Ventricular FibrillationHurry, don’t let time run out!Sorry, time is up!0 Hours 0 Minutes 0 SecondsStep 1 of 714%UntitledYou 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 parentDeliver rescue breathsCall for help, initiate CPRApply an AEDYou 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 ratioDeliver 15:2 compressions to breath ratioDeliver 10:1 compressions to breath ratioDeliver 20:2 compressions to breath ratioYou 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?*Continue CPR, administer epinephrine every 10 minutesDefibrillateContinue CPR, administer amiodaroneSynchronized cardioversionYou 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?*6 J/kg regardless of weight360J no matter patient’s weight2 J/kg with maximum of 200J (biphasic defibrillator) or 360J (monophasic defibrillator)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 CPREpinephrine; Atropine on subsequent rounds of CPREpinephrine; Atenolol on subsequent rounds of CPREpinephrine; Amiodarone on subsequent rounds of CPRDespite resuscitative efforts, patient remains unresponsive and pulseless.On reassessment, the monitor demonstrates the following:6. What is your next step in management?*Administer amiodaroneSynchronized cardioversionAdminister epinephrineDefibrillateYou 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?*Synchronized cardioversion at 0.5 J/kgAdminister a beta-blockerAdminister calcium channel blockerDefibrillation at 2 J/kg This iframe contains the logic required to handle Ajax powered Gravity Forms.
