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Exam 15: Shock and Resuscitation

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Question 21

Multiple Choice

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You have arrived at a residence where a 4-month-old baby was found in his crib in cardiac arrest. Emergency Medical Responders have been on scene for 5 minutes prior to arrival. They began CPR immediately on reaching the patient's side. You have an AED with adult pads with you, but not pediatric pads. After rechecking and confirming that the patient is in cardiac arrest, you would:

A) continue CPR and transfer to the stretcher for transport.
B) place the AED on the patient and follow all prompts.
C) continue CPR for 2 more minutes before placing the AED.
D) discuss with the parents if they want to proceed with use of the AED.

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Question 22

Multiple Choice

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After two cardiac arrests, a large home improvement center has purchased a fully automated AED. You have been asked to provide education on its use. During an instructional session, a student asks you what will happen when the AED indicates that a shock is indicated. Your response should be:

A) "The AED will prompt you to recheck the pulse."
B) "You will need to reanalyze the heart rhythm."
C) "The AED will automatically shock the patient."
D) "You will need to press the shock button."

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Question 23

Multiple Choice

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Your service has a new AED. During the in-service on the new device, the instructor informs you that it is a semi-automated AED and uses a biphasic wave form, as opposed to the monophasic form used by the previous AED. As a knowledgeable EMT, you should recognize that:

A 47-year-old patient has been in cardiac arrest for 6 minutes. While you set up the AED, you would direct your partner to:

Why is defibrillation in the first few minutes of cardiac arrest so critical?

Within two minutes of going into cardiac arrest, an AED is applied, the patient is shocked, and a pulse is restored. The EMT should recognize that the heart was in:

Proper care of cardiac arrest for a 6-year-old pediatric patient when there are no available pediatric AED pads would include:

You have been called for a 57-year-old female who has choked on a large pill. On arrival you find the patient collapsed on the floor with family by her side. Your assessment reveals her to be unresponsive, not breathing, and pulseless. Which one of the following should you do immediately?

You have been called to a public pool for an unresponsive patient. On arrival you find lifeguards performing CPR with a pocket mask and oxygen on a 67-year-old male. They report that the patient was in the water and was seen clutching his chest seconds before going unresponsive. He was immediately pulled from the water and CPR was initiated. They estimate that CPR has been performed for 5 minutes. Assessment shows the man to be unresponsive, apneic, and pulseless. Which one of the following is your first response?

A patient has just gone into cardiac arrest. His heart is most likely in what rhythm?

The EMT should request advanced life support (ALS) backup for a patient in cardiac arrest because:

When presenting information on cardiac arrest and automated external defibrillation to a community group, a man asks why people should perform CPR prior to the arrival of EMS if they are going to provide a shock. Your response would be:

You have just applied the AED to a female patient in cardiac arrest and the machine is ready to analyze the heart rhythm. Which of the following instructions is appropriate at this time?

What cardiac arrest rhythm is the AED designed to shock?

A 66-year-old female patient has been struck by a car. Your assessment reveals gurgling respirations, rapid breathing, and cool, diaphoretic skin. You also note bruising to her chest and abdomen. Which one of the following should you do immediately?

Which one of the following statements about the AED and its use in the treatment of cardiac arrest is true?

After analyzing a cardiac arrest patient's heart rhythm, the AED provides a "Deliver Shock" message. After clearing the patient, the EMT's next step should be to:

A 52-year-old male has collapsed on his front porch and his family dialed 911. When you arrive, the daughter informs you that the patient has been down for approximately 8 minutes. Assessment reveals him to be in cardiac arrest. Which one of the following should you do immediately?

Which one of the following links in the American Heart Association's Chain of Survival must occur first, if a patient is to survive cardiac arrest?

A patient goes into cardiac arrest at 11:40 a.m. Which of the following treatment descriptions gives the patient the best chance for recovery?