Megacode 7

Question 1

You and your friend (not medically trained) encounter a male child, approximately 8 years old, lying on his side in a state park. There are no obvious signs of trauma. Which of the following is your first intervention?

Start chest compressions
Administer breaths
Check for response to yelling, shaking
Check for pulse

The boy does not respond and he is not breathing. Which of the following is your best next action?

Activate EMS (tell your friend to call for help then find AED)
Check airway
Administer breaths
Start chest compressions

If you had been alone, and found this unresponsive boy who was not breathing, what would have been your best first action?

Provide two minutes of rescue breathing/CPR then leave the boy to activate EMS
Leave the boy to activate EMS and return with or without help
Leave the boy to activate EMS and return only after help arrives

How long do you check for a pulse?

As long as it takes to find a pulse
No more than 10 seconds
10-20 seconds
There is no need to check for a pulse in this patient

There is no breathing and no pulse. You assume cardiac arrest and begin high-quality CPR immediately. Given the patient's age and you are administering CPR by yourself, you do which of the following?

Compress 1/3 of the depth of the chest; deliver 30 compressions then 2 breaths
Compress 1/3 of the depth of the chest; deliver 15 compressions then 2 breaths
Compress chest 2.5 inches; deliver 30 compressions then 2 breaths
Compress chest 2.5 inches; deliver 15 compressions then 2 breaths

Your friend returns with an AED from the ranger's station. EMS is on their way. Your friend (who still refuses to participate in the rescue) is accompanied by the park ranger. She announces that she is PALS-certified. The park ranger is fully focused on preparing the AED device. Which of the following should you do in the meantime?

Deliver CPR (30 compressions then 2 breaths) until the AED is ready to analyze the rhythm
Stop chest compressions until the AED device can be readied
Since another provider is on the scene, deliver 15 compressions then 2 breaths
Force your friend to overcome his fear and perform rescue breaths

The ranger announces that the AED pads are ready to analyze a rhythm. You clear the patient and analyze the rhythm. It is shockable, so you confirm everyone is clear and press the SHOCK button. Which of the following is your best next action?

Resume two-person CPR immediately; park ranger is the compressor, you ventilate
Resume two-person CPR immediately; you are the compressor, the park ranger ventilates
Check for a pulse
Check for breathing

Good mouth-to-mouth ventilation includes which of the following?

Breath delivered over one second
Visible chest rise
Avoiding excessive ventilation
All of the above

You, along with the park ranger, continue to deliver high-quality CPR. Which of the following is appropriate?

Deliver 30 compressions then 2 breaths
Do not exceed 80 compressions per minute
There is no longer a need to coordinate breaths and compressions
Deliver 15 compressions then 2 breaths

Just prior to a third shock, the boy appears to regain consciousness. Which of the following should you not do?

Assess pulse
Assess breathing
Turn off AED and remove pads
Be vigilant for a return to cardiac or pulmonary arrest

The boy fully recovers at the hospital. Which of the following is the best course of action?

Insist that your friend take a CPR course

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