This question is from the ACLS provider manual. In case you don't have the manual I will write the question out. You have to have the ECC guidelines 2000 manual to get the answers to these questions and I don't have that manual. I'm going over case 4 PEA and I'm not sure what the right answer is for this question.
Thanks
You are called to the ED to assist in the attempted resuscitation of a patient in pulseless cardiac arrest from unknown causes. When the patient arrives in the ED, chest compressions are being performed, and the patient is receiving ventilations through a tracheal tube placed by EMS personnel in the field. The patient is transferred to a gurney; you confirm that chest compressions are producing palpable femoral pulses, but no pulses are palpable between administered compressions. The patient is attached to a cardiac monitor that confirms the presence of organized QRS complexes. What is the first thing you should assess in an attempt to identify a reversible cause of cardiac arrest in this patient?
A. check tracheal tube placement with primary and secondary techniques and evaluate breath sounds to rule out tension pneumothorax
B. check arterial blood gases
C. check serum electrolytes to rule out imbalances
D. obtain a serum sample to identify drug overdose
if anyone has the ECC guidelines 2000 it says the answers will be on page 151.
My first guess for the FIRST thing you would do would be A, but I'm not sure if that's the answer or not. I have no way of knowing unless one of you can tell me.
This question is from the ACLS provider manual. In case you don't have the manual I will write the question out. You have to have the ECC guidelines 2000 manual to get the answers to these questions and I don't have that manual. I'm going over case 4 PEA and I'm not sure what the right answer is for this question.
Thanks
You are called to the ED to assist in the attempted resuscitation of a patient in pulseless cardiac arrest from unknown causes. When the patient arrives in the ED, chest compressions are being performed, and the patient is receiving ventilations through a tracheal tube placed by EMS personnel in the field. The patient is transferred to a gurney; you confirm that chest compressions are producing palpable femoral pulses, but no pulses are palpable between administered compressions. The patient is attached to a cardiac monitor that confirms the presence of organized QRS complexes. What is the first thing you should assess in an attempt to identify a reversible cause of cardiac arrest in this patient?
A. check tracheal tube placement with primary and secondary techniques and evaluate breath sounds to rule out tension pneumothorax
B. check arterial blood gases
C. check serum electrolytes to rule out imbalances
D. obtain a serum sample to identify drug overdose
if anyone has the ECC guidelines 2000 it says the answers will be on page 151.
My first guess for the FIRST thing you would do would be A, but I'm not sure if that's the answer or not. I have no way of knowing unless one of you can tell me.
Thanks!
I agree its A. Assessment= A and its the first thing that u can do to assess and possible identify and correct/reverse cause of cardiac arrest ...general rule... check the patient first...
Always go with A - as a ACLS instructor you will never get knocked for chekcing the airway and "hypoxia" is totally one of the "h's" of reversable causes of PEA.
=DustinRN]This question is from the ACLS provider manual. In case you don't have the manual I will write the question out. You have to have the ECC guidelines 2000 manual to get the answers to these questions and I don't have that manual. I'm going over case 4 PEA and I'm not sure what the right answer is for this question.
Thanks
You are called to the ED to assist in the attempted resuscitation of a patient in pulseless cardiac arrest from unknown causes. When the patient arrives in the ED, chest compressions are being performed, and the patient is receiving ventilations through a tracheal tube placed by EMS personnel in the field. The patient is transferred to a gurney; you confirm that chest compressions are producing palpable femoral pulses, but no pulses are palpable between administered compressions. The patient is attached to a cardiac monitor that confirms the presence of organized QRS complexes. What is the first thing you should assess in an attempt to identify a reversible cause of cardiac arrest in this patient?
A. check tracheal tube placement with primary and secondary techniques and evaluate breath sounds to rule out tension pneumothorax
B. check arterial blood gases
C. check serum electrolytes to rule out imbalances
D. obtain a serum sample to identify drug overdose
if anyone has the ECC guidelines 2000 it says the answers will be on page 151.
My first guess for the FIRST thing you would do would be A, but I'm not sure if that's the answer or not. I have no way of knowing unless one of you can tell me.
Specializes in cardiac/critical care/ informatics.
This question is from the ACLS provider manual. In case you don't have the manual I will write the question out. You have to have the ECC guidelines 2000 manual to get the answers to these questions and I don't have that manual. I'm going over case 4 PEA and I'm not sure what the right answer is for this question.
Thanks
You are called to the ED to assist in the attempted resuscitation of a patient in pulseless cardiac arrest from unknown causes. When the patient arrives in the ED, chest compressions are being performed, and the patient is receiving ventilations through a tracheal tube placed by EMS personnel in the field. The patient is transferred to a gurney; you confirm that chest compressions are producing palpable femoral pulses, but no pulses are palpable between administered compressions. The patient is attached to a cardiac monitor that confirms the presence of organized QRS complexes. What is the first thing you should assess in an attempt to identify a reversible cause of cardiac arrest in this patient?
A. check tracheal tube placement with primary and secondary techniques and evaluate breath sounds to rule out tension pneumothorax
B. check arterial blood gases
C. check serum electrolytes to rule out imbalances
D. obtain a serum sample to identify drug overdose
if anyone has the ECC guidelines 2000 it says the answers will be on page 151.
My first guess for the FIRST thing you would do would be A, but I'm not sure if that's the answer or not. I have no way of knowing unless one of you can tell me.
Thanks!
I agree with everyone else A, But my question for you is why are you studying an old book, 2000 i think you said, ACLS is always changing and they have changed since then. My recommendation is to find a newer book.
I agree with everyone else A, But my question for you is why are you studying an old book, 2000 i think you said, ACLS is always changing and they have changed since then. My recommendation is to find a newer book.
If you are not aware, they meet every 4 years, in which it takes another year or so to put out the guidelines.........So, we are currently practicing the ECC 2000 guidelines.....Those guidelines that were put out in 2000. They did meet in 2004 and we are scheduled for a revision of the guidelines next year.........THere was a slight revision to the 2000 text in 2003, but a 2000 text is sufficient to practice the current guidelines.
Specializes in cardiac/critical care/ informatics.
If you are not aware, they meet every 4 years, in which it takes another year or so to put out the guidelines.........So, we are currently practicing the ECC 2000 guidelines.....Those guidelines that were put out in 2000. They did meet in 2004 and we are scheduled for a revision of the guidelines next year.........THere was a slight revision to the 2000 text in 2003, but a 2000 text is sufficient to practice the current guidelines.
So her book isnt quite that old per say..........
Sorry I wasn't aware of that I just know that every time I recert (q2years), they have changes. I have taken since 1992.
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I agree its A. Assessment= A and its the first thing that u can do to assess and possible identify and correct/reverse cause of cardiac arrest ...general rule... check the patient first...