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105 AHA BLS
Basic Life Support
Term | Definition |
---|---|
Age Definitions | Adults - puberty and older Children - 1 yrs old - puberty Infants - less than 1 year |
Start Compressions within _______ seconds of recognition | 10 Seconds |
High Quality CPR | - rate 100-120 / minute - Allow complete chest recoil - Minimize interruptions - Give effective breaths - avoid excessive ventilation |
Depth | Adults - 2 - 2.4 inches Children - at least 1/3 of chest, about 2 inches Infants - at least 1/3 of chest, about 1.5 inches |
ECC | Emergency Cardiovascular Care Systems developed by AHA |
2 Distinct Adult Chains of Survival | In-hospital cardiac arrest (IHCA) Out-of-Hospital cardiac arrest (OHCA) |
IHCA Chain of Survival | Primary Providers>Code Team > Cath Lab > ICU |
OHCA Chain of Survival | Lay rescuers > EMS > ED >Cath Lab > ICU |
ROSC | Return of Spontaneous Circulation |
Group of procedure rooms in a hospital where specialized equipment evaluate heart and the blood vessels around the heart and lungs | Cardiac Catheterization Suite |
Links of Chain of Survival (IHCA) | surveillance/prevention of prearrest conditions. recogniton + activation, early cpr, rapid defib, multidisciplinary postcardiac arrest care |
Links of Chain of Survival (OHCA) | recognition + activation of ERS, early cpr, rapid defibrillation, ALS, multidisciplinary post-cardiac arrest care |
Links of CoS Pediatric | Prevention, Early CPR, Rapid Activation, ALS, Post-cardiac arrest care |
Cause of Pediatric Cardiac Arrest | respiratory failure and shock |
Cardiac arrest vs Heart Attack | = rhythm issue vs clot issue |
Cardiac arrest | rhythm problem - when there is an abnormal rhythm in the heart resulting in the inability to pump blood to brain, lungs, and other organs |
Heart Attack | clot problem - when the blood flow to part of the heart is blocked, resulting from a clot forming in a vein carrying O2 to the muscle, that part dies off |
Signs of a Heart Attack | could be immediately or over a couple weeks, severe discomfort of upper chest, shortness of breath, cold sweats, nausea/vomiting |
Some other signs of heart attack in women | pain in jaw, arms, neck, back, light headedness, nausea/vomiting |
3 components of CPR | Compressions, Airway, Breathing |
Adult Cardiac Arrest Algorithm | 1) Scene Safety 2) Unresponsive, call for help + AED 3) rescue breaths 1/5sec, 10-12/minute 4)CPR 30/2 5) AED prompts |
1 rescuer steps | scene safety, check for response, call for help, activate appropriate ERS, if alone get AED, or have someone else |
Agonal Gasps | not normal breathing, may be present in the first minutes after sudden cardiac arrest |
Naloxone | if opioid use is suspect, use if available |
% of O2 in air | 21% |
% of O2 we breathe out | 17% |
E-C Clamp Technique | used while holding bag mask in place 1 rescuer |
2-rescuer | switch after 5 minutes to avoid fatigue |
AED age range | Adults and children 8 and older |
Pulseless Ventricular Tachycardia | when the ventricles pump so fast a pulse can't be detected, body tissues and organs dont receive O2 |
Ventricular Fibrillation | an arrest rhythm, muscles quiver in a fast, unsynchronized way so blood can't be pumped |
Two- lifethreatening Arrhythmias | VF & pVT |
AED | identifies the presence of a rhythm that responds to shock therapy, stuns the heart muscle, stopping VF&pVT and resetting the electrical system of the heart, essentially causing ROSC |
Anterolateral and Anteroposterior | placement options of AED pads |
check electrodes | AED phrase when not able to analyze HR, ie. hairy chest |