E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Exams. May 2011

Size: px
Start display at page:

Download "E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Exams. May 2011"

Transcription

1 E C C American Heart Association Advanced Cardiovascular Life Support Written Exams Contents: Exam Memo Student Answer Sheet Version A Exam Version A Answer Key Version A Reference Sheet Version B Exam Version B Answer Key Version B Reference Sheet May 2011

2 2011 Advanced Cardiovascular Life Support Written Exams Introduction The 2011 ACLS Provider Course includes both skills tests and a written exam. The written exam measures the mastery of cognitive skills. The 2011 written exam must be used with the 2011 course materials, ie, Provider Manual, course video, and Instructor Manual. Administering the written exam This closed-book written exam must be completed independently by each student. To receive a course completion card, students must score at least 84% on the written exam. Remediation All students deserve remediation on topics in which they are not confident and topics they have not mastered. For guidance on remediation, refer to the Instructor Manual. Copying and distribution Written exams are secured items. ACLS Training Centers may distribute ACLS Providers exams only to ACLS Instructors, ACLS Training Center Faculty, and ACLS Regional Faculty members who are aligned with the Training Center. Written exams may be copied as needed for conducting courses. Training Centers may distribute exams in the original and complete PDF format via . Exams may not be posted on Internet or Intranet sites accessible by persons not authorized to receive the exams. May 2011

3 ANSWER SHEET Advanced Cardiovascular Life Support Written Exam Name Date Version Question Answer 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D 11. A B C D 12. A B C D 13. A B C D 14. A B C D 15. A B C D 16. A B C D 17. A B C D 18. A B C D 19. A B C D 20. A B C D 21. A B C D 22. A B C D 23. A B C D 24. A B C D 25. A B C D

4 26. A B C D 27. A B C D 28. A B C D 29. A B C D 30. A B C D 31. A B C D 32. A B C D 33. A B C D 34. A B C D 35. A B C D 36. A B C D 37. A B C D 38. A B C D 39. A B C D 40. A B C D 41. A B C D 42. A B C D 43. A B C D 44. A B C D 45. A B C D 46. A B C D 47. A B C D 48. A B C D 49. A B C D 50. A B C D

5 E C C American Heart Association Advanced Cardiovascular Life Support Written Exam Version A May 2011

6 Advanced Cardiovascular Life Support Exam Version A (50 questions) Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. You find an unresponsive patient who is not breathing. After activating the emergency response system, you determine that there is no pulse. What is your next action? A. Open the airway with a head tilt chin lift. B. Administer epinephrine at a dose of 1 mg/kg. C. Deliver 2 rescue breaths each over 1 second. D. Start chest compressions at a rate of at least 100/min. 2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? A. PETCO 2 B. Chest x-ray C. Laboratory testing D. Obtaining a 12-lead ECG 3. What is the preferred method of access for epinephrine administration during cardiac arrest in most patients? A. Intraosseous B. Endotracheal C. Central intravenous D. Peripheral intravenous 4. An activated AED does not promptly analyze the rhythm. What is your next action? A. Begin chest compressions. B. Discontinue the resuscitation attempt. C. Check all AED connections and reanalyze. D. Rotate AED electrodes to an alternate position. Advanced Cardiovascular Life Support Written Exam Version A 2

7 5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What management step is your next priority? A. Give 0.5 mg of atropine. B. Insert an advanced airway. C. Administer 1 mg of epinephrine. D. Administer a dopamine infusion. 6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What is the next action? A. Establish vascular access. B. Obtain the patient s history. C. Resume chest compressions. D. Terminate the resuscitative effort. 7. What is a common but sometimes fatal mistake in cardiac arrest management? A. Failure to obtain vascular access B. Prolonged periods of no ventilations C. Failure to perform endotracheal intubation D. Prolonged interruptions in chest compressions 8. Which action is a component of high-quality chest compressions? A. Allowing complete chest recoil B. Chest compressions without ventilation C. 60 to 100 compressions per minute with a 15:2 ratio D. Uninterrupted compressions at a depth of 1½ inches Advanced Cardiovascular Life Support Written Exam Version A 3

8 9. Which action increases the chance of successful conversion of ventricular fibrillation? A. Pausing chest compressions immediately after a defibrillation attempt B. Administering 4 quick ventilations immediately before a defibrillation attempt C. Using manual defibrillator paddles with light pressure against the chest D. Providing quality compressions immediately before a defibrillation attempt 10. Which situation BEST describes pulseless electrical activity? A. Asystole without a pulse B. Sinus rhythm without a pulse C. Torsades de pointes with a pulse D. Ventricular tachycardia with a pulse 11. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? A. Provide compressions and ventilations with a 15:2 ratio. B. Provide compressions and ventilations with a 30:2 ratio. C. Provide a single ventilation every 6 seconds during the compression pause. D. Provide continuous chest compressions without pauses and 10 ventilations per minute. 12. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO 2 level of 8 mm Hg. What is the significance of this finding? A. Chest compressions may not be effective. B. The endotracheal tube is no longer in the trachea. C. The patient meets the criteria for termination of efforts. D. The team is ventilating the patient too often (hyperventilation). 13. The use of quantitative capnography in intubated patients A. allows for monitoring of CPR quality. B. measures oxygen levels at the alveoli level. C. determines inspired carbon dioxide relating to cardiac output. D. detects electrolyte abnormalities early in code management. Advanced Cardiovascular Life Support Written Exam Version A 4

9 14. For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next treatment? A. Apply a transcutaneous pacemaker. B. Administer 1 mg of intravenous atropine. C. Administer 40 units of intravenous vasopressin. D. Consider terminating resuscitative efforts after consulting medical control. 15. Which is a safe and effective practice within the defibrillation sequence? A. Stop chest compressions as you charge the defibrillator. B. Be sure oxygen is not blowing over the patient s chest during the shock. C. Assess for the presence of a pulse immediately after the shock. D. Commandingly announce clear after you deliver the defibrillation shock. 16. During your assessment, your patient suddenly loses consciousness. After calling for help and determining that the patient is not breathing, you are unsure whether the patient has a pulse. What is your next action? A. Leave and get an AED. B. Begin chest compressions. C. Deliver 2 quick ventilations. D. Check the patient s mouth for the presence of a foreign body. 17. What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? A. Hands-free pads deliver more energy than paddles. B. Hands-free pads increase electrical arc. C. Hands-free pads allow for a more rapid defibrillation. D. Hands-free pads have universal adaptors that can work with any machine. 18. What action is recommended to help minimize interruptions in chest compressions during CPR? A. Continue CPR while charging the defibrillator. B. Perform pulse checks immediately after defibrillation. C. Administer IV medications only when delivering breaths. D. Continue to use an AED even after the arrival of a manual defibrillator. 19. Which action is included in the BLS Survey? A. Early defibrillation B. Advanced airway management C. Rapid medication administration D. Preparation for therapeutic hypothermia Advanced Cardiovascular Life Support Written Exam Version A 5

