You rush to assess the person and find them to be pulseless and not breathing.
What is your initial step in management?
Apply an AED
Find a parent
Call for help, initiate CPR
Deliver rescue breaths
Initial BLS care stresses the importance of early activation of EMS systems and quickly acquiring help. If patient is unresponsive, immediately call for help as well as AED and administer CPR/BLS care until help arrives.
Which describes the appropriate ratio of compressions to rescue breaths for this two provider scenario?
Deliver 20:2 compressions to breath ratio
Deliver 10:1 compressions to breath ratio
Deliver 30:2 compressions to breath ratio
Deliver 15:2 compressions to breath ratio
The appropriate ratio is delivering 15:2 compressions to breaths.
The patient remains unresponsive and pulseless. The initial rhythm on the monitor demonstrates the following:
What is the next step in management?
Continue CPR, administer epinephrine every 10 minutes
Continue CPR, administer amiodarone
Defibrillate
Synchronized cardioversion
The rhythm demonstrates ventricular fibrillation which is not a perfusing rhythm and is not compatible with life. Early defibrillation of cardiac arrest due to ventricular fibrillation is the most effective treatment.
What is the appropriate electricity for defibrillation in this 16-year-old pediatric patient?
6 J/kg regardless of weight
0.5 J/kg with maximum of 200J (biphasic defibrillator) or 360J (monophasic defibrillator)
360J no matter patient’s weight
2 J/kg with maximum of 200J (biphasic defibrillator) or 360J (monophasic defibrillator)
The initial dose for defibrillation in pediatric patients is 2 J/kg, not to exceed 200J for a biphasic defibrillator or 360J for a monophonic defibrillator. If patient is unresponsive to 2 J/kg, can attempt 4 J/kg for second defibrillation attempt with appropriate above mentioned limitations.
