Chain of Survival Flashcard
Rationale
A. Rationale: There is an annual 4% increase in in-hospital survival rates according to the American Heart Association Get with the Guidelines® program.
Question
According to the American Heart Association Get with the Guidelines ® program, in-hospital cardiac arrest survival rates:
a. increase each year
b. decrease every year
c. have not improved in 4 years
d. are no different than out-of-hospital survival rates
Answer
a. increase each year
Rationale
D. Rationale: The team may consist of a bystander for out-of-hospital cardiac arrest (OHCA) together with an emergency medical service (EMS) provider. (Systems of Care: OHCA)
Question
In an out-of-hospital cardiac arrest situation, bystanders on the scene:
a. Play no role in the resuscitation process
b. Are considered part of a team but separate from EMS providers
c. Are not considered part of the resuscitation team
d. May be considered part of the team together with an EMS provider
Answer
d. May be considered part of the team together with an EMS provider
Rationale
D. Rationale: Studies have shown that there are gaps for in-hospital resuscitation. They have recorded poor survival rates when resuscitation is performed during the weekends, holidays, and at nighttime.
Question
Poor in-hospital cardiac arrest survival rates are observed in which of the following situations?
a. resuscitation in the intensive care unit
b. resuscitation during the weekdays
c. resuscitation during daytime
d. resuscitation during holidays
Answer
c. resuscitation during daytime
Rationale
D. Rationale: Some studies have shown that survival rates are lower if resuscitation is performed at nighttime and over the weekends compared to weekdays.
Question
Some studies have shown that survival rates are lower if resuscitation is performed:
a. On Fridays
b. On Mondays
c. In the afternoon
d. At night
Answer
d. At night
Rationale
C. Rationale: Studies have shown that a majority of cardiac arrest patients are not provided with high-quality cardiopulmonary resuscitation (CPR), and thus the survival rate of out-of-hospital cardiac arrest in 2016 was only 10.8% while the survival rate of in-hospital cardiac arrest was only 25.5%.
Question
The survival rate of in-hospital cardiac arrest is:
a. 10.8%
b. 15.8%
c. 25.5%
d. 50%
Answer
c. 25.5%
Rationale
C. Rationale: There are several common elements associated with high survival rates in patients after cardiac arrest such as: (1) training knowledgeable healthcare providers, (2) planned and practiced response, (3) rapid recognition of sudden cardiac arrest, (4) prompt provision of CPR, (5) defibrillation as early as possible within 3 to 5 minutes of collapse, and (6) organized post-cardiac arrest care.
Question
To achieve high survival rates in patient after ardiac arrest, which of the following elements must be practiced by healthcare providers?
a. immediate administration of vasopressors
b. late defibrillation
c. rapid recognition of cardiac arrest patients
d. lowering chest compression fraction
Answer
c. rapid recognition of cardiac arrest patients
Rationale
B. Rationale: Due to the lack of trained personnel and available equipment, the out-of-hospital cardiac arrest chain of survival has poorer survival rates.
Question
Which one of the following is more difficult chain of survival due to the limited resources in personnel and equipment?
a. in-hospital cardiac arrest chain of survival
b. out-of-hospital cardiac arrest chain of survival
c. EMS provider chain of survival
d. lay-rescuer provider chain of survival
Answer
b. out-of-hospital cardiac arrest chain of survival