10 20. Which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? A. Atropine 2 mg B. Amiodarone 300 mg C. Vasopressin 1 mg/kg D. Dopamine 2 mg/kg per minute 21. What is the appropriate interval for an interruption in chest compressions? A. 10 seconds or less B. 10 to 15 seconds C. 15 to 20 seconds D. Interruptions are never acceptable 22. Which of the following is a sign of effective CPR? A. PETCO 2 10 mm Hg B. Measured urine output of 1 ml/kg per hour C. Patient temperature >32 C (89.6 F) D. Diastolic intra-arterial pressure <20 mm Hg 23. What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? A. Identifying and treating early clinical deterioration B. Rapidly intervening with patients admitted through emergency department triage C. Responding to patients during a disaster or multiple-patient situation D. Responding to patients after activation of the emergency response system 24. Which action improves the quality of chest compressions delivered during a resuscitation attempt? A. Observe ECG rhythm to determine depth of compressions. B. Do not allow the chest to fully recoil with each compression. C. Compress the upper half of the sternum at a rate of 150 compressions per minute. D. Switch providers about every 2 minutes or every 5 compression cycles. 25. What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80/min? A. 1 breath every 3 to 4 seconds B. 1 breath every 5 to 6 seconds C. 2 breaths every 5 to 6 seconds D. 2 breaths every 6 to 8 seconds Advanced Cardiovascular Life Support Written Exam Version A 6

11 26. A patient presents to the emergency department with new onset of dizziness and fatigue. On examination, the patient s heart rate is 35/min, the blood pressure is 70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first medication? A. Atropine 0.5 mg B. Oxygen 12 to 15 L/min C. Epinephrine 0.5 mg D. Aspirin 160 mg chewed 27. A patient presents to the emergency department with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial atropine dose was ineffective, and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. What is the appropriate dose of dopamine for this patient? A. 2 to 10 mg/min B. 2 to 10 mcg/kg per minute C. 10 to 15 mg/min D. 10 to 15 mcg/kg per minute 28. A patient has sudden onset of dizziness. The patient s heart rate is 180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The lead II ECG is shown below: What is the next appropriate intervention? A. Vagal maneuvers B. Metoprolol 5 mg IV C. Adenosine 6 mg IV D. Normal saline 1 L bolus Advanced Cardiovascular Life Support Written Exam Version A 7

12 29. A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient s blood pressure is 128/58 mm Hg, the PETCO 2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access at the left internal jugular vein, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is the next recommended intervention? A. Adenosine 6 mg IV push B. Amiodarone 300 mg IV push C. Synchronized cardioversion at 50 J D. Synchronized cardioversion at 200 J 30. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? A. Contact the patient s family to see what they would prefer. B. Have the EMS crew choose an appropriate patient disposition. C. Accept the report and provide care within your present capability. D. Divert the patient to a hospital 15 minutes away with CT capabilities. 31. Choose an appropriate indication to stop or withhold resuscitative efforts. A. Arrest not witnessed B. Evidence of rigor mortis C. Patient age greater than 85 years D. No return of spontaneous circulation after 10 minutes of CPR 32. A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She had been taking oral antacids for the past 6 hours because she thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. Which is the most appropriate intervention to perform next? A. Administer oxygen. B. Obtain a 12-lead ECG. C. Evaluate for fibrinolytic eligibility. D. Administer sublingual nitroglycerin. 33. A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What intervention has the highest priority? A. Atropine IV push B. Epinephrine IV infusion C. Application of a transcutaneous pacemaker D. Simple airway maneuvers and assisted ventilation Advanced Cardiovascular Life Support Written Exam Version A 8

13 34. What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? A. Suction during insertion but for no longer than 30 seconds. B. Suction the mouth and nose for no longer than 30 seconds. C. Suction during withdrawal but for no longer than 10 seconds. D. Hyperventilate before catheter insertion, and then suction during withdrawal. 35. While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool, clammy skin, you see this lead II ECG rhythm: What is the most appropriate first intervention? A. Aspirin B. Atropine C. Lidocaine D. Nitroglycerin 36. A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14 breaths/min, and a pulse oximetry reading of 97%. The lead II ECG displays sinus rhythm. What is the most appropriate action for the EMS team to perform next? A. 12-lead ECG assessment B. Administration of 100% supplementary oxygen C. Cincinnati Prehospital Stroke Scale assessment D. Administration of a low-dose aspirin 37. EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal limits. What intervention should you perform next? A. Head CT scan B. Transfer to the stroke unit C. Immediate rtpa administration D. Administration of 100% oxygen Advanced Cardiovascular Life Support Written Exam Version A 9

14 38. What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place? A. 4 to 6 breaths per minute B. 8 to 10 breaths per minute C. 12 to 14 breaths per minute D. 16 to 18 breaths per minute 39. A 62-year-old man in the emergency department says that his heart is beating fast. He says he has no chest pain or shortness of breath. The blood pressure is 142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95% on room air. What intervention should you perform next? A. Obtain a 12-lead ECG. B. Give 150 mg of amiodarone. C. Administer 160 mg of aspirin. D. Administer 6 mg of adenosine. 40. You are evaluating a 48-year-old man with crushing substernal chest pain. The patient is pale, diaphoretic, cool to the touch, and slow to respond to your questions. The blood pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18 breaths/min, and the pulse oximeter is unable to obtain a reading because there is no radial pulse. The lead II ECG displays a regular wide-complex tachycardia. What intervention should you perform next? A. Procedural sedation B. 12-lead ECG C. Amiodarone administration D. Synchronized cardioversion 41. What is the initial priority for an unconscious patient with any tachycardia on the monitor? A. Review the patient s home medications. B. Evaluate the breath sounds. C. Determine whether pulses are present. D. Administer sedative drugs. 42. Which rhythm requires synchronized cardioversion? A. Unstable supraventricular tachycardia B. Atrial fibrillation C. Sinus tachycardia D. NSR on monitor but no pulse Advanced Cardiovascular Life Support Written Exam Version A 10

