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An overview of the components and criteria for a rapid response system, as well as key information on acls protocols, including high-quality cpr, defibrillation, and the systematic approach to patient assessment. It covers topics such as event detection, quality monitoring, administrative support, criteria for rapid response team activation, benefits of implementing a rapid response system, and specific details on cpr techniques, defibrillation, and the primary and secondary assessments. The document also addresses common symptoms and electrocardiographic findings related to acute coronary syndrome and stroke, as well as the recommended timelines and interventions for these conditions. Overall, this document serves as a comprehensive guide to the essential elements of a rapid response system and the core principles of acls management.
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Integrated response known as the system of care - Correct Answers ✅structure processes system patient outcome Structure - Correct Answers ✅People Education Equipment Process - Correct Answers ✅Protocols Policies Procedures System - Correct Answers ✅Programs Organization Culture Patient Outcome - Correct Answers ✅Satisfaction Quality
Safety Properly functioning resuscitation equipment represents that element of a system of care? - Correct Answers ✅Structure Among others which of the following factors has been associated with improved survival in patients with cardiac arrest? - Correct Answers ✅Immediate high quality CPR What is the first link in the out of hospital cardiac arrest (OHCA) Chain of Survival? - Correct Answers ✅Activation of emergency response The purpose of a rapid response team (RRT) or medical emergency team (MET) is to - Correct Answers ✅improve patient outcomes by identifying and treating early clinical deterioration. Components of a rapid response system: - Correct Answers ✅Event detection and response triggering arm A plant response such an RRT or MET Quality monitoring Administrative support
Decrease in total hospital length of stay Whenever compressions are paused - Correct Answers ✅Compressor should hover over the chest (not touching it) and be prepared for his integration Before passing compressions - Correct Answers ✅15 seconds before passing through fashion at the end of each two minute cycle high- performance teams should check for a pulse, recharge the defibrillator, if he supposed to deliver a shock in 10 seconds or less Switch compressors every - Correct Answers ✅Switching between cycles every two minutes is best Real time feedback devices - Correct Answers ✅His best practice to use real time feedback devices during CPR such as a metronome, or metronome app on your mobile device Which component of effective high-performance teams is represented by the use of real time feedback Devices? - Correct Answers ✅Quality
Main advantage of effective teamwork? - Correct Answers ✅Division of tasks CPR Coach - Correct Answers ✅Supports performance of high-quality BLS skills allowing the team leader to focus on other aspects of clinical care Which is the best example of a role of the team leader - Correct Answers ✅Excellent team behavior What is the best example of a role of a team member? - Correct Answers ✅Prepared to fulfill their role responsibilities What is the primary purpose of the CPR coach on a resuscitation team - Correct Answers ✅Increasing CPR quality Which high-performance team member is part of the resuscitation triangle - Correct Answers ✅Monitor/defibrillator/CPR Coach What is an example of summarizing and reevaluating - Correct Answers ✅Increasing monitoring if the patient's condition deteriorates
What defines chest compression fraction (ccf) - Correct Answers ✅Actual chest compression time divided by total code time During CPR, chest compression fraction (CCF) should be at least % and ideally greater than %. - Correct Answers ✅At least 60 Ideally Greater than 80 Coronary perfusion pressure (CPP) - Correct Answers ✅CPP = aortic diastolic pressure - right atrial diastolic pressure The higher the coronary perfusion pressure doing CPR, the higher the chances of survival Quantitative waveform capnography - Correct Answers ✅Uses entitle CO2 to estimate tissue perfusion and quality of chest compressions Used with an advanced airway in place of a bag mask device
What are the signs of clinical deterioration that was not the activation of a rapid response system? - Correct Answers ✅Seizure Unexplained agitation Symptomatic hypertension How do you interruptions in chess compressions negatively impact survival after cardiac arrest - Correct Answers ✅Decreased coronary perfusion pressure Coronary perfusion pressure (CPP) equals aortic pressure minus atrial diastolic pressure - Correct Answers ✅Aortic diastolic Minus Right atrial In addition to decreased by HCA, what are some other benefits of implementing a rapid response system? - Correct Answers ✅Decreased total hospital length of stay Decreased ICU length of stay
