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Cardiac Arrest Management/AED
Skill Sheet
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Demonstrates/Verbalizes initial or continued BSI precautions
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Determines the scene/situation is safe
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Attempts to question bystanders about arrest events
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Directs rescuer to stop CPR/checks patient for responsiveness
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NOTE: The examiner must now inform the candidate: “The patient is unresponsive”
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Assess patient for spontaneous signs of breathing
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NOTE: The examiner must now inform the candidate: “The patient is apneic”
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Checks carotid pulse (no more than 10 seconds)
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NOTE: The examiner must now inform the candidate: “The patient is pulseless”
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Immediately begins chest compressions
**adequate depth and rate must be performed with chest recoil
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Candidate performs or directs 2 minutes of high quality, 2-rescuer CPR
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Adequate depth and rare observed
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Correct compression to ventilation ratio observed
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Candidate allows the chest to recoil completely
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Directs or controls adequate volumes delivered for each breath with OPA/NPA and BVM device
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NOTE: After 2 minutes (5 cycles), patient is assessed and remains apneic
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Candidate turns power on AED
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Candidate follows prompts and correctly attaches AED pads to patient
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Directs CPR to stop and ensures all individuals are clear for rhythm analysis
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Ensures all individuals are clear of the patient and delivers AED shock
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Immediately directs rescuer to resume chest compressions
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Minimal interruptions of 10 seconds throughout
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Transition
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During scenario verbalizes or directs insertion of airway adjunct (OP or NP)
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Assures high flow/concentration of oxygen is delivered to the patient
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Confirms effectiveness of CPR compressions
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Re-evaluates the patient
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Repeats defibrillator sequence
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Immediately directs rescuer to resume chest compressions
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Verbalizes technique for transport of patient
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THE NO NOS Did not confirm patient to be PULSELSS and APNEIC
Failure to initiate or resume CPR at appropriate periods Interrupts CPR for more than 10 seconds at any point
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Failure to demonstrate CPR rates & depths consistent with current AHA guidelines
Failure to operate AED properly (failure to deliver shock or turns off AED during testing) Failure to attach AED pads correctly on the patient Failure to provide high flow/concentration of oxygen
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Failure to assure that all individuals are clear of the patient during rhythm analysis and before delivering shock(s). Must verbalize and observe “all clear”
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Requests, uses or orders a dangerous or inappropriate intervention
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Exhibits unacceptable affect with patient or personnel
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Failure to manage the patient as a competent EMT.
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