PALS 2023 Questions with Correct Solutions, Rated A+

BLS Assessment Verify scene safety Check for responsiveness Shout for help Active the emergency response system Where are pulses checked on a child? Carotid or femoral Where are pulses checked on an infant? Brachial An infant has normal breathing and a pulse, what is the next step? Monitor until emergency responders arrive An infant or child does not have normal breathing but has a pulse, what is the next step? Give 1 breath every 2-3 seconds (about 20-30 breaths/minute) HR is 60 and signs of poor perfusion, what do you do? Start CPR HR is 60 what do you do? Continue rescue breathing Check pulse every 2 minutes If no pulse, start CPR You are alone and witness the sudden collapse of an infant or child, what do you do? Activate the emergency response system Retrieve an AED/defibrillator You are alone and did not witness the sudden collapse of an infant or child, what do you do? Start high-quality CPR for 2 minutes Infant and child compression rate and compression-to-ventilation ratio for single rescuer 100-120 30:2 Infant and child compression rate and compression-to-ventilation ratio for 2 rescuers 100-120 15:2 Compression technique for most children heel of one hand with heel of other hand on top of 1st hand 1/3 of chest or 2 inches Compression technique for infants 2 fingers or thumbs to center of sternum just below the nipple line 1/3 of chest or 1 1/2 inches AED use on children less 8 yrs old Turn on AED Apply pads per instructions Analyze heart rhythm Deliver shock if indicated The AED indicates no shock advised, what do you do? Immediately start CPR beginning with chest compressions Pediatric Assessment Triangle (PAT) Appearance Work of Breathing Circulation PAT - appearance LOC Tone Interactiveness Consolability Look/gaze Speech/cry PAT - work of breathing Tripod Sniffing position Retractions Adventitious breath sounds (stridor or sonorous respirations) PAT - Circulation Pale Mottled Cyanotic When is the pediatric assessment triangle performed to make an initial assessment? During the "from the doorway" observation Evaluate-Identify-Intervene Cycle is used when caring for a seriously ill or injured child to help determine the best treaetment or intervention. It is repeated after interventions) EII - Evaluate Primary assessment Secondary assessment Diagnostic assessments Primary assessment Rapid Hands-on ABCDE to evaluate respiratory, cardiac, and neuro function. (Includes V/S and SpO2) Secondary assessment Focused medical history and focused physical exam Diagnostic assessments Lab X-ray Other tests ABCDE approach Airway Breathing Circulation Disability Exposure