Care CEUs

CPR Guidelines - Update

Major Issues

1. The 2010 AHA Guidelines for CPR and ECC are based on:

A. A comprehensive review of what went wrong with the 2005 Guidelines B. An international evidence evaluation process C. The recommendations of the AMA

2. The 2010 AHA Guidelines for CPR and ECC emphasize the need for high-quality CPR, including

A. A compression rate of at least 100/min B. A compression depth of at least 2 inches (5 cm) in adults C. Allowing for complete chest recoil after each compression D. Minimizing interruptions in chest compressions E. All of the above

3. Most victims of out-of-hospital cardiac arrest do not receive any bystander CPR. One reason for this may be the A-B-C sequence, which starts with the procedures that rescuers find most difficult, namely, opening the airway and delivering breaths.

A. True B. False

Lay Rescue Adult CPR

4. Key issues and major changes for the 2010 AHA Guidelines for CPR and ECC recommendations for lay rescuer adult CPR include

A. "Look, listen, and feel for breathing" has been removed from the algorithm B. There has been a change in the recommended sequence for the lone rescuer to initiate chest compressions before giving rescue breaths (C-A-B rather than A-B-C) C. The lone rescuer should begin CPR with 30 compressions rather than 2 ventilations to reduce delay to first compression D. All of the above E. A and C above

5. Compression depth for adults has been changed from the range of 1 to 2 inches to at least 2 inches.

A. True B. False

6. During CPR, you want to

A. Deliver effective compressions at an appropriate rate (at least 100/min) and depth (2 in.) B. Minimize the number and duration of interruptions in chest compressions C. Allow complete chest recoil after each compression and avoid excessive ventilation D. None of the above E. A. B and C above

7. The new C-A-B guideline calls for initiating chest compressions before ventilations because:

A. Chest compressions provide vital blood flow to the heart and brain B. Providing mouth-to-mouth ventilation can spread diseases C. Chest compressions can be started almost immediately, while mouth-to-mouth or bag-mask rescue breathing all take additional precious time D. All of the above E. A and C above

Healthcare Provider BLS

8. Because cardiac arrest victims may present with a short period of seizure-like activity or agonal gasps that may confuse potential rescuers, dispatchers should be specifically trained to:

A. Listen carefully when on the phone with a rescuer B. Identify these presentations of cardiac arrest to improve cardiac arrest recognition C. Tell the rescuer to use hands-on CPR only

9. Dispatchers should instruct untrained lay rescuers to provide Hands-Only CPR for adults with sudden cardiac arrest

A. True B. False

10. The 2010 AHA Guidelines for CPR and ECC more strongly recommend that dispatchers instruct untrained lay rescuers to provide Hands-Only CPR for adults who are unresponsive with no breathing or no normal breathing.

A. True B. False

11. The 2010 Guidelines on chest compression rate recommend:

A. At least 100 per minute B. About 100 per minute C. Not more than 150 per minute

Acute Coronary Syndromes

12. According to the 2010 Guidelines, supplementary oxygen is NOT needed for patients without evidence of respiratory distress if the oxyhemoglobin saturation is greater than or equal to 94%.

A. True B. False

Stroke

13. The guidelines recommend that each EMS system should work within a regional stroke system of care to

A. Ensure prompt triage and transport to a stroke hospital when possible B. Manage potential conflicts between competing regional care centers C. Ensure the stroke patient is taken to the right hospital

Ethical Issues

14. For the BLS termination of resuscitation rule, which of the following is NOT one of the criteria:

A. Arrest not witnessed by EMS provider or first responder B. No ROSC after 3 complete rounds of CPR and AED analyses C. There is a DNR in place D. No AED shocks delivered

First Aid

15. Key topics in the 2010 AHA/ARC Guidelines for First Aid include:

A. NO supplementary oxygen administration B. Epinephrine and anaphylaxis C. Aspirin administration for chest discomfort (new) D. All of the above E. B and C above


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