EMT Chapter 13 (

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A 6-year-old man is found to be unresponsive, pulseless, and apneic. You should:
-withhold CPR until he is defibrillated.
-start CPR and transport immediately.
-begin CPR until an AED is available.
-determine if he has a valid living will.

-begin CPR until an AED is available. Page 526, One-Rescuer Adult CPR

Basic life support (BLS) is defined as:
-basic lifesaving treatment that is performed by bystanders while EMS providers are en route to the scene of an emergency.
-any form of emergency medical treatment that is performed by advanced EMTs, paramedics, physicians, and emergency nurses.
-invasive emergency medical interventions such as intravenous therapy, manual defibrillation, and advanced airway management.
-noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest.
Page 514, Elements of BLS

Between each chest compression, you should:
-check for a pulse.
-remove your hands from the chest.
-administer a breath.
-allow full chest recoil.

-allow full chest recoil. Page 516, Components of CPR

Complications associated with chest compressions include all of the following, EXCEPT:
-rib fractures.
-liver laceration.
-gastric distention.
-a fractured sternum.

-gastric distention. Page 520, Check for Breathing and a Pulse

CPR is in progress on a pregnant woman. Shortly after manually displacing her uterus to the left, return of spontaneous circulation occurs. Which of the following would MOST likely explain this?
-Displacement of her uterus allowed her lungs to expand more fully, which restored her pulse.
-Increased blood flow to her heart caused her ventricles to stop fibrillating, which restored her pulse.
-Displacement of her uterus caused blood to flow backward, which increased blood flow to her heart.
-Pressure was relieved from her aorta and vena cava, which improved chest compression effectiveness.

-Pressure was relieved from her aorta and vena cava, which improved chest compression effectiveness.

CPR retraining is the MOST effective when it:
-is self-placed and brief.
-involves hands-on practice.
-is delivered by computer.
-occurs every 24 months.

-involves hands-on practice. Page 550, Education and Training for the EMT

CPR should be initiated when:
-rigor mortis is obvious.
-a valid living will is unavailable.
-signs of putrefaction are present.
-the carotid pulse is very weak.

-a valid living will is unavailable. Page 540, When Not to Start CPR

CPR will NOT be effective if the patient is:
-horizontal.
-on a firm surface.
-supine.
-prone.

-prone. Page 519, Positioning the Patient

Gastric distention will MOST likely occur:
-when the airway is completely obstructed.
-if you ventilate a patient too quickly.
-in patients who are intubated.
-when you deliver minimal tidal volume.

-if you ventilate a patient too quickly. Page 525, Opening the Airway and Providing Artificial Ventilation

If an object is visible in the unconscious patient’s airway, you should:
-leave it in place.
-place the patient on his or her side.
-remove it.
-continue chest compressions.

-remove it. Page 545, Foreign Body Airway Obstruction in Adults

In most cases, cardiopulmonary arrest in infants and children is caused by:
-a cardiac dysrhythmia.
-respiratory arrest.
-a drug overdose.
-severe chest trauma.

-respiratory arrest. Page 533, Infant and Child CPR

Several attempts to adequately open a trauma patient’s airway with the jaw-thrust maneuver have been unsuccessful. You should:
-carefully perform the head tilt-chin lift maneuver.
-suction the airway and reattempt the jaw-thrust maneuver.
-try opening the airway by lifting up the chin.
-tilt the head back while lifting up in the patient’s neck.

-carefully perform the head tilt-chin maneuver. Page 525, Opening the Airway and Providing Artificial Ventilation

Signs of a sudden severe upper airway obstruction include all of the following, EXCEPT:
-forceful coughing.
-acute cyanosis.
-inability to speak.
-grasping the throat.

-forceful coughing. Page 542, Foreign Body Airway Obstruction in Adults

The impedence threshold device (ITD) may improve circulation during active compression-decompression CPR by:
-limiting the amount of air that enters the lungs during the recoil phase between chest compressions, which results in intrathoracic pressure and improved cardiac filling.
-maximizing the amount of air in the lungs following chest recoil, which hyperinflates the lungs and forces more blood from the ventricle during each compression.
-maintaining increased intrathoracic pressure during the downward stroke of each chest compression, which forces more blood from both of the ventricles.
-drawing all of the air out of the lungs in between chest compressions, which causes positive intrathoracic pressure and a reduction of blood return to the right side of the heart.

-limiting the amount of air that enters the lungs during the recoil phase between chest compressions, which results in intrathoracic pressure and improved cardiac filling. Page 531, Devices and Techniques to Assist Circulation

What is the correct compression-to-ventilation ratio for adult CPR?
-3:2.
-5:1.
-30:1.
-30:2.

-30:2. Page 525, Opening the Airway and Providing Artificial Ventilation

When performing CPR on a child, you should compress the chest:
-80 to 100 times per minute.
-with one or two hands.
-to a depth of 1 to 2 inches.
-until a radial pulse is felt.

-with one or two hands. Page 533, Infant and Child CPR

While rescuer one is finishing his or her fifth cycle of 30 compressions, rescuer two should:
-move to the opposite side of the patient’s chest.
-assess for a carotid pulse for 15 seconds.
-suction the patient’s mouth and give two more ventilations.
-give two breaths and prepare to start compressions.

-move to the opposite side of the patient’s chest. Page 529, Two-Rescuer Adult CPR

Without practice, your CPR skills will ______.
-come back automatically when needed.
-improve over time.
-deteriorate over time.
-become part of your muscle memory.

-deteriorate over time. Page 515, Elements of BLS

Your conscious patient has a mild partial airway obstruction. You should:
-encourage the patient to cough.
-place the patient supine.
-perform abdominal thrusts.
-administer back blows.

-encourage the patient to cough. Page 542, Foreign Body Airway Obstruction in Adults

Your partner is performing one-rescuer COR on a middle-aged woman in cardiac arrest. When you apply the AED pads, you note that she has a medication patch over the same area one of the AED pads will be placed. You should:
-move the patch to another area of the patient’s chest and the properly apply the AED pads.
-apply the AED pad at least 1 inch away from the medication patch to avoid akin burns.
-remove the medication patch, wipe away ant medication residue, and apply the AED pads.
-continue CPR until you can determine the name of the medication contained in the patch.

-remove the medication patch, wipe away ant medication residue, and apply the AED pads. Page 518, Automated External Defibrillation

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