15 43. What is the recommended second dose of adenosine for patients in refractory but stable narrow-complex tachycardia? A. 3 mg B. 6 mg C. 9 mg D. 12 mg 44. What is the usual post cardiac arrest target range for PETCO 2 when ventilating a patient who achieves return of spontaneous circulation (ROSC)? A. 30 to 35 mm Hg B. 35 to 40 mm Hg C. 40 to 45 mm Hg D. 45 to 50 mm Hg 45. Which condition is a contraindication to therapeutic hypothermia during the post cardiac arrest period for patients who achieve return of spontaneous circulation ROSC? A. Initial rhythm of asystole B. Responding to verbal commands C. Patient age greater than 60 years D. Desire to provide coronary reperfusion (eg, PCI) 46. What is the potential danger of using ties that pass circumferentially around the patient s neck when securing an advanced airway? A. May interfere with effective ventilation B. Places the patient s cervical spine at risk C. Obstruction of venous return from the brain D. Does not adequately secure the airway device 47. What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube? A. 5-point auscultation B. Colorimetric capnography C. Continuous waveform capnography D. Use of esophageal detection devices 48. What is the recommended IV fluid (normal saline or Ringer s lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post cardiac arrest period? A. 250 to 500 ml B. 500 to 1000 ml C. 1 to 2 L D. 2 to 3 L Advanced Cardiovascular Life Support Written Exam Version A 11

16 49. What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration in a hypotensive post cardiac arrest patient who achieves ROSC? A. 90 mm Hg B. 85 mm Hg C. 80 mm Hg D. 75 mm Hg 50. What is the first treatment priority for a patient who achieves ROSC? A. Coronary reperfusion B. Therapeutic hypothermia C. Maintaining blood glucose <185 mg/dl D. Optimizing ventilation and oxygenation Advanced Cardiovascular Life Support Written Exam Version A 12

17 2011 WRITTEN EXAM A Answer Key Advanced Cardiovascular Life Support Question Answer 1. A B C 2. A B C 3. A B C 4. B C D 5. A B D 6. A B D 7. A B C 8. B C D 9. A B C 10. A C D 11. A B C 12. B C D 13. B C D 14. A B C 15. A C D 16. A C D 17. A B D 18. B C D 19. B C D 20. A C D 21. B C D 22. B C D 23. B C D 24. A B C 25. A C D Advanced Cardiovascular Life Support Written Exam Version A

18 26. B C D 27 A C D 28 B C D 29 B C D 30. A B C 31. A C D 32. A C D 33. A B C 34. A B D 35. A C D 36. A B D 37. B C D 38. A C D 39. B C D 40 A B C 41. A B D 42. B C D 43. A B C 44. A C D 45. A C D 46. A B D 47. A B D 48. A B D 49. B C D 50. A B C Advanced Cardiovascular Life Support Written Exam Version A

19 2011 WRITTEN EXAM A Reference Sheet Advanced Cardiovascular Life Support Question Page Number in ACLS Provider Manual Answer A B C A B C A B C B C D A B D A B D A B C B C D A B C A C D A B C B C D B C D A B C A C D A C D A B D B C D B C D A C D B C D B C D B C D A B C A C D Advanced Cardiovascular Life Support Written Exam Version A

20 B C D A C D B C D B C D A B C A C D A C D A B C A B D A C D A B D B C D A C D B C D A B C A B D B C D A B C A C D A C D A B D A B D A B D B C D A B C Advanced Cardiovascular Life Support Written Exam Version A

21 E C C American Heart Association Advanced Cardiovascular Life Support Written Exam Version B May 2011

22 Advanced Cardiovascular Life Support Exam Version B (50 questions) Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. What should be done to minimize interruptions in chest compressions during CPR? A. Perform pulse checks only after defibrillation. B. Continue CPR while the defibrillator is charging. C. Administer IV medications only when breaths are given. D. Continue to use AED even after the arrival of a manual defibrillator. 2. Which condition is an indication to stop or withhold resuscitative efforts? A. Unwitnessed arrest B. Safety threat to providers C. Patient age greater than 85 years D. No return of spontaneous circulation after 10 minutes of CPR 3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. The patient s lead II ECG appears below. What is your next action? A. IV or IO access B. Endotracheal tube placement C. Consultation with cardiology for possible PCI D. Application of a transcutaneous pacemaker 4. After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? A. Retrieve an AED. B. Check for a pulse. C. Deliver 2 rescue breaths. D. Administer a precordial thump. Advanced Cardiovascular Life Support Written Exam Version B 2

23 5. What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest? A. Not recommended for routine use B. Recommended during every resuscitation attempt C. Recommended when the patient is vomiting D. Recommended only for supraglottic airway insertion 6. What survival advantages does CPR provide to a patient in ventricular fibrillation? A. Increases the defibrillation threshold B. Directly restores an organized rhythm C. Opposes the harmful effects of epinephrine D. Produces a small amount of blood flow to the heart 7. What is the recommended compression rate for performing CPR? A. 60 to 80 per minute B. 80 to 100 per minute C. About 100 per minute D. At least 100 per minute 8. EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most important early intervention? A. Defibrillation B. Endotracheal intubation C. Epinephrine administration D. Antiarrhythmic administration 9. A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. The next intervention is to A. administer amiodarone. B. administer a second shock. C. administer epinephrine. D. insert an advanced airway. Advanced Cardiovascular Life Support Written Exam Version B 3

24 10. What is the recommended next step after a defibrillation attempt? A. Open the patient s airway. B. Determine if a carotid pulse is present. C. Check the ECG for evidence of a rhythm. D. Begin CPR, starting with chest compressions. 11. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? A. Subclavian vein B. Antecubital vein C. Intraosseous line D. Internal jugular vein 12. What is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? A. 1 mg B. 1 mg/kg C. 1 meq/kg D. 300 mg 13. IV/IO drug administration during CPR should be A. given rapidly during compressions. B. administered slowly during the pause for a pulse check. C. given by infusion. D. given before any defibrillation attempts. 14. How often should the team leader switch chest compressors during a resuscitation attempt? A. Every minute B. Every 2 minutes C. Every 3 minutes D. Every 4 minutes 15. Which finding is a sign of ineffective CPR? A. PETCO 2 <10 mm Hg B. Patient temperature >32 C (89.6 F) C. Diastolic intra-arterial pressure 20 mm Hg D. Measured patient urine output of 1 ml/kg per hour Advanced Cardiovascular Life Support Written Exam Version B 4

