Valerie has established that mr. goodman is in cardiac arrest and she has exposed the chest. she must immediately begin cpr while joanne retrieves

General
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valerie has established that mr. goodman is in cardiac arrest and she has exposed the chest. she must immediately begin cpr while joanne retrieves and sets up the aed. which actions should the team take to ensure that they are providing high-quality cpr?

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LectureNotes said Valerie has established that Mr. Goodman is in cardiac arrest and she has exposed the chest. She must immediately begin CPR while Joanne retrieves and sets up the AED. Which actions should the team take to ensure that they are providing high-quality CPR?

Answer:

To ensure that Valerie and Joanne are providing high-quality CPR, they should follow these critical steps:

1. Begin Chest Compressions Immediately:

  • Valerie should start chest compressions immediately after confirming cardiac arrest and exposing the chest. The compressions should be performed at a rate of 100 to 120 compressions per minute.
  • The depth of each compression should be at least 2 inches (5 cm) for adults, allowing complete recoil of the chest after each compression.

2. Minimize Interruptions:

  • Minimize interruptions in chest compressions. Any pauses should be as brief as possible, ideally less than 10 seconds, to maximize blood flow to the heart and brain.

3. Ensure Proper Hand Placement:

  • Valerie should place the heel of one hand on the center of Mr. Goodman’s chest, on the lower half of the sternum. She should place her other hand on top of the first hand, interlocking her fingers.
  • She should keep her arms straight and use her body weight to compress the chest, ensuring that the compressions are effective.

4. Provide Adequate Ventilations:

  • If a second rescuer is available, they should provide ventilations using a bag-valve mask (BVM) or a pocket mask. The ratio of compressions to ventilations should be 30:2 if no advanced airway is in place.
  • Each breath should be given over 1 second, making the chest rise visibly.

5. Rotate Compressors Every 2 Minutes:

  • To prevent fatigue and maintain the quality of compressions, Valerie and Joanne should switch roles every 2 minutes, or after 5 cycles of 30 compressions and 2 breaths. This ensures that compressions remain effective and consistent.

6. Use the AED as Soon as Possible:

  • Joanne should retrieve and set up the AED as quickly as possible. Once the AED is ready, they should follow its prompts to analyze the heart rhythm and deliver a shock if advised.
  • While the AED is analyzing or charging, continue chest compressions until it is ready to deliver a shock. After the shock, immediately resume CPR, starting with chest compressions.

7. Ensure Effective Team Communication:

  • Good communication between Valerie and Joanne is crucial. They should clearly articulate their actions, such as when to switch roles or when the AED is ready.
  • Use clear and concise language to avoid confusion and ensure that each team member understands their responsibilities.

8. Monitor and Adjust as Needed:

  • Continuously monitor the quality of CPR, checking for adequate chest rise during ventilations and ensuring that compressions are deep and fast enough.
  • Adjust techniques as necessary based on feedback from the AED or any changes in Mr. Goodman’s condition.

By adhering to these guidelines, Valerie and Joanne can provide high-quality CPR, increasing the chances of a successful resuscitation for Mr. Goodman.