ACLS Quiz 1

Comments

  1. Lee Petrin says

    To me open the airway is part of BLS because when you give your two breaths you are doing a head tilt or a jaw thrust (if bag valve mask are available. I did not assume you meant by means of advanced airway. I also assumed you meant go get the AED yourself right off the bat which may not be the right choice. you may want to do CPR cycle before the AED if you are alone.

    • tiki says

      opening the airway isn’t a BLS survey/assessement, it’s an intervention. Survey is gathering information and materials.

      • Jeff with admin. says

        The BLS Survey is actually the entire systematic approach to BLS. This information is summarized on pt. 13 of the AHA ACLS provider manual. Assessments and actions are included in both the BLS and ACLS survey.
        Kind regards, Jeff

    • Gal says

      1. Make sure the scene is safe2. Tap the victim to see if they rpenosd3. tell someone to call 911 and get an Automated External Defrillibator (AED)4. Immediately begin 30 compressions followed by 2 breaths until help comes or the victim rpenosdsLearned this in my health science class

  2. rnmlm@att.net says

    On question 9 I felt it should be both early defibrillation and effective chest compressions. I read the rational and I am still confussed. Defibrillation alone might restore a viable rhythm but
    very rarely.

    • rnmlm@att.net says

      P.S. I did read page 54 in ACLS manual and it states if early defibrillation occurs, the higher the survival rate. But it also states that CPR preformed early can double or triple the survival rate. Also I forgot to say what a fabulous web site this is!!! When studing to recert ACLS it gives feedback which I find very helpful.

    • tiki says

      They both are essential, but in a ‘witnessed arrest’ early defibrillation is key. It can give the heart a chance to quickly recover itself rather than providing compressions and doing the hearts job externally.

  3. Mark says

    Question 4 is meant to trick you. ? sucks. You have to open the airway to give breaths. It’s a ridiculous ?.

    • Jeff with admin. says

      The question is not at all meant to trick. If you look on page 13 of the ACLS provider manual you will see a table that outlines the BLS Survey. You will not find open the airway in the BLS survey. (This was a change in the 2010 ACLS guidelines) The first place “open the airway” is mentioned is in the ACLS Survey after the BLS Survey is already complete. It is actually the first intervention of the ACLS Survey. See the ACLS Survey on Page 15 of the ACLS provider manual. Kind regards, Jeff

      • rolltide says

        Well what about number five? The correct answer includes opening the airway. I know number five deals with CPR, where number 4 deals with BLS Survey, but isn’t CPR part of that?

      • Jeff with admin. says

        This question is simply meant to reinforce the new AHA Guideline Acronym for CPR which is CABD instead of ABCD. The BLS survey is now 1,2,3,4 instead of ABCD. See page 12 of the AHA Provider manual in the black box titled “Changes in the BLS Survey.” Kind regards, Jeff

  4. worakhan says

    9. The most important intervention with witnessed sudden cardiac arrest is:

    would you please explain this and what if the situation change to unwitness cardiac arrest ? so the most important intervention would change from early defibrillation? Thanks

    • Jeff with admin. says

      If the situation is an unwitnessed arrest, you would not know how long the patient’s circulation has been compromised and therefore you would want to perform 5 cycles of CPR before attempting defibrillation.
      For witness arrest, you know that the patient’s circulation has not been compromised for any significant amount of time and a very high percentage of witnessed sudden cardiac arrests are due to ventricular fibrillation which can be rapidly corrected with defibrillation.

      Hope this makes sense. Kind regards, jeff

    • Tami says

      Sorry, but I disagree with your answer to question 9. Pg 13 of 2012 Acls book states to check responsiveness and activate EMS —THEN get AED. Granted, early defib is the key to successful CPR but pg 13 states assess and get help then defibrillation.

      • Jeff with admin. says

        The question reads: “The most important intervention with witnessed sudden cardiac arrest is:”
        The answer are a.) early defibrillation; b.) effective chest compressions; c.) early activation of EMS; d.) rapid use of resuscitation drugs

        Note that this was not a question about the sequence of events. It was a question about which intervention is the most important with witness sudden cardiac arrest. It was my hope that this question reinforced the importance of early defibrillation with witnessed sudden cardiac arrest as emphasized by the AHA in their 2012 ACLS Guidelines. For a review of why it is the most important intervention, please see page 54 of the AHA ACLS provider manual.
        Kind regards, Jeff

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