25 16. A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscitation team dynamics does this represent? A. Clear messages B. Knowing one s limitations C. Closed-loop communication D. Clear roles and responsibilities 17. How long should it take to perform a pulse check during the BLS Survey? A. 1 to 5 seconds B. 5 to 10 seconds C. 10 to 15 seconds D. 15 to 20 seconds 18. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive and notice that he is taking agonal breaths. What is the next step in your assessment and management of this patient? A. Apply the AED. B. Check the patient s pulse. C. Open the patient s airway. D. Check for the presence of breathing. 19. Which treatment or medication is appropriate for the treatment of a patient in asystole? A. Atropine B. Epinephrine C. Defibrillation D. Transcutaneous pacing 20. An AED advises a shock for a pulseless patient lying in snow. What is the next action? A. Place a backboard beneath the patient and administer the shock. B. Move the patient off the snow to bare ground and deliver the shock. C. Remove any snow beneath the patient and then administer the shock. D. Administer the shock immediately and continue as directed by the AED. 21. What is the minimum depth of chest compressions for an adult in cardiac arrest? A. 1 inch B. 1½ inches C. 2 inches D. 2½ inches Advanced Cardiovascular Life Support Written Exam Version B 5

26 22. A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? A. Check for a pulse. B. Administer an IV antiarrhythmic. C. Start chest compressions at a rate of at least 100/min. D. Repeat the unsynchronized shock, increasing to 200 J. 23. You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on the ECG monitor. What is the next action? A. Administer normal saline at 20 ml/kg. B. Administer epinephrine at 1 mg/kg IV. C. Obtain a blood pressure and oxygen saturation. D. Have a team member attempt to palpate a carotid pulse. 24. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What is the next most preferred route for drug administration? A. Intraosseous (IO) B. Endotracheal (ET) C. Intramuscular (IM) D. Central venous access 25. What is the appropriate rate of chest compressions for an adult in cardiac arrest? A. At least 150/min B. At least 100/min C. Approximately 100/min D. Approximately 120/min 26. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? A. Contact the patient s family to see what they would prefer. B. Have the EMS crew choose an appropriate patient disposition. C. Accept the report and provide care within your present capability. D. Divert the patient to a hospital 15 minutes away with CT capabilities. Advanced Cardiovascular Life Support Written Exam Version B 6

27 27. A 53-year-old man has shortness of breath, chest discomfort, and weakness. The patient s blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed below. A patent peripheral IV is in place. What is the next action? A. Acquisition of a 12-lead ECG B. Vagal maneuvers C. Procedural sedation D. Immediate defibrillation 28. A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient s 12-lead ECG shows ST-segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of nitroglycerin. What is the next action? A. Administer an additional dose of aspirin. B. Administer an additional nitroglycerin tablet. C. Administer high-flow oxygen via an oxygen mask. D. Administer 2 to 4 mg of morphine by slow IV bolus. 29. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II ECG displays a wide-complex tachycardia. What is the next action after establishing an IV and obtaining a 12-lead ECG? A. Administration of IV epinephrine B. Seeking expert consultation C. Procedural sedation D. Synchronized cardioversion 30. A postoperative patient in the ICU reports new chest pain. What actions have the highest priority? A. Administer an IV fluid bolus and obtain arterial blood gas. B. Start dopamine at 2 mcg/kg per minute and obtain a chest x-ray. C. Send blood to the laboratory for chemistry and cardiac enzymes. D. Obtain a 12-lead ECG and administer aspirin if not contraindicated. Advanced Cardiovascular Life Support Written Exam Version B 7

ACLS PRE-TEST ANNOTATED ANSWER KEY

ACLS PRE-TEST ANNOTATED ANSWER KEY ACLS PRE-TEST ANNOTATED ANSWER KEY June, 2011 Question 1: Question 2: There is no pulse with this rhythm. Question 3: Question 4: Question 5: Question 6: Question 7: Question 8: Question 9: Question 10:

More information

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor.

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor. This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly

More information

Cardiac Arrest VF/Pulseless VT Learning Station Checklist

Cardiac Arrest VF/Pulseless VT Learning Station Checklist Cardiac Arrest VF/Pulseless VT Learning Station Checklist VF/VT 00 American Heart Association Adult Cardiac Arrest Shout for Help/Activate Emergency Response Epinephrine every - min Amiodarone Start CPR

More information

ACLS Study Guide BLS Overview CAB

ACLS Study Guide BLS Overview CAB ACLS Study Guide The ACLS Provider exam is 50-mutiple choice questions. Passing score is 84%. Student may miss 8 questions. For students taking ACLS for the first time or renewing students with a current

More information

American Heart Association ACLS Pre-Course Self Assessment Dec., 2006. ECG Analysis. Name the following rhythms from the list below:

American Heart Association ACLS Pre-Course Self Assessment Dec., 2006. ECG Analysis. Name the following rhythms from the list below: American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in

More information

ACLS Study Guide ECG STRIP INTERPRETATION. These ECG strips are meant for review. For rationale, please attend an ECG course.

ACLS Study Guide ECG STRIP INTERPRETATION. These ECG strips are meant for review. For rationale, please attend an ECG course. ACLS Study Guide & ECG STRIP INTERPRETATION These ECG strips are meant for review. For rationale, please attend an ECG course. SINUS RHYTHMS SINUS RHYTHM 60 BPM/REGULAR 60 BPM/REGULAR 0.20 SEC 0.06 SEC

More information

Official Online ACLS Exam

Official Online ACLS Exam \ Official Online ACLS Exam Please fill out this form before you take the exam. Name : Email : Phone : 1. Hypovolemia initially produces which arrhythmia? A. PEA B. Sinus tachycardia C. Symptomatic bradyarrhythmia

More information

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011. 2011 American Heart Association

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011. 2011 American Heart Association E C C American Heart Association Advanced Cardiovascular Life Support Written Precourse Self-Assessment May 2011 2011 American Heart Association 2011 ACLS Written Precourse Self-Assessment 1. Ten minutes

More information

E C C. American Heart Association. ACLS Provider. Written Examinations. August 2006

E C C. American Heart Association. ACLS Provider. Written Examinations. August 2006 E C C American Heart Association ACLS Provider Written Examinations Contents: Examination Memo Version A Answer Sheet Version A Exam Version A Answer Key Version A Annotations Version B Answer Sheet Version

More information

ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC. BLS Changes

ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC. BLS Changes ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC CPR Chest compressions, Airway, Breathing (C-A-B) BLS Changes New Old Rationale New science indicates the following order:

More information

American Heart Association ACLS Pre-Course Self Assessment Dec., ECG Analysis. Name the following rhythms from the list below:

American Heart Association ACLS Pre-Course Self Assessment Dec., ECG Analysis. Name the following rhythms from the list below: American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in

More information

Heart and Stroke Foundation of Canada. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011

Heart and Stroke Foundation of Canada. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011 E C C Heart and Stroke Foundation of Canada Advanced Cardiovascular Life Support Written Precourse Self-Assessment May 2011 2011 ACLS Written Precourse Self-Assessment 1. Ten minutes after an 85-year-old

More information

Team Leader. Ensures high-quality CPR at all times Assigns team member roles Ensures that team members perform well. Bradycardia Management

Team Leader. Ensures high-quality CPR at all times Assigns team member roles Ensures that team members perform well. Bradycardia Management ACLS Megacode Case 1: Sinus Bradycardia (Bradycardia VF/Pulseless VT Asystole Out-of-Hospital Scenario You are a paramedic and arrive on the scene to find a 57-year-old woman complaining of indigestion.

