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High-Performance Team and Emergency Response Part 1

Basic Life Support35 CardsCreated 8 months ago

The provides comprehensive coverage of essential topics in Basic Life Support (BLS), including CPR, AED usage, team dynamics, choking relief, rescue breathing, and special considerations for infants, children, pregnant patients, and opioid-related emergencies. Perfect for healthcare providers, emergency responders, and students preparing for ACLS/BLS certification or reviewing emergency protocol best practices.

To avoid fatigue, when should team roles alternate providing compressions?

every 5 cycles or 2 minutes

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Key Terms

Term
Definition

To avoid fatigue, when should team roles alternate providing compressions?

every 5 cycles or 2 minutes

Which team role keeps track of interruptions in compressions?

timer/recorder

Which team role makes treatment decisions and assigns roles?

team leader

Which of the following are resuscitation triangle roles in a high-performance team?

-AED/Monitor/Defibrillator
-compressor
-airway

While performing high-quality CPR, when do pauses in compressions typically occur?

-intubation
-compressor switches
-defibrillation
-rhythm analysis
-pulse checks

Assesses the patient and provides compressions

compressor

Related Flashcard Decks

TermDefinition

To avoid fatigue, when should team roles alternate providing compressions?

every 5 cycles or 2 minutes

Which team role keeps track of interruptions in compressions?

timer/recorder

Which team role makes treatment decisions and assigns roles?

team leader

Which of the following are resuscitation triangle roles in a high-performance team?

-AED/Monitor/Defibrillator
-compressor
-airway

While performing high-quality CPR, when do pauses in compressions typically occur?

-intubation
-compressor switches
-defibrillation
-rhythm analysis
-pulse checks

Assesses the patient and provides compressions

compressor

Operates the AED and alternates with the Compressor after every 5 cycles or 2 minutes to avoid fatigue

monitor/defibrillator

provides ventilation

airway

Assigning your team members to individual roles and outlining what each member needs to do during the resuscitation attempt is an example of what element of high-performance team dynamics?

clear roles and responsibilities

You and your team have initiated compressions and ventilation. The AED was attached, and "no shock" was advised. Your team has continued CPR for 1 minute. You tell your team in a respectful, clear, and calm voice, "Leslie, during the next analysis by the AED, I want you and Justin to switch positions, and I want you to perform compressions for the next cycle." Leslie replies, "Got it. Next time the AED analyzes, I will switch with Justin and assume the role of Compressor."
This is an example of which element of high-performance team dynamics?

closed-loop communication

As Team Leader, you notice that your Compressor is pushing too fast. It is important to correct actions that are incorrect, but it is also important to be tactful when delivering this correction to a colleague.
This is an example of what element of team dynamics?

constructive intervention

What action can you take as a team during and after a resuscitation attempt that helps individual team members perform better and brings awareness to system strengths and deficiencies?

debriefing

AED special considerations

hairy chest, water, transdermal medicine patch, implanted defibrillator or pacemaker, defibrillation for infants less than 1 year of age

Hairy chest

-if your AED has 1 set of pads and a razor, quickly shave the area and then apply the pads
-if your AED has 2 sets of pads, use the first set to remove the hair. Apply the first set of pads, press them down so they stick as much as possible, and quickly pull them off. Then apply the new, second set of pads

Water

-if someone is lying in water, quickly move the victim to a dry area; if the victim is lying is snow or a small puddle, use the AED
-if the chest is covered with water or sweat, wipe the chest before attaching the pads

Transdermal medicine patch

-do not place the pad directly over a medicine patch
-take the patch off and quickly wipe the chest before you put on the pad

Implanted defibrillator or pacemaker

-if you see a lump indicating a device, avoid placing the pad directly over it

Defibrillation for infants less than 1 year of age

-a manual defibrillator is preferred rather than an AED
-if a manual defibrillator is not available, an AED with a pediatric does attenuator is preferred
-if neither is available, you may use an AED without a pediatric dose attenuator

What are examples of effective team dynamics?

clear roles and responsibilities
debriefing
constructive intervention
knowledge sharing
always take the lead

What does a chest compression feedback device monitor?

compression rate
compression depth
chest recoil

Mouth-to-mouth breaths: adults, children, and infants

-3 steps
-mouth-to-mouth breathing is a quick and effective way to provide oxygen to a victim when a barrier mask is not available
-each breath you take contains 21% oxygen. When you provide a rescue breath, the air you breathe into a victim contains about 17% oxygen

Step 1: mouth-to-mouth breaths: adults, children, and infants

-hold the victim's airway open with a head tilt-chin lift
-pinch the nose closed with your thumb and index finger

Step 2: mouth-to-mouth breaths: adults, children, and infants

-take a regular breath and seal your lips around the victim's mouth, creating an airtight seal
-give 1 breath and blow for 1 second
-watch for the chest to rise as you give each breath

Step 3: mouth-to-mouth breaths: adults, children, and infants

-give a second breath (blowing for about 1 second) while watching for chest rise

Your adult friend suddenly collapse at home, and you determine she needs CPR. You begin CPR, starting with chest compressions, and are about to deliver breaths by using mouth-to-mouth breaths. You open the airway with a head tilt-chin lift.
What is the sequence of your next actions?

1. Pinch the nose and seal your lips around the victim's mouth
2. Give 1 breath and blow for about 1 second
3. Watch for chest rise while giving the breath
4. Give a second breath (blowing for about 1 second, watching the chest rise)

Mouth-to-mouth-and-nose breathing: infants

3 steps

Step 1: mouth-to-mouth-and-nose breathing: infants

open the infant's airway with a head tilt-chin lift

Step 2: mouth-to-mouth-and-nose breathing: infants

place your mouth over the infant's mouth and nose to create an airtight seal

Step 3: mouth-to-mouth-and-nose breathing: infants

give one breath, blowing for about 1 second. Watch for the chest to rise as you give the breath

What is a correct approach for AED pad placement for infants and children less than 8 years of age?

as indicated on the pad packages

What is the indication for mouth-to-mouth rescue breaths?

when a barrier device is not available

Rescue breathing: adults

-give 1 breath every 6 seconds (10 breaths/min)
-give each breath over 1 second and make sure there is visible chest rise with each breath
-during rescue breathing, check the victim's pulse every 2 minutes

Rescue breathing: children/infants

-give 1 breath every 2 to 3 seconds (20 to 30 breaths/min)
-give each breath over 1 second, and make sure there is chest rise with each breath
-during rescue breathing, check the victim's pulse every 2 minutes

When providing rescue breaths to a child or infant victim, you should give 1 breath every _______ to _______ seconds

2 to 3

Advanced airways

-a laryngeal mask airway, supraglottic airway device, and endotracheal tube are types of advanced airways

-when an advanced airway is in place:
perform continuous compressions at 100 to 120/min
give 1 breath every 6 seconds for adults
give 1 breath every 2 to 3 seconds for a child or infant
no pauses in compressions to give breaths