Chain of Survival Flashcard 3

C. Rationale: After notifying the emergency response team, high-quality CPR, rapid defibrillation, and ACLS support with post-cardiac arrest care are performed appropriately. These are represented by the hand, heart, and hospital bed icons, respectively.

C. Rationale: After notifying the emergency response team, high-quality CPR, rapid defibrillation, and ACLS support with post-cardiac arrest care are performed appropriately. These are represented by the hand, heart, and hospital bed icons, respectively.

D. Rationale: After notifying the emergency response team, high-quality CPR, rapid defibrillation, and ACLS support with post-cardiac arrest care are performed appropriately. These are represented by the hand, heart, and hospital bed icons, respectively.

A. Rationale: IHCA patients require effective surveillance of the patient to prevent cardiac arrest. This pertains to the magnifying glass on the first link.

C. Rationale: The telephone receiver icon on the second link represents activating the emergency response team in the event of a cardiac arrest. This team includes multidisciplinary specialists, such as doctors, nurses, respiratory therapists, etc., that are trained and have an immediate response time.

B. Rationale: Only trained lay rescuers are certified to perform conventional CPR. Untrained lay rescuers may perform compression-only CPR in the pre-hospital setting with emergency dispatcher assistance.

A. Rationale: Studies have shown that only 2.4% of patients receiving dispatcher-assisted CPR gain some survival benefit, and there is no evidence proving that it improves neurologic outcomes or return of spontaneous circulation. However, since providing CPR is better than no CPR, the AHA still recommends instructions for compression-only CPR to be given to callers.

C. Rationale: The untrained bystander should provide compression-only (hands-only) CPR to adult cardiac arrest patients. They may be guided by the dispatcher. They should continue CPR until an AED or a trained rescuer arrives on the scene. (Systems of Care: OHCA)

B. Rationale: Due to the lack of trained personnel and equipment, the out-of-hospital cardiac arrest chain of survival has poorer survival rates.

C. Rationale: ST elevation myocardial infarction is the most common cause of cardiac arrest in the out-of-hospital setting. Thus, it is prudent to integrate information regarding this condition with a well-organized system of care in the community. Dispatchers may try to elicit information from the caller to help determine if the patient is having a heart attack. When feasible, dispatchers may suggest that the caller give aspirin or other interventions specific for myocardial infarction.