More information

2010 Interim Materials ACLS Provider Manual Comparison Chart Based on 2010 AHA Guidelines for CPR and ECC BLS Changes

2010 Interim Materials ACLS Provider Manual Comparison Chart Based on 2010 AHA Guidelines for CPR and ECC BLS Changes 2010 Interim Materials ACLS Provider Manual Comparison Chart Based on 2010 AHA Guidelines for CPR and ECC BLS Changes CPR New Old Rationale Chest compressions, Airway, Breathing (C-A-B) New science indicates

More information

There are several resources available to you on the American Heart Association website at Here are some helpful kinks:

There are several resources available to you on the American Heart Association website at  Here are some helpful kinks: American Heart Links There are several resources available to you on the American Heart Association website at www.americanheart.org. Here are some helpful kinks: You can find information on cardiovascular

More information

ADVANCED CARDIAC LIFE SUPPORT REFRESHER COURSE Pre-Course Test (2015 Guidelines)

ADVANCED CARDIAC LIFE SUPPORT REFRESHER COURSE Pre-Course Test (2015 Guidelines) ADVANCED CARDIAC LIFE SUPPORT REFRESHER COURSE 2015 Pre-Course Test (2015 Guidelines) Please read each multiple-choice question carefully. Choose one option that best answers the question. One mark will

More information

Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008

Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble In contrast to cardiac arrest in adults, cardiopulmonary arrest in pediatric

More information

Advanced Cardiovascular Life Support Case Scenarios

Advanced Cardiovascular Life Support Case Scenarios Advanced Cardiovascular Life Support Case Scenarios ACLS Respiratory Arrest Case Out-of-Hospital Scenario You are a paramedic and respond to the scene of a possible cardiac arrest. A young man lies motionless

More information

changes in BLS, ACLS & PALS from By the end of this program, the

changes in BLS, ACLS & PALS from By the end of this program, the 2010 AHA BLS, ACLS & PALS Changes: What s New? Jennifer Murray MSN, RN Critical Care Educator AHA Training i Center Coordinator PALS Regional Faculty ACLS Training Center Faculty Objectives This module

More information

www.cprtrainingfast.com

www.cprtrainingfast.com ADVANCED CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION EXAMINATION 1. Ten minutes after an 85 year old woman collapses, paramedics arrive and start CPR for the first time. The monitor shows fine (low amplitude)

More information

2015 Interim Resources for HeartCode ACLS

2015 Interim Resources for HeartCode ACLS 2015 Interim Resources for HeartCode ACLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published

More information

Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109

Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109 Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109 Interventions to prevent cardiac arrest + Airway management + Ventilation support + Treatment of bradyarrhythmias & Tachyarrhythmias Treat cardiac arrest

More information

Michigan Adult Cardiac Protocols CARDIAC ARREST GENERAL. Date: May 31, 2012 Page 1 of 5

Michigan Adult Cardiac Protocols CARDIAC ARREST GENERAL. Date: May 31, 2012 Page 1 of 5 Date: May 31, 2012 Page 1 of 5 Cardiac Arrest General This protocol should be followed for all adult cardiac arrests. Medical cardiac arrest patients undergoing attempted resuscitation should not be transported

More information

The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010.

The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. ACLS Study Guide The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. Please read the below information carefully This letter is to confirm your

More information

Objectives. To list the medications administered within ACLS protocol. To differentiate which arrhythmias require medication administration

Objectives. To list the medications administered within ACLS protocol. To differentiate which arrhythmias require medication administration LT Kenneth Stearns PGY-1 Pharmacy Resident Claremore Indian Hospital 1 Objectives To list the medications administered within ACLS protocol To differentiate which arrhythmias require medication administration

More information

AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW

AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW Joseph Heidenreich, MD Texas A&M Health Science Center Scott & White Memorial Hospital Scott & White Memorial Hospital

More information

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the

More information

ACLS PHARMACOLOGY 2011 Guidelines

ACLS PHARMACOLOGY 2011 Guidelines ACLS PHARMACOLOGY 2011 Guidelines ADENOSINE Narrow complex tachycardias or wide complex tachycardias that may be supraventricular in nature. It is effective in treating 90% of the reentry arrhythmias.

More information

ACLS Study Guide. 12/20/2011. Critical Care Training Center 818*909*7234 Phone 818*909*7223 Fax

ACLS Study Guide.  12/20/2011. Critical Care Training Center 818*909*7234 Phone 818*909*7223 Fax 2011 ACLS Study Guide Critical Care Training Center 818*909*7234 Phone 818*909*7223 Fax www.acls123.com 12/20/2011 Course Overview This study guide is an outline of content that will be taught in the American

More information

Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008

Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble Survival from cardiorespiratory arrest for patients who present with ventricular fibrillation

More information

Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course

Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course Written by: Jay Snaric, MS And Kimberly Hickman, RN CPR St. Louis 44 Meramec Valley Plaza St. Louis MO 63088 www.stlcpr.com

More information

Community Ambulance Service of Minot ALS Standing Orders Legend

Community Ambulance Service of Minot ALS Standing Orders Legend Legend Indicates General Information and Guidelines Indicates Procedures Indicates Medication Administration Indicates Referral to Other Protocol Indicates Referral to Online Medical Direction Pediatric

More information

Emergency Medical Services Advanced Level Competency Checklist

Emergency Medical Services Advanced Level Competency Checklist Emergency Services Advanced Level Competency Checklist EMS Service: Current License in State of Nebraska: # (Copy of license kept in file at station) Date of joining EMS Service: EMS Service Member Name:

More information

The ALIVE Trial: Amiodarone Versus Lidocaine In Pre-Hospital Refractory Ventricular Fibrillation Evaluation Introduction

The ALIVE Trial: Amiodarone Versus Lidocaine In Pre-Hospital Refractory Ventricular Fibrillation Evaluation Introduction The ALIVE Trial: Versus In Pre-Hospital Refractory Ventricular Fibrillation Evaluation Based on preliminary data of Dorian P et al as presented at the 22nd Annual Scientific Sessions of the North American

More information

Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new?

Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? DVM, DACVA Objective: Update on the new Small animal guidelines for CPR and a discussion of the 2012 Reassessment Campaign on

More information

IU Health ACLS Study Guide

IU Health ACLS Study Guide IU Health ACLS Study Guide Preparing for your upcoming ACLS Class REVISED SEPTEMBER 2011 ON APRIL 1, 2011 WE BEGAN TEACHING THE 2010 AHA GUIDELINES. WE HIGHLY RECOMMEND REVIEWING THE NEW ALGORYHMS FOUND

More information

81 First Responder Respiratory

81 First Responder Respiratory 81 First Responder Medical Scenarios Asthma Scenario: You are called to a local house for a woman with trouble breathing. You arrive to find a 67-year-old woman sitting upright in a chair. She states she

More information

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Presenter Name Disclosures

More information

Northwestern Health Sciences University. Basic Life Support for Healthcare Providers

Northwestern Health Sciences University. Basic Life Support for Healthcare Providers Northwestern Health Sciences University Basic Life Support for Healthcare Providers Pretest May 2005 This examination to be used only as a PRECOURSE TEST for BLS for Healthcare Providers Courses Based

More information

American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. Questions and Answer Key for Students.

American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. Questions and Answer Key for Students. E C C American Heart Association Pediatric Advanced Life Support Written Precourse Self-Assessment Questions and Answer Key for Students January 2012 PALS Written 2011 Precourse Self-Assessment ECG Rhythm

More information

Critical Care Training Center

Critical Care Training Center Basic Life Support Study Guide Critical Care Training Center www.acls123.com 818-909-7234 Course Overview This study guide is an outline of content that will be taught in the American Heart Association

More information

10. An infant with a history of vomiting and diarrhea arrives by ambulance. During your primary assessment the infant responds only to painful stimula

10. An infant with a history of vomiting and diarrhea arrives by ambulance. During your primary assessment the infant responds only to painful stimula 1. You are called to help resuscitate an infant with severe symptomatic bradycardia associated with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygenation,

More information

Purpose To guide registered nurses who may manage clients experiencing sudden or unexpected life-threatening cardiac emergencies.

Purpose To guide registered nurses who may manage clients experiencing sudden or unexpected life-threatening cardiac emergencies. Emergency Cardiac Care: Decision Support Tool #1 RN-Initiated Emergency Cardiac Care Without Cardiac Monitoring/Manual Defibrillator or Emergency Cardiac Drugs Decision support tools are evidence-based

More information

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor.

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor. This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly

More information

2015 Interim Resources for BLS

2015 Interim Resources for BLS 2015 Interim Resources for BLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published in the 2015

More information

Management of Adult Cardiac Arrest

Management of Adult Cardiac Arrest 73991_CH27_page68-73.qxd 6/6/11 3:54 PM Page 68 27.68 Section 5 Medical Guidelines for Performing a 12-Lead ECG The only way to learn how to obtain a 12-lead ECG is to practice with the equipment itself.

More information

PEDIATRIC TREATMENT GUIDELINES

PEDIATRIC TREATMENT GUIDELINES P1 Pediatric Patient Care P2 Cardiac Arrest Initial Care and CPR P3 Neonatal Resuscitation P4 Ventricular Fibrillation / Ventricular Tachycardia P5 PEA / Asystole P6 Symptomatic Bradycardia P7 Tachycardia

More information

Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer

Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer

More information

Columbia Medicine House Staff Training Program

Columbia Medicine House Staff Training Program Columbia Medicine House Staff Training Program Simulation Series : Advanced Cardiopulmonary Life Support A.K.A. THE CODE PRIMER Course Objectives Background information on cardiac arrests Code leader /

More information

Basic Life Support & Automated External Defibrillation

Basic Life Support & Automated External Defibrillation Basic Life Support & Automated External Defibrillation Check response Shake gently Ask loudly: Are you all right? If not responsive Open airway & check for breathing If not breathing normally or not breathing

More information

American Heart Association

American Heart Association American Heart Association Basic Life Support for Healthcare Providers Pretest April 2006 This examination to be used only as a PRECOURSE TEST For BLS for Healthcare Providers Courses 2006 American Heart

More information

MEDICAL DIRECTIVE Advanced Life Support (ALS): Symptomatic Bradycardia

MEDICAL DIRECTIVE Advanced Life Support (ALS): Symptomatic Bradycardia Authorizing physician(s) LHO - Code Blue, Emergency Department & Critical Care Physicians LHB - Emergency Department and Critical Care Physicians LHPP - Emergency Department Physicians Authorized to who

More information

Procedure 17: Cardiopulmonary Resuscitation

Procedure 17: Cardiopulmonary Resuscitation Cardiopulmonary Resuscitation 349 Procedure 17: Cardiopulmonary Resuscitation Introduction Cardiopulmonary arrest (CPA) occurs when a patient s heart and lungs stop functioning. In children, CPA usually

More information

ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE

ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic will provide the treatment based on the randomization scheme and as prescribed in this

More information

Figure 1 : Universal/International ACLS Algorithm

Figure 1 : Universal/International ACLS Algorithm Figure 1 : Universal/International ACLS Algithm Adult Cardiac Arrest Adult Cardiac Arrest A A B B C C D D Focus : basic and defibrillation Focus : basic and defibrillation Check responsiveness Check responsiveness

More information

ACLS123.com 818.766.1111 2012. ACLS Study Guide. Critical Care Training Center

ACLS123.com 818.766.1111 2012. ACLS Study Guide. Critical Care Training Center ACLS123.com 818.766.1111 2012 ACLS Study Guide Critical Care Training Center 12/1/2012 Course Overview This study guide is an outline of content that will be taught in the American Heart Association Accredited

More information

FREQUENTLY ASKED QUESTIONS (FAQ) 2010 Guidelines for CPR & ECC As of October 18, 2010

FREQUENTLY ASKED QUESTIONS (FAQ) 2010 Guidelines for CPR & ECC As of October 18, 2010 FREQUENTLY ASKED QUESTIONS (FAQ) 2010 Guidelines for CPR & ECC As of October 18, 2010 Q: Where can I find the new guidelines? A: The new 2010 Guidelines for CPR and ECC can be found at www.heartandstroke.ca/cprguidelines

More information

Question-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010

Question-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010 Question-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010 Q: What are the most significant changes in the 2010 AHA Guidelines for CPR & ECC? A: Major changes for all rescuers,

More information

PRO-CPR. 2015 Guidelines: PALS Algorithm Overview. (Non-AHA supplementary precourse material)

PRO-CPR. 2015 Guidelines: PALS Algorithm Overview. (Non-AHA supplementary precourse material) PRO-CPR 2015 Guidelines: PALS Algorithm Overview (Non-AHA supplementary precourse material) Please reference Circulation (from our website), the ECC Handbook, or the 2015 ACLS Course Manual for correct

More information

It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive.

