Chain of Survival Flashcard 2
Rationale
C. Rationale: A big problem in the out-of-hospital setting is that CPR is less likely to be given when cardiac arrest happens within the household. To resolve this problem, the AHA recommends dispatchers be trained to provide callers with instructions to detect cardiac arrest and provide compression-only CPR when necessary.
Question
Pre-hospital CPR is not likely to be initiated for cardiac arrest patients in which of the following locations?
a. At the movies
b. At concerts
c. In the Department of Motor Vehicles office
d. In the home
Answer
c. In the Department of Motor Vehicles office
Rationale
A. Rationale: Social media plays a communicative role in the adult chain of survival in the OHCA setting. Social media can embed messaging services as a gateway to reaching dispatchers and volunteer lay responders. This covers the gaps seen in bystander-initiated CPR. Social media has the ability to call the nearest trained volunteer to the site of cardiac arrest in the pre-hospital setting.
Question
Social media is part of which of the following components of the out-of-hospital cardiac arrest chain of survival?
a. Telephone
b. Hands
c. Heart
d. Ambulance
Answer
a. Telephone
Rationale
B. Rationale: The Acute Life-Threatening Events Recognition and Treatment program teaches early recognition of and rapid intervention for pre-arrest patients. Personnel are also trained to prevent further deterioration of critically ill patients as indicated after the initial interventions.
Question
The ALERT program helps personnel identify and provide rapid interventions to critical pre-arrest patients. What is ALERT an abbreviation for?
a. Adult Life Therapeutic Enhancements and Recreation
b. Acute Life-Threatening Events Recognition and Treatment
c. Advanced Life Events Recognition and Therapy
d. Accreditation via Live Teaching on Emergency Recognition and Therapies
Answer
b. Acute Life-Threatening Events Recognition and Treatment
Rationale
B. Rationale: Public-safety answering points have dispatchers that send EMS to aid people in emergency situations. Rescuers must be aware of when to call the PSAP’s (such as 9-1-1) for the immediate care and transfer of patients to a suitable hospital.
Question
The function of which one of the following offices is to serve as an interface between EMS and the general public utilizing a call-center?
a. Emergency medical services
b. Public-safety answering point
c. Office of disaster and risk management
d. Police department
Answer
b. Public-safety answering point
Rationale
C. Rationale: The recovery link is done pre-discharge to assess rehabilitation needs for the patient and family. This assessment includes cardiovascular, neurologic, stress, return to work, and family and patient fatigue factors.
Question
The recovery link in the chains of survival:
a. Is done post-discharge to encourage return to work
b. Is done post-discharge to link the patient to rehabilitation sources
c. Is done pre-discharge and includes the patient and the family
d. There is no recovery link in the chains of survival
Answer
c. Is done pre-discharge and includes the patient and the family
Rationale
A. Rationale: Immediate chest compressions and early defibrillation is key to successful resuscitation. Local leaders must put efforts into training community members to provide bystander CPR. The key to success is increasing the number of trained individuals capable of providing resuscitation for OHCA patients.
Question
The survival of patients with out-of-hospital cardiac arrest is dependent on which of the following factors?
a. Trained community members
b. Efficiency of the public safety access point
c. The local government
d. The number of EMS providers
Answer
a. Trained community members
Rationale
C. Rationale: Studies show that most cardiac arrest patients do not receive high-quality CPR. Therefore, the survival rate of out-of-hospital cardiac arrest in 2020 was only 10.4%, and the survival rate of in-hospital cardiac arrest was 25.8%. (Course Overview)
Question
The survival rate of in-hospital cardiac arrest is:
a. 10.4%
b. 15.8%
c. 25.8%
d. 50%
Answer
c. 25.8%
Rationale
A. Rationale: Early defibrillation in the pre-hospital setting by trained or untrained responders is critical to providing out-of-hospital care. This is symbolized by the heart icon.
Question
The use of an automated external defibrillator is symbolized by which one of the following icons in the out-of-hospital adult chain of survival?
a. Heart
b. Telephone
c. Hands
d. Hospital bed
Answer
a. Heart
Rationale
C. Rationale: Common elements associated with high survival rates include (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 cardiac arrest patients, 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
A. Rationale: When a lay untrained rescuer makes a call to a public-safety answering point in the setting of a potential witnessed cardiac arrest, that initiates the EMS response and activates the BLS chain of survival.
Question
What activates the Basic Life Support chain of survival?
a. Calling for EMS
b. A witnessed cardiac event
c. Training a layperson in Basic Life Support
d. Arrival at the hospital
Answer
a. Calling for EMS