OCMCA High Quality CPR

The 2015 American Heart Association Guidelines recommend 100-120 compressions per minute. This range is based on research and evidence that shows it is the most effective rate for providing adequate blood flow during CPR. Compressions at this rate help to maintain oxygenation and circulation to the brain and other vital organs, increasing the chances of survival for a person experiencing cardiac arrest.

Having two clearly identified roles, team member and team leader, is important to improve cardiac arrest response. This division of roles ensures that there is clear communication and coordination within the team during a high-stress situation like a cardiac arrest. The team leader takes charge and makes critical decisions, while team members follow instructions and provide support. This structure helps to streamline the response, enhance efficiency, and ultimately increase the chances of a successful outcome for the patient.

Feedback devices should be used during CPR training because they provide real-time information and guidance on the quality of chest compressions. These devices can measure the depth and rate of compressions, as well as provide feedback on the proper hand placement and recoil. By using feedback devices, trainees can receive immediate feedback on their technique and make necessary adjustments to improve the effectiveness of their CPR skills. This can ultimately lead to better outcomes for patients in real-life emergency situations.

The statement suggests that dedicated team members are committed to specific hands-on tasks. This implies that these team members are focused on performing specific tasks and are fully devoted to them. Therefore, the correct answer is true.

The statement suggests that team leaders should be physically located away from the area where patient care is happening and adopt a hands-off approach. This means that they should not directly intervene or micromanage the healthcare professionals providing care. This approach allows the healthcare professionals to have autonomy and make decisions based on their expertise, while still having the support and guidance of team leaders who are available remotely. This strategy promotes a sense of trust and empowerment among the team members.

A team leader should possess certain qualities such as willingness, competence, and being clearly identified. These qualities are essential for effective leadership. However, being incompetent goes against the criteria for selecting a team leader. Incompetence implies a lack of skills, knowledge, or ability to effectively lead a team, which can hinder team productivity and success. Therefore, selecting an incompetent individual as a team leader would be counterproductive and not in line with the desired qualities for effective leadership.

This statement is true because all of the mentioned roles are indeed required in high-quality CPR. The team leader is responsible for coordinating the efforts of the team, compressors perform chest compressions, AED/monitor defibrillator is used to deliver electric shocks if necessary, airway management ensures the patient's airway is open, IV/IO medications are administered to the patient, time keeper/data recorder keeps track of time and records data, and additional personnel support these functions. Therefore, all these roles are essential for effective CPR.

The goal for providers when responding to someone in cardiac arrest is to establish a lifesaving condition as early as possible in their response, rather than solely focusing on saving the person's life. This means that the emphasis is on quickly initiating life-saving measures such as CPR and defibrillation, rather than solely focusing on the outcome of whether the person's life will be saved or not. The priority is to create the best possible chance for the person's survival by promptly providing the necessary interventions.

The critical elements of patient care after ROSC are obtaining baseline blood pressure, obtaining a 12-lead ECG (ALS), and ensuring that the patient is transported to a hospital capable of performing PCI and therapeutic hypothermia. These steps are crucial in assessing the patient's condition, identifying any underlying cardiac issues, and providing appropriate interventions such as hypothermia therapy and percutaneous coronary intervention (PCI) if necessary. Therefore, all of the above options are correct.

Naloxone is not typically administered to a patient in cardiac arrest. Naloxone is a medication used to reverse the effects of opioid overdose by blocking the opioid receptors in the brain. It is not effective in treating cardiac arrest, which is when the heart stops beating. In cardiac arrest, immediate CPR and defibrillation are the primary interventions. Naloxone may be used in cases where opioid overdose is suspected as the cause of the cardiac arrest, but it is not the first-line treatment for cardiac arrest itself.

A dedicated team member may suffer from tunnel vision or selective inattention because they are so focused on their tasks and goals that they may overlook or ignore other important information or perspectives. This can limit their ability to see the bigger picture or consider alternative solutions. While their dedication is commendable, it is important for team members to remain open-minded and aware of their surroundings to ensure the best outcomes for the team as a whole.

The statement suggests that the responders should be in control and not let the external conditions or environment dictate their actions. This implies that the responders should have a proactive approach and take charge of the situation, rather than being passive and reactive. By dictating the conditions, the responders can effectively manage and overcome challenges, ensuring a more successful outcome.

The given statement is true. CARES is a national cardiac arrest database that requires all Life Support Agencies in Oakland County to complete a CARES report on their agency's cardiac arrest cases every month. This ensures that accurate and up-to-date data on cardiac arrest cases is collected and stored in the database for analysis and research purposes.

The correct answer is to allow full chest recoil between each compression. This means that after each compression during CPR, the rescuer should release pressure completely to allow the chest to fully recoil before starting the next compression. This is important because it allows the heart to refill with blood, improving the effectiveness of compressions and increasing the chances of a successful resuscitation.

The correct answer is "Cardiac Arrest Registry to Enhance Survival." This acronym, CARES, is used to refer to a registry that aims to enhance the survival rates of individuals who experience cardiac arrest. The registry collects data on cardiac arrest cases and provides valuable information for improving emergency response systems and strategies.

The deliberate, ongoing process of situational awareness involves several steps, including perception, evaluation, recognition, and identification. However, the given answer, "Identification," is incorrect. Identification is an essential step in situational awareness as it involves accurately labeling or categorizing the situation based on the information gathered through perception, evaluation, and recognition. It helps individuals understand the nature of the situation and make informed decisions accordingly.

According to the OCMCA Protocol, cardiac arrest patients undergoing resuscitation should not be transported as quickly as possible. Instead, they should be stabilized and treated on-site before transportation. This is because immediate treatment and interventions at the scene of the cardiac arrest can significantly improve the patient's chances of survival. Rushing to transport the patient without providing necessary medical care may worsen their condition and decrease the likelihood of successful resuscitation. Therefore, the correct answer is False.

Audiovisual feedback devices may be used during CPR for real-time optimization of CPR performance. These devices provide real-time feedback on the depth and rate of chest compressions, allowing the rescuer to adjust their technique accordingly. This helps ensure that the compressions are being performed correctly and at the appropriate rate, increasing the chances of successful resuscitation.