It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. This presentation will highlight the changes and any new

More information

Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.

Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies. Overview Estimated scenario time: 10 15 minutes Estimated debriefing time: 10 minutes Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.

More information

ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767

ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767 ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767 Copyright 2010 American Heart Association ACLS Cardiac Arrest Circular Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767

More information

Practical ACLS Megacode Testing and Training Scenario Set for SimPad. Consolidated Instructor Manual. Frances Wickham Lee, DBA

Practical ACLS Megacode Testing and Training Scenario Set for SimPad. Consolidated Instructor Manual. Frances Wickham Lee, DBA Practical ACLS Megacode Testing and Training Scenario Set for SimPad Consolidated Instructor Manual Frances Wickham Lee, DBA Scenario Authors: Frances Wickham Lee, DBA John Walker, BHS John Schaefer, MD

More information

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA PATIENT ASSESSMENT/MANAGEMENT TRAUMA Scenario # Note: Areas denoted by ** may be integrated within sequence of Primary Survey/Resuscitation SCENE SIZE-UP Determines the mechanism of injury/nature of illness

More information

2015 ACLS Review. (877) FL PA NJ

2015 ACLS Review. (877) FL PA NJ 2015 ACLS Review (877) 338-9286 www.cmrcpr.com FL PA NJ DISCLAIMER The following information is provided by the American Heart Association. Monies collected do not represent income for the American Heart

More information

Disclosures. Brief Overview of Cardiac Arrest. Overview AHA Guidelines for CPR and Emergency Cardiovascular Care: An Update 9/24/2011

Disclosures. Brief Overview of Cardiac Arrest. Overview AHA Guidelines for CPR and Emergency Cardiovascular Care: An Update 9/24/2011 Disclosures 2010 AHA Guidelines for CPR and Emergency Cardiovascular Care: An Update Research support from Edwards Lifesciences Matthew Aldrich, MD Anesthesia & Critical Care UCSF Overview Focus is on

More information

EMBARGOED FOR RELEASE

EMBARGOED FOR RELEASE Systems of Care and Continuous Quality Improvement Universal elements of a system of care have been identified to provide stakeholders with a common framework with which to assemble an integrated resuscitation

More information

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination BVM VENTILATION OF AN APNEIC ADULT PATIENT

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination BVM VENTILATION OF AN APNEIC ADULT PATIENT BVM VENTILATION OF AN APNEIC ADULT PATIENT Candidate: Examiner: Date: Signature: Possible Points Checks responsiveness NOTE: After checking responsiveness and breathing for at least 5 but no 1 Checks breathing

More information

American Heart Association. Basic Life Support for Healthcare Providers

American Heart Association. Basic Life Support for Healthcare Providers American Heart Association Basic Life Support for Healthcare Providers Pretest February 2001 This examination to be used only as a PRECOURSE TEST for BLS for Healthcare Providers Courses 2001 American

More information

In-hospital resuscitation. Superseded by

In-hospital resuscitation. Superseded by 6 In-hospital resuscitation Introduction These guidelines are aimed primarily at healthcare professionals who are first to respond to an in-hospital cardiac arrest and may also be applicable to healthcare

More information

Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT

Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT Introduction Before the year 2000, the traditional antiarrhythmic agents (lidocaine, bretylium, magnesium sulfate, procainamide,

More information

Objectives: Identify the changes that have been made to the Code Blue Record ( for pilot at the BGH site) Discuss the importance of documentation

Objectives: Identify the changes that have been made to the Code Blue Record ( for pilot at the BGH site) Discuss the importance of documentation Objectives: Identify the changes that have been made to the Code Blue Record ( for pilot at the BGH site) Discuss the importance of documentation during a Code Blue Event from a risk management as well

More information

table of contents drug reference

table of contents drug reference table of contents drug reference ADULT DRUG REFERENCE...155 161 PEDIATRIC DRUG REFERENCE...162 164 PEDIATRIC WEIGHT-BASED DOSING CHARTS...165 180 Adenosine...165 Amiodarone...166 Atropine...167 Defibrillation...168

More information

Please Read this letter carefully

Please Read this letter carefully Dear ACLS Student: Please Read this letter carefully This letter is to confirm your registration in the Advanced Cardiac Life Support (ACLS) course. Thank you for choosing Fast Response. We appreciate

More information

8 Peri-arrest arrhythmias

8 Peri-arrest arrhythmias 8 Peri-arrest arrhythmias Introduction Cardiac arrhythmias are relatively common in the peri-arrest period. They are common in the setting of acute myocardial infarction and may precipitate ventricular

More information

Quiz 4 Arrhythmias summary statistics and question answers

Quiz 4 Arrhythmias summary statistics and question answers 1 Quiz 4 Arrhythmias summary statistics and question answers The correct answers to questions are indicated by *. All students were awarded 2 points for question #2 due to no appropriate responses for

More information

Session Number 206 CODE BLUE: WHY WE DO THE THINGS WE DO. Donna Barto, DNP RN CCRN Advanced Nurse Clinician Virtua Health Marlton, New Jersey

Session Number 206 CODE BLUE: WHY WE DO THE THINGS WE DO. Donna Barto, DNP RN CCRN Advanced Nurse Clinician Virtua Health Marlton, New Jersey Session Number 206 CODE BLUE: WHY WE DO THE THINGS WE DO Donna Barto, DNP RN CCRN Advanced Nurse Clinician Virtua Health Marlton, New Jersey Content Description Critical Care Nurses are often required

More information

Bradycardia (Unstable) Protocol revised October 2008

Bradycardia (Unstable) Protocol revised October 2008 Bradycardia (Unstable) Protocol revised October 2008 Preamble Occasionally, patients experiencing an acute cardiac event present with bradycardia that is hemodynamically unstable. Under these circumstances,

More information

How to Treat Bradycardia s

How to Treat Bradycardia s How to Treat Bradycardia s Table of Contents How to Treat Bradycardia s... 1 Introduction... 3 Sinus Bradycardia... 3 Symptomatic Bradycardia... 3 Bradycardia Algorithm... 3 Transcutaneous pacing (TCP)...

