EMT Skills: Cardiac Arrest Management AED - EMTprep.com 

+Alex Bailey Hey Alex, glad you're getting good use out of them! Best of luck on your test!

Did you pass?

we need to know if you passed

Well, did you pass?

Alex, for the love of God, did you pass or not?!

CONGRATULATIONS!!!!

Congratulations! I take mine on Jan 5th for EMR,

Rkenny86 aah I take mine tomorrow!

How'd it go Sarah?

EMTprep I passed 😁😁 thank you! I take my cognitive on the 4th! I’ve been taking the practice tests non stop I bought from you guys !

+Morgan Adams thanks Morgan, glad you're getting good use out of them.

why did you have to wait so long??

Maybe because he already had one?

@@USMCwifey2001 I've heard of proctor's letting you keep doing compressions and not delivering your AED if you don't call for it. Err on the side of caution and always call for it! Verbalize EVERYTHING

How is he gonna call for an AED if the man is alone and no bystanders are present? He would have already brought his AED off of the truck.

@@brucesanchez2940 You're never alone on a call in most departments. And if you are, use your radio.

He called for EMS backup, would they not bring the AED?

Best of luck Vanessa! You got this!

Vanessa P good luck

You bet! We're glad you're putting them to good use. Be sure to let us know how your test goes!!!

You bet Thomas!!!!

Great Patrina!

Taking my practical this weekend. The NREMT sheets dont say anything about adding an adjunct nor verbalizing transport.

@@audreythompson3857 NREMT is national . Some states have you do they’re own psychomotor as well in this case NY makes you do it

Andrew Bell thanks Andrew, glad you're liking them!

EMTprep I'm just a explorer but this helps me as well. i also take first responder my senior too! thanks for the videos

+rakamadafaka900 Skyarza "Medic Study star" is a scam.

Shh, don’t let anyone know.

Not Peter Thomas, lol!

Charles Maunder holy cow this guy would fail big time.. why cant they just show how to do the station right?? I can do cpr in my sleep and i failed it 3 times the nremt is a joke..

Its always a know it all fuck like you

@@richied539 wat?

dakid dear god man, exactly 🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️

@Josh Stokes Peter griffin Style LOLOLOLOLOOL

Did you make it?

@@1111111121121 NOPE lol

@@mauricerichards3257 lol what happened?

Best of luck Andy! You'll knock it out of the park.

Thank you. I passed!

CONGRATULATIONS ANDY!!!!

I think he is doing it a bit to fast but still good video

way fast he is doing like 150 you should be 100-120

He's also not going anywhere near deep enough.

As a 20 year emt. It’s not fast. Work on the street. Then u will see

@@br1mst0ne54 Current AHA guidelines are: 0 - 1 year: At least one-third anterior-posterior diameter (about 1.5 in. [4cm]) 1 year - the onset of puberty: At least one-third anterior-posterior diameter (about 2 in. [5cm]) Onset of puberty and up (adult): 2 - 2.4 in. (5 - 6 cm)

drizyyyy he did

I was wondering the same thing.

+trueavaholic It's always a good idea to verbalize what you want done. Chances are you will be performing the test in front of someone you don't know. Be sure to let them know what is going on in your head.

xRaffer Great question!!! Follow what your proctor wants from you. Before the test starts it is okay for you to ask them what they would like in terms of performing certain skills. For example, during the trauma assessment, sometimes the proctor will ask you to verbalize your spinal precautions. Not all the time but sometimes. Just be sure you have a clear understanding of what they're looking for from you during your test and you will do great!

We're told not to check for a pulse immediately following a shock because even if it is successful, it still would take several minutes for the heart to resume a perfusing rhythm. Thus, we're instructed to always immediately resume chest compressions following a shock

There may be a pulse, but the blood pressure may be too low to feel it. That's why it's not reliable to feel for a pulse.

-bo

lets get to states bo we can make it fighting!

YEYEEEEE@@roxyfitzgerald8916

Great question Cedrick! Be sure to check with your proctor at your testing site. We have heard of both, as long as you can verbalize what you're thinking and why you're doing it, you will do great! If you have any other questions let us know.

Now they want you to continue CPR until the last second. Right before the shock is advised the EMT hops off of the patient with immediate instruction from the other EMT to remain clear. You do CPR as often as you can alongside the use of the AED. Each state is different though.

if you keep doing compressions while the AED is analyzing the patient then it won’t analyze the patient correctly. that’s what i was taught in my EMT class, at least.

You continue compressions alongside the AED charging. The only times you stop compressions is when the AED is analyzing and when it delivers the shock.

