Ventricular Fibrillation Hurry, don’t let time run out! Sorry, time is up! 0 Hours 0 Minutes 0 Seconds Step 1 of 7 14% Untitled You are at the gym and witness a 16-year-old on the treadmill slump to the ground. You rush to assess the person and find them to be pulseless and not breathing. 1. What is your initial step in management?* Find a parent Call for help, initiate CPR Deliver rescue breaths Apply an AED You continue CPR. A bystander runs to find an AED. A second bystander arrives to help.2. Which describes the appropriate ratio of compressions to rescue breaths for this two provider scenario?* Deliver 30:2 compressions to breath ratio Deliver 15:2 compressions to breath ratio Deliver 20:2 compressions to breath ratio Deliver 10:1 compressions to breath ratio You continue CPR. EMS arrives and has a defibrillator. The patient remains unresponsive and pulseless. The initial rhythm on the monitor demonstrates the following: 3. What is the next step in management?* Synchronized cardioversion Continue CPR, administer amiodarone Continue CPR, administer epinephrine every 10 minutes Defibrillate You would like to attempt defibrillation. The EMS providers ask how many Joules you would like delivered. 4. What is the appropriate electricity for defibrillation in this 16-year-old pediatric patient?* 360J no matter patient’s weight 2 J/kg with maximum of 200J (biphasic defibrillator) or 360J (monophasic defibrillator) 6 J/kg regardless of weight 0.5 J/kg with maximum of 200J (biphasic defibrillator) or 360J (monophasic defibrillator) You defibrillate at 2 J/kg and continue CPR. After a round of CPR, patient remains pulseless with persisting ventricular fibrillation on the monitor. You defibrillate a second time and continue CPR. 5. Which medications can be administered to aid in treatment?* Epinephrine; Adenosine on subsequent rounds of CPR Epinephrine; Atenolol on subsequent rounds of CPR Epinephrine; Amiodarone on subsequent rounds of CPR Epinephrine; Atropine on subsequent rounds of CPR Despite resuscitative efforts, patient remains unresponsive and pulseless. On reassessment, the monitor demonstrates the following: 6. What is your next step in management?* Administer epinephrine Synchronized cardioversion Defibrillate Administer amiodarone You continue your resuscitative efforts. After defibrillation and CPR, you re-assess the patient. The monitor remains unchanged: However, you can palpate a faint pulse and paramedics report BP of 70/40. You continue manually bagging the patient. IVF’s are being administered. 7. What is the next step in management?* Defibrillation at 2 J/kg Administer a beta-blocker Synchronized cardioversion at 0.5 J/kg Administer calcium channel blocker