More information

Department of Emergency and Disaster Medicine Medical University of LODZ

Department of Emergency and Disaster Medicine Medical University of LODZ Electrotherapy in emergency states Department of Emergency and Disaster Medicine Medical University of LODZ defibrillation defibrillation The purpous of defibrillation is to deliver a randomly timed high-energy

More information

National Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination BLEEDING CONTROL/SHOCK MANAGEMENT

National Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination BLEEDING CONTROL/SHOCK MANAGEMENT BLEEDING CONTROL/SHOCK MANAGEMENT Candidate: Examiner: Date: Signature: Possible Applies direct pressure to the wound 1 NOTE: The examiner must now inform the candidate that the wound continues to bleed.

More information

BLS: basic cardiac life support. ACLS: advanced cardiac life support. PALS: paediatric advanced life support. VF: ventricular fibrillation

BLS: basic cardiac life support. ACLS: advanced cardiac life support. PALS: paediatric advanced life support. VF: ventricular fibrillation RN-Initiated Emergency Cardiac Care: Decision Support Tool #2 Emergency Cardiac Care in Areas Using Cardiac Monitoring, Defibrillation and Emergency Cardiac Drugs Decision support tools are evidenced-based

More information

CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK

CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK TABLE OF CONTENTS SECTION 1: THE PROFESSIONAL RESCUER The Duty to Respond 2 Preventing the Spread of Bloodborne Pathogens 3 Taking Action

More information

Wilson County Emergency Management Agency Protocol Manual Protocols

Wilson County Emergency Management Agency Protocol Manual Protocols Asystole No pulse or respirations Confirm cardiac rhythm with combo pads or electrodes Record in two leads to confirm Asystole and to rule out fine V-Fib. Basic assessment and management (up to your scope

More information

DEBRIEFING GUIDE. The key components of an optimal code response: 1. Early recognition that the patient is deteriorating or has become unresponsive.

DEBRIEFING GUIDE. The key components of an optimal code response: 1. Early recognition that the patient is deteriorating or has become unresponsive. DEBRIEFING GUIDE I N T R O D U C T I O N Debriefing has been shown to improve clinical behavior during cardiac resuscitation and, as such, has become a recommended procedure in the 2010 American Heart

More information

Adult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES

Adult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES Adult Drug Reference Dopamine Drip Chart Pediatric Drug Reference Pediatric Drug Dosage Charts DRUG REFERENCES ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal

More information

GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS. (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support)

GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS. (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support) AUSTRALIAN RESUSCITATION COUNCIL GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support) The term cardiac arrhythmia

More information

The American Heart Association Guidelines Including Pediatric Resuscitation

The American Heart Association Guidelines Including Pediatric Resuscitation Lesson 3 The American Heart Association Guidelines Including Pediatric Resuscitation Sharon E. Mace, MD, FACEP, FAAP Objectives On completion of this lesson, you should be able to: 1. List the correct

More information

ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol

ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY Guidelines for Use of Intravenous Isoproterenol Major Indications Status Asthmaticus As a last resort for

More information

ACLS Arrhythmias and Treatment Modalities

ACLS Arrhythmias and Treatment Modalities ACLS Arrhythmias and Treatment Modalities Presented by CMR CPR (a division of CMR Medical Supply, LLC) An American Heart Association Affiliated Training Site DISCLAIMER The following information is provided

More information

Guideline for the initial management of Severe Traumatic Brain injury in children (GCS 8 or less)

Guideline for the initial management of Severe Traumatic Brain injury in children (GCS 8 or less) Guideline for the initial management of Severe Traumatic Brain injury in children (GCS 8 or less) Guideline for the initial management of severe traumatic brain injury in children (GCS 8 or less) Introduction

More information

PALS Interim Study Guide

PALS Interim Study Guide PALS Interim Study Guide 2006 Bulletin: New resuscitation science and American Heart Association treatment guidelines were released November 28, 2005! The new AHA Handbook of Emergency Cardiac Care (ECC)

More information

Airway and Breathing Skills Levels Interpretive Guidelines

Airway and Breathing Skills Levels Interpretive Guidelines Office of Emergency Medical Services and Trauma INDEX EFFECTIVE LAST REVIEW PAGES VERSION R-P11A 7/1/2011 7/1/2011 5 2011 Scope of Practice for EMS Personnel Emergency Medical Personnel are permitted to

More information

The management of cardiac arrest

The management of cardiac arrest CHAPTER 6 The management of cardiac arrest LEARNING OBJECTIVES In this chapter you will learn: How to assess the cardiac arrest rhythm and perform advanced life support 6.1. INTRODUCTION Cardiac arrest

More information

Resuscitation Patient Management Tool May 2015 CPA Event

Resuscitation Patient Management Tool May 2015 CPA Event OPTIONAL: Local Event ID: Did pt. receive chest compressions and/or defibrillation during this event? criteria) (does NOT meet inclusion Date/Time the need for chest compressions ( or defibrillation when

More information

2010 Guidelines for CPR and Emergency Cardiac Care

2010 Guidelines for CPR and Emergency Cardiac Care 2010 Guidelines for CPR and Emergency Cardiac Care November 19, 2010 Paul Hawkins MD, MCFP(EM), FACEP, Medical Director Clinical Operations, Director ALS Educators, Dept. of Emergency Services, Sunnybrook

More information

THE REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE NEW YORK CITY PREHOSPITAL TREATMENT PROTOCOLS ADVANCED LIFE SUPPORT (PARAMEDIC) PROTOCOLS

THE REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE NEW YORK CITY PREHOSPITAL TREATMENT PROTOCOLS ADVANCED LIFE SUPPORT (PARAMEDIC) PROTOCOLS THE REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE NEW YORK CITY PREHOSPITAL TREATMENT PROTOCOLS ADVANCED LIFE SUPPORT (PARAMEDIC) PROTOCOLS July 2012 Version 07012012 The Regional Emergency Medical Services

More information

How you can help save lives

How you can help save lives How you can help save lives Through Life Support Training Courses with THE INTERNATIONAL LIFE SUPPORT TRAINING CENTER (ILSTC) TABLE OF CONTENTS Introduction Page 3 Basic Life Support for Healthcare Provider

More information

Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety

Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety This document offers an at-a-glance view of the Scope of Practice for

More information

New resuscitation science and American Heart Association treatment guidelines were released October 28, 2010!

New resuscitation science and American Heart Association treatment guidelines were released October 28, 2010! ACLS Study Guide 2010 Bulletin: New resuscitation science and American Heart Association treatment guidelines were released October 28, 2010! The new AHA Handbook of Emergency Cardiac Care (ECC) contains

More information