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ON ALERT CE QUIZ—OCTOBER 2013 1. Which of the following best describes the recommendations for chest compressions? At a rate of 30:2 Interruptions of chest compression for > 10 seconds is advised Pause chest compressions after delivering a defibrillation shock to permit the cardiac muscle to “re‐set itself”. Rotate compressors only after the first rescuer is exhausted to promote consistency within the compres‐
sions group. 2. Which is not a step in an unwitnessed cardiac arrest? 2 cycles (4 minutes) compressions BVM as soon as available Passive oxygenation via NRB after 2 cycles CPR Pulse check for > 5 seconds but less than 10 seconds 3. If patient has suspected hyperkalemic arrest, which drug would be appropriate? D50 25 grams Calcium Gluconate Lasix Narcan 4. When a patient with an AICD or pacemaker presents, the pads for pacer/defib should not: Be placed directly over the device Be placed less than 1 inch from device Be placed biaxillary Be placed anterior/posterior 5. Which of the following does not indicate ROSC? Increase in ETC02 on capnography Palpable pulse and B/P Rhythm on cardiac monitor without palpable pulse Improvement in VS/assessment findings 6. Which of the following is not a contraindication to TIH (Therapeutic Induced Hypothermia)? > 12 years of age Traumatic arrest Temperature < 34C or suspected hypothermia Definite pregnancy EMSTEAM.ORG ON ALERT CE QUIZ—OCTOBER 2013 7. When treating shivering associated with Therapeutic Induced Hypothermia, you should: Provide extra blankets Infuse warm NS IV/IO Opioid IV/IO Drive faster 8. In a cardiac arrest, Epinephrine 1:10,000 x 0.5‐1.0 mg IV is given: Every 3‐5 seconds Every 10 minutes Every 3‐5 minutes PRN / As needed 9. Which of the following lists of reversible causes ( “The H’s and T’s”) for cardiac arrest is correct? Hypovolemia, hypoxia, hypothermia, tamponade, toxins, thrombosis, tension pneumothorax Hyperreflexia, hypoxia, hyperthermia, tamponade, toxins, thrombosis (coronary), tension pneumothorax Hypervolemia, hypoxia, hyperthermia, tamponade, toxins, thrombosis (pulmonary) Hypo/Hyperkalemia, hydrogen ion, toxoplasmosis, thrombosis (cerebral) 10. Which of the following is the correct dosing for Amiodarone in the post‐arrest situation following suc‐
cessful conversion of VTACH/VFIB? 300mg IV bolus 5mg/kg over 3‐5 minutes 250mg slow IV titrate to effect 150mg IV bolus infusion over 10 minutes First Name:
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