Someone experienced with CPR and Defibs would do it how they did. Separate for the rhythm analysis (so that the person doing CPR doesn't affect it) soon as that's done back in with compressions and keep going until you hear that the Defib has charged, at that point either stop CPR or if you KNOW the person operating the Defib will give clear instructions wait for their cue to stop just before they shock. But for the layman, the untrained person in the street, its safer for all parties to do CPR until it tells you to stop for rhythm analysis, then as long as your quick about it get it charged and give the shock as quick as the Defib will let you, then carry on CPR. But as long as you know when you need yo stop and when it's safe to keep going, it's better to even just get like 5 chest compressions in whilst it's charging than leaving them without circulation for upto 30sec

For the most part yes. I have been watching these videos and following along with the sheets.

+0wn3dforlife Great question! While charging, it is completely okay to continue compressions. Best of luck on your test!

AHA also mandates continuing compressions while unit is charging

He continued when it said shock advised, clear patient. It said it twice, would that be an automatic fail or no because it doesnt shock until you press the button?

The only time you or someone else stops CPR is when it says analyzing HR or when you are delivering shock.

When it says deliver shock now tell everyone CLEAR and make sure no one is touching the patient (anyones hands, knees ect.). Once you see no one is touching the patient you deliver the shock then continue CPR.

Often EMT's will request for ALS or Paramedics, and they can then determine once they arrive on scene, but your job is to continue CPR and follow the instructions on the AED. If it advises a shock, clear the patient and deliver it. It could be good to assess for a pulse, but often people just resume CPR. I don't have much experience, but I would assume you would get on top of the patient, straddling him of course, while he is on the stretcher/cart, continuing CPR there. Once in the ambulance, you can resume your position beside the patient. Often a physician will decide when to stop CPR and pronounce the patient as deceased. Anyway, I hope this helped.

continue cpr

you check pulse first

steps of good cardiac arrest CPR, determine if patient has a central (carotid) pulse and determine if patient is responsive, if patient is not responsive with no pulse, begin compression at 100-120 BPM. if AED is available, apply pads after 2 minutes of compressions, apply pads, do CPR, until AED tells you to shock. clear patient then shock, begin 2 person CPR with one doing compressions one doing rescue breaths with either a pocket mask or a Bag valve mask attached to 15l/minute of 100% Oxygen. listen to prompts from AED. shock again if advised, if "no shock advised" check for outward signs of life and a central pulse. if both are detected check for breathing, if breathing absent begin 2 person rescue breathing with a Bag valve mask attached to 15l/min of 100% oxygen at a rate of one breath every 5-6 seconds. if breathing is present, attach patient to a nonrebreather mask at 15l/min of 100% oxygen, get them on the strecher. attach ECG and keep pads on patient in case of further cardiac arrest. then DRIVE. activate a CODE/Cath Lab alert at receiving facility. rapid transport

you would open the airway (in this case with an unconcious patient with no one around when the fell) via the jaw thrust manuver before you look listen and feel for a pulse, breath sounds, and chest rise and fall. After that and finding a pulseles patient (regardles if they were breathing or not) begin CPR. As you take a moment between CPR cycles to breath for the patient, you would quickly look to ensure the airway was still clear and in proper position. I can't spell btw.

If the airway wasn't clear then they would definitely want to clear it before moving on.

Clear the airway first as there is no point in CPR if the person has no airway. If patient is in ROSC, they will not be able to breathe if the airway is not clear.

Ideally yes. I'll make a scenario for you. Imagine you're alone and you arrive with a trauma bag since you heard shouts for help, you have OPA's, BVM, oxygen etc. Assume you already have bsi on and you're approaching the pt. You mentally make a general impression of the patient ie. ( male mid 50's lying supine no visible breathing, skin looks pale and diaphoretic maybe even cyanotic, long sleeve cotton shirt, group of by-standers standing around making snapchats) this should take one maybe two seconds as you approach, Yell out to anyone around "hey what happened, Does anyone know this guy?!"They say we don't know he grabbed his chest and then fell down. Drop your trauma bag by his head where you can still reach it while on your knees. you're perpendicular to his chest right below his armpit. You pull his shirt up to expose his chest while simultaneously shouting loud something like "HEY WAKE UP, CAN YOU HEAR ME!!" no response... Following the AVPU scale you know he's not awake and not verbally responsive, don't wait, immediately go to painful stimuli. Do a quick and firm sternal rub or trap pinch. he's still not responsive.. Total time at this point from arriving should be about 5-10 seconds. Now clearly direct one person (point to them and loudly say call 911 to send ALS) Point to another person or say to everyone GET A AED, RUN! now you assess for airway and carotid pulse. His mouth is closed. quickly but not forcefully, use two hands to do a head tilt chin lift, (typically the head will stay in a slightly hyper-extended state without needing to hold it on an unconscious pt. (assume there is no MOI for c-spine precautions) Now doing this simultaneously use two fingers with one hand and feel for a carotid pulse while looking at the patients mouth, use your other hand with your fingers underneath the nose and your thumb on his chin to pull his mandible (lower jaw) down, opening his mouth. briefly look at the position of his tongue, if there's vomit, blood, obstructions like food or teeth. I'm writing all of this out but in reality it would take a second or two to do this. Say for instance, you don't see any foreign material but his tongue is flapped back, regardless look back at his chest and watch for any rise and fall. If you still don't have a pulse or can see or hear breathing after about 5-7 seconds begin compressions. Remember that assessing vitals cannot be longer than 10 seconds. In this situation which is really quite plausible, other people will be around and hopefully will help. hopefully you're good at CPR and can talk while counting or know the approximate timing. While doing your first 30 compression wether the air way is clear or not, look up and tell someone to get down on their knees across from you to help, tell them to watch and do exactly what you're doing, when you say start or go or whatever. you finished 30 high quality compressions, and the bystander takes over. Make sure to tell them to count each compression out loud so you know where they are at. You know his tongue is flapped back so this is your time to insert the right size opa. if there was an obstruction, or something else blocking his air way it most likely would have been forced out during your first 30 compressions. If you're good, inserting an OPA should take about 5 seconds. you should have enough time to get your rescue mask out or bvm opened, mask attached and tube hooked up to oxygen. if you don't have enough time to get oxygen flowing to the bvm, it's more important to get ambient air into him. You hear your bystander count 25,26,27,28 you should have a good seal on his face by now and ready to ventilate, 29, 30 tell the bystander. STOP, while you squeeze the bvm until you see chest rise, squeeze for approximately one second, squeezing too fast could force air into the gastric system and could make him aspirate. on the second ventilation as soon as you've squeezed the bag in tell the bystander to start compressions again. you don't have to wait for the bag to refill and wait for compressions. Air will be forced out on the first one anyway so don't waste time. At this point You're about 30 seconds into CPR and hopefully you were paying attention to how well the bystander was doing. If he wasn't doing good compressions take over again and assume the role of ventilating too. If done correctly, 1 rescuer can do high quality CPR even with a bvm, just use a good E-C grip and head tilt chin lift. Once the AED arrives its probably a good Idea for you to attach the pads and set it up since you're very likely more trained than everyone else around. Even if you're in the middle of a set say your counting 12,13,14, and a person throws you the AED have a bystander take off where you left. if you're still getting it set up and the bystander reaches 30 and doesn't know how to use a bvm thats okay, tell them to continue compressions. you get the AED on and it says "ANALYZING" tell the bystander to stop and don't let anyone touch the patient. It will then say shock advised. tell them to start compressions again, (alot of people get this wrong and don't continue compression in this period) once it says charging and the sound and light comes on then tell them to stop and "CLEAR" the pt. make sure nothing is touching him and deliver the shock. Compressions should begin immediately and the next ventilation should happen after 30 more even if you missed a ventilation set while applying the AED. If the bystanders are doing a good job let them take over compressions while you reposition right behind the head of the patient to do good ventilations and assessing for any signs of life. If they're not doing good compressions it's just gonna be harder on you and it's your decision to take over again or try to coach them to do it better. Hopefully the pt becomes responsive at some point, immediately remove the opa and asses the ABC's again you might have to insert a NPA and continue rescue breathing or do neither and put him on high flow 02 with a non rebreather mask. If the guy is still dead when ALS arrives they'll take over and hopefully congratulate you for doing an excellent job. Tell them everything you know, how long its been, how many sets of cpr were done, how many shocks from the aed etc. while its all fresh in your mind. Hopefully this never happens but it's good to run through mental scenarios just in case. Best of luck, Stay well!

@@10--50 you have no idea how much im learning from your post right now.. thank you Sir. Thank you i need to develop a routine like that which makes me more efficient and faster. You have a good system i will follow 😁😁 thanks man this really helps!!

@@user-kk8wr7bv8b I'm glad that helped! It's amazing how much you can forget if this happens in real life, so running through scenarios in your mind while you're calm or watching video's of real rescues is important. Just remember that real events are never the same, try thinking what you would do if you had another trained person with you and how you would communicate, or if there was a massive bleed or spinal injury with an arrest. Think about what you'd differently if it were a child or infant, or had no cell service, a different aed, multiple patients, if it was a drowning or you had an equipment malfunction etc. I'm glad you're looking into this and encourage you to keep it up. Wish you the best!

@@10--50 Thank you! You're a legend

The goal is 100-120 with proper chest recoil. What rate are you seeing the student provide?

Nick C I had the same question. I thought that would be the first thing you do if not your two breaths would null or void cuz patient has an obstruction

@@Mrjacques91 this is just basic workplace related CPR. They wont be trained or OPA or NPA

Hey Chris, without being there it is really hard to tell what happened. Stick to the sheets, know them inside and out and you'll do great.

But in general, is 2 minutes of CPR acceptable even if you do not complete 5 cycles?

We're getting into semantics but if you do 5 cycles of CPR you should be at 2 minutes.

www.nh.gov/safety/divisions/fstems/ems/training/documents/emtskill.pdf

Jordyn Bagalio Hey Jordyn, as long as you follow the NREMT approved skill sheets for your NREMT practical exam, you'll do great.

I passed with flying colors! Thank you.

You rock Jordyn, nice work!!!!

Brian Mattingly Whatever state you are getting licensed in can do it how ever they wish. This is just the national standard. It's good practice. 3/3 of the cardiac calls I worked I had to either place an airway or nasal. After awhile of doing chest compressions you will get vomit and need something to maintain the airway.

+Karly O'Hare or in worst case scenarios, blood. Lol

Kd Meconi as long as there is a click from the dummy, it is adequate depth.

and too fast

You don’t put a OPA in on the CPR/AED skill test . But you are right about how he had no chest rise in the dummy so he did not open the airway

Zac Oakes Hey Zac, take a look at the skill sheets and let us know! That would be a great reminder for students if you find it.

Zac Oakes Not on the national registry. It's a critical fail if you stop CPR any longer than 10 seconds.

Hey Chris, compressions take the priority but I can see where you're going with that.

Thanks :) I only ask as I am a first responder here in the UK and we trained to attach the AED pads before starting CBR. Just wanted to know why you guys do it slightly different. I'm are only trained in basic life support and I have been watching your videos to educate myself a little more :) Many thanks. Chris

Awesome Chris! There are times when the pads should be placed on the patient first but it depends on a few factors. Glad to hear you're enjoying our videos. How far are you planning on going with your education?

Hoping to get employed with my local Ambulance Service as an EMT. Well, thats the plan :) Enjoying being a Community First Responder at the moment. But we don't get as much training as I would like... Just super keen to learn as much as I can. Just glad there's educational videos like yours on here for me to watch!

+Chris Foster Right on Chris! Best of luck on your future endeavors. If you ever have any questions feel free to email us and/or check out our site, EMTprep.com. We have a lot of great content up on the Free Training page and as of today you can link your Facebook account and add comments.

Covid

uberman121 Hello, the way our student does it is correct. You can verify this at the following link. Notice the last step of the skill sheet. Let us know if you have any other questions. www.nremt.org/nremt/downloads/E215%20Cardiac%20Arrest%20AED.pdf

@@Emtprep Broken link. Just saying.

In this video they didnt call for the aed. The aed prompts is what can fail ppl. Apparently u cant be off cpr for 10 seconds or longer so if your waiting for it to charge and no one is doing cpr they fail u

Same. Failed too even tho I legit did eveysingle thing right. The "partner" refused to do cpr for me

Hey Tanner, the content isn't necessarily difficult, there can just be a lot of it to comprehend and memorize at times. It is very doable if you put forth the effort. Best of luck to you!

@@Emtprep thanks so much! The fire department that I volunteer at, said that I have to take some fire classes before I take my EMT, and I take my first "fire" class in February. So I'm on the road towards the EMT classes!!

In my experience, as long as you have a good work ethic, you should be fine (I am also in high school)

@@gabbyellis7844 thanks!

No, it is not hard. The skills are mostly common sense. Some disease pathologies can be complex though. Overall it requires a high school education for a reason...

Follow those skill sheets verbatim, verbalize anything you’re unsure about, and you’ll do great. Get some sleep, eat a normal breakfast in the morning too. Be sure to let us know how it goes. We’re pulling for you!!!

I’m doing mine today. I’m sooooooooo nervous

Let us know how it goes!

EMTprep thank you ! i passed all of them with a 100% !

sharon sanchez how’d it go ?

+A7Xforevaaa Hey A7x, our student got this one correct. Our videos follow the NREMT skill sheets to show students how to pass their practical exams.

+A7Xforevaaa : Step 