer 13

• Panicked / confused
• Surprised look
• Clutch throat
• Possible stridor

Question 14

Definitions infant, child, adult

Answer 14

Infant <1 YO

Child

Question 15

BVM volume

Answer 15

400 - 700 ml

Compress back 1/2 way

Question 16

Ventilation rates ??

Answer 16

Adult
- Cardiac arrest 2 / 1 sec each
- Respiratory arrest 1 / 5-6 seconds
Child
- 1 / 3-5 seconds

Question 17

What do you call breaths that are isolated or infrequent

Answer 17

Agonal breaths

Question 18

BVM

Answer 18

Bag valve mask

Question 19

AED Position adult

Answer 19

1: Upper right
2: Side of lower chest

Question 20

Team rules

Answer 20

6 roles

Team leader
Compressor
AED operator
Airway manager
Ventilator
Recorder

Question 21

Key elements of handling emergency situations

Answer 21

Assess
Recognize
Care

Question 22

Maximum break in CPR

Answer 22

10 seconds

Question 23

Steps of rapid assessment

Answer 23

1) Visual survey
2) Check for responsiveness
Shout - Tap - Shout
3) Simultaneous check for breathing + Pulse
4) Provide care based on conditoins

Question 24

What to do if you suspect an MI

Answer 24

Get help

Administer 160-320 mg aspirin

Question 25

CPR ratios

Answer 25

``` 3 Adult 30:2 Child: one rescuer 30:2 two rescuer 15:2 Advanced airway - Continuous ```

Question 26

AED | ROSC

Answer 26

Automated External Defibrulator Return of spontaneous circulation

Question 27

Naloxone / Narcan | Dose / frequency

Answer 27

2 mg Nasal 0.4 mg IM Repeat after 4 min

Question 28

ET Co2 How / stats

Answer 28

``` Capnography End tidal CO2 == cardiac output <10 mmHg = problem Goal: 15-20 mmHg Normal: 35-45 mmHg ```

Question 29

Techniques for clearing an obstructed airway

Answer 29

1. Abdonimal thrusts Alt 2. Back blows 3. Chest thrusts

Question 30

Things to consider when communicating with patients family

Answer 30

1) Demonstrate credibility, confidence & empathy 2) Build rapport & trust 3) Speak slowly / non-technically

Question 31

Ventilation standard rate

Answer 31

Adult 1 ventilation / 5-6 seconds | Child 1 ventilation / 3-5 seconds

Question 32

CCF def and rate

Answer 32

Chest compression fraction (% of time CC) > 60% of time Goal 80%