Components of the systematic approach - Correct Answers ✅Initial impression BLS assessment Primary assessment (A, B, C, D, and E) Secondary assessment (sample, H,s and T,s) the maximum amount of time you should simultaneously perform the pulse and breathing checks - Correct Answers ✅10 seconds The BLS Assessment is a systematic approach to BLS for trained healthcare providers this approach stresses - Correct Answers ✅Early CPR and defibrillation Primary Assessment - Correct Answers ✅the portion of patient assessment that focuses only on life threats, specifically ABCs A airway B breathing C circulation D disability (neurological function AVPU alert, voice, painful, and unresponsive E exposure (Signs of trauma, bleeding, burns, unusual markings, or alert bracelets)
Initial assessment reveals a conscious patient and the patient's airway is patent, and an advanced airway is not indicated. Which action in the primary assessment should you perform next? - Correct Answers ✅Administer oxygen as needed Secondary Assessment Mnemonic - Correct Answers ✅S~signs and symptoms A~allergies M~medications P~pertinent Past Medical Information L~last Oral Intake E~events leading up to incident H's - Correct Answers ✅Hydrogen ion/acidosis Hypo/hyper kalemia Hypothermia T's - Correct Answers ✅Tension pneumothorax Cardiac Tamponade Thrombosis or pulmonary embolism
Which demographic group experiencing acute coronary syndrome is more likely to present without chest pain - Correct Answers ✅Females and older adults Oxygen should be delivered to a patient has obvious signs of heart failure if the oxygen saturation is less than ________ Or unknown - Correct Answers ✅90% Obtaining a________ Is the most important assessment tool for a patient displaying signs and symptoms of acute coronary syndrome - Correct Answers ✅12 lead ECG For a patient with STEMI the goals of reperfusion are - Correct Answers ✅First medical contact to balloon inflation within 90 minutes Door to drug (fibrinolytcs) In 30 minutes of arrival 12 lead ECG - Correct Answers ✅Only way to identify STEMI Anterior STEMI - Correct Answers ✅ST segment elevation Inferior Mi - Correct Answers ✅ST segment has no low point
Unless allergies contra indications exist consider these 4 agents in patients with ischemic type chest discomfort - Correct Answers ✅Oxygen for saturation less than 90% start at 4 L per minute Aspirin 162 to 325 mg if not given by EMS Nitroglycerin sublingual or translingual Morphine if Justine is not relieved by nature Coast trains Call for how quickly a fibrinolytic checklist should be completed - Correct Answers ✅10 minutes How to give nitroglycerin - Correct Answers ✅One sub lingual nitroglycerin tablet every 3 to 5 minutes for ongoing symptoms may repeat for a total of three doses Which clinical finding represents a contraindication to the administration of nitroglycerin - Correct Answers ✅Confirmed right ventricular infarction Which class of medication is commonly given to patients with acute coronary syndrome may be adversely affected by morphine administration - Correct Answers ✅Oral antiplatelet medication
What is the recommended time ago patch of symptom onset or early fibrinolytic therapy or direct catheter based reperfusion for patient with ST segment elevation myocardial infarction and no contraindication - Correct Answers ✅Within 12 hours What is the most common type of stroke - Correct Answers ✅ischemic stroke CPSS - Correct Answers ✅Cincinnati Prehospital Stroke ScaleLook for three physical findings: Facial droop Arm drift Abnormal speech Structural that helps EMS differentiate from large vessel and non-large vessel occlusion stroke - Correct Answers ✅Los Angeles motor scale Primary advantage of using a stroke severity score - Correct Answers ✅Helps identify large vessel occlusion stroke
What is the time goals for the neurological assessment of the stroke team and noncontrast CT or MRI performed after hospital arrival - Correct Answers ✅20 minutes What is the highest level of stroke center certification - Correct Answers ✅Comprehensive Stroke center The time goal for initiation of fibrinolytic therapy without contraindications after hospital arrival - Correct Answers ✅ 45 minutes What is the door to needle time goal for 85% or more of a cute ischemic stroke patients treated with IV thrombolytics - Correct Answers ✅60 minutes Max time after onset for endovascular surgery - Correct Answers ✅24 hours What tidal volume maintains oxygenation and elimination of carbon dioxide - Correct Answers ✅6-8l/ min Q - Correct Answers ✅
