ACLS check off
chest compression depth for a child - answers 2 inches
avoid excessive ventilation bc - answers increased intrathoracic pressure
decreased venous return to the heart
diminishes cardiac output
critical time periods for stroke - answers -immediate general assessment: w/in 10 mins
-immediate neurologic assessment: w/in 20 mins
-acquisition of CT/MRI of head: w/in: 20 mins
-interp of CT/MRI scan: w/in: 45 mins
-administration of fibrinolytic therapy: w/in 60 mins
-administration of fibrinolytic therapy from onset of s/s: w/in 3 hours, some pts 4 hours
-administration of EVT from onset of s/s: up to 24 hours for patients with large vessel
occlusion
-admission to a monitored bed: 3 hours
-interfacility transfers for EVT (door-in-door-out): 1 hour
8 D's of Stroke Care - answers Detection: rapid recognition of s/s
Dispatch: early activation and dispatch of EMS by 911
Delivery: rapid EMS ID, management, and transport
Door: appropriate triage to stroke center
Data: rapid triage, eval, and management w/in ED
Decision: stroke expertise and therapy decision
Drug/Device: fibrinolytic and endovascular therapy
Disposition: rapid admission to the stroke unit or ICU
what does a bystander do correctly? - answers detection of stroke
what would cause interference with defibrillator pads on man - answers hair on chest
water
targeted temp management ranges - answers 32-36 C for 24 hours
stable systolic bp? - answers >90
unstable systolic bp? - answers <90
what does the second rescuer do upon arrival to the scene? - answers
AED/monitor/Defib
what does the first rescuer do upon arrival to the scene - answers verify scene safety
shouts for help
chest compression depth for a child - answers 2 inches
avoid excessive ventilation bc - answers increased intrathoracic pressure
decreased venous return to the heart
diminishes cardiac output
critical time periods for stroke - answers -immediate general assessment: w/in 10 mins
-immediate neurologic assessment: w/in 20 mins
-acquisition of CT/MRI of head: w/in: 20 mins
-interp of CT/MRI scan: w/in: 45 mins
-administration of fibrinolytic therapy: w/in 60 mins
-administration of fibrinolytic therapy from onset of s/s: w/in 3 hours, some pts 4 hours
-administration of EVT from onset of s/s: up to 24 hours for patients with large vessel
occlusion
-admission to a monitored bed: 3 hours
-interfacility transfers for EVT (door-in-door-out): 1 hour
8 D's of Stroke Care - answers Detection: rapid recognition of s/s
Dispatch: early activation and dispatch of EMS by 911
Delivery: rapid EMS ID, management, and transport
Door: appropriate triage to stroke center
Data: rapid triage, eval, and management w/in ED
Decision: stroke expertise and therapy decision
Drug/Device: fibrinolytic and endovascular therapy
Disposition: rapid admission to the stroke unit or ICU
what does a bystander do correctly? - answers detection of stroke
what would cause interference with defibrillator pads on man - answers hair on chest
water
targeted temp management ranges - answers 32-36 C for 24 hours
stable systolic bp? - answers >90
unstable systolic bp? - answers <90
what does the second rescuer do upon arrival to the scene? - answers
AED/monitor/Defib
what does the first rescuer do upon arrival to the scene - answers verify scene safety
shouts for help
