You are on CFR cover when your phone alerts to a response required in the local area. The phone rings and control are on the other end giving you details of a cardiac arrest. The address is 5 minutes down the road. Control advises you that the nearest Ambulance resource will be 12 minutes away.
You respond to the address. On arrival you are waved into the house. You enter with your response bag and AED. There is a 62-year-old male on the ground with chest compressions ongoing by another adult. They explained that their dad had developed chest pain and wasn’t looking too good. He then collapsed and then stopped breathing. They called 999 and have been doing chest compressions since.
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You approach the patient and quickly confirm cardiac arrest as there is no breathing or pulse present. What should be your first priority
You attach defibrillator pads, and the AED starts analyzing. The AED recommends ‘shock advised’. You clear everyone off the chest and check it is safe to defibrillate. On the AED charging you deliver the first shock to the patient. There is no response. What should you do next
You start CPR and the family ask if they can assist with the chest compressions. There are 2 people there and they explain they have boing doing compressions in turns so not to tire out. They can complete effective chest compressions under your advice. As you are there, is it acceptable to allow the family to continue effective chest compressions in turn
Ideally, at what time intervals should rescuers swap in order to allow for effective compressions to continue without getting tired
They continue chest compressions, and you watch how effective they are. Which of the following should be considered when completing chest compressions on an adult patient
You are happy with the technique that is being used for compressions. At what rate should they be conducted
While chest compressions are ongoing, you grab your BVM and O2. At what ratio should compressions to ventilations be conducted in adult cardiac arrests
You ventilate the patient but find that it is difficult to manage. What action can you complete first in the stepwise airway approach to help manage air entry
You ensure there are no obstructions in the airway and conduct a head tilt-chin lift manoeuvre. This now allows easier ventilation of the patient. The AED advises another check of the patient. You advise compressions to stop as the AED analyses the patient. It comes back with ‘shock advised’. You clear everyone from the patient and go to shock the patient, but you can hear the ambulance pulling up outside. Should you still shock or wait for the crew first
After shocking the patient, the crew shortly walk in. What following information is correct from the history of events to handover to the crew