CARDIAC ARREST MANAGEMENT/AED
This station is designed to test your ability to manage a pre-hospital cardiac arrest by integrating CPR skills, defibrillation, airway adjuncts, and patient/scene management skills. There will be an EMT assistant in this station. The EMT assistant will only do as you instruct him. As you arrive on the scene you will encounter a patient in cardiac arrest. A first responder will be present performing single rescuer CPR. You must immediately establish control of the scene and begin resuscitation of the patient with an automated external defibrillator. At the appropriate time, you must control the airway and ventilate the victim using adjunctive equipment. You may not delegate this action to the EMT assistant. You may use any of the supplies available in this room. You have (15) fifteen minutes to complete this skill station. Do you have any questions?
ASSESSMENT
Takes or verbalizes body substances isolation precautions
Briefly questions rescuer about events
Directs rescuer to stop CPR
Verifies absence of spontaneous pulse
EXAMINER STATES 'NO PULSE"
Turns on defibrillator power
Attaches automated defibrillator to patient
Ensures all individuals are standing clear of the patient
Initiates analysis of rhythm
Delivers shock (up to three successive shocks)
Verifies absence of spontaneous pulse
EXAMINER STATES 'NO PULSE"
TRANSITION
Directs resumption of CPR
Gathers additional information on arrest event
Confirms effectiveness of CPR (ventilation and compressions)
INTEGRATION
Directs insertion of a simple airway adjunct (oropharyngeal/nasopharyngeal)
Directs ventilation of patient
Assures high concentration of oxygen connected to the ventilatory adjunct
Assures CPR continues without unnecessary/prolonged interruption
Re-evaluates patient/CPR in approximately one minute
Repeats defibrillator sequence
TRANSPORTATION
Verbalizes transportation of patient
CRITICAL CRITERLA
Did not take or verbalize body substance isolation precautions
Did not evaluate the need for immediate use of the AED
Did not direct initiation/resumption of ventilation/compressions at appropriate
times
Did not assure all individuals were clear of patient before delivering each
shock
Did not operate the AED properly (inability to deliver shock)