d****y
发帖数: 2180 | 1 A or B?
Some said follow ABC, so A.
Some said no pulse, so B.
What's your opinion?
Thanks very much!
7. A 2-month-old infant is brought to the emergency department by
paramedics after his mother found him not breathing in his crib. He is
apneic and cyanotic; no pulses are palpable, but he is warm. After
manually stabilizing his neck and positioning the airway, which of the
following is the most appropriate next step in management?
A) Positive pressure ventilation and oxygenation
B) Two chest thrusts followed by chest compressions
C) Establishing vascular access
D) Administration of epinephrine
E) Electrical defibrillation |
A*G
发帖数: 256 | 2 B,
The ABC was not right, it was changed to CAB already at 2010. |
d****y
发帖数: 2180 | 3 呵呵，当然新的CPR protocol 是CAB：
C-A-B
•Compressions: Push hard and fast on
the center of the victim’s chest.
•Airway: Tilt the victim’s head back and lift
the chin to open the airway.
•Breathing: Give mouth-to-mouth or
bag/mask rescue breathing.
不过这道题是旧的，按照ABC的顺序还是要先给breathing啊。按新的话compression还
在airway之前呢。 不过估计类似的题要改了。呵呵。
http://www.choa.org/health-professionals/~/media/CHOA/Documents
Professionals/Physician%20Resources/AHA_Update_2010.ashx
Cardiac Arrest
• Cardiac arrest in adults is usually
sudden, and the primary cause is
cardiac related. Therefore
circulation produced by chest
compressions is crucial.
• Cardiac arrest in children is
mostly asphyxial which requires
both compressions and
ventilations.
• Rescue breathing may be more
important for children than adults
in cardiac arrest.
【在 A*G 的大作中提到】
: B,
: The ABC was not right, it was changed to CAB already at 2010.
|
d****y
发帖数: 2180 | 4 按照新的 CPR protocol, 毫无疑问是选 B。
如果是旧的ABC protocol呢，该是哪个？ |
A*G
发帖数: 256 | 5 The key is circulation here. The compression could maintain cirtulation and
partly breathing. A is too aggressive, and waiste time, and no way for
circulation.
【在 d****y 的大作中提到】
: 呵呵，当然新的CPR protocol 是CAB：
: C-A-B
: •Compressions: Push hard and fast on
: the center of the victim’s chest.
: •Airway: Tilt the victim’s head back and lift
: the chin to open the airway.
: •Breathing: Give mouth-to-mouth or
: bag/mask rescue breathing.
: 不过这道题是旧的，按照ABC的顺序还是要先给breathing啊。按新的话compression还
: 在airway之前呢。 不过估计类似的题要改了。呵呵。
|
d****y
发帖数: 2180 | 6 make sense. Thanks
and
【在 A*G 的大作中提到】
: The key is circulation here. The compression could maintain cirtulation and
: partly breathing. A is too aggressive, and waiste time, and no way for
: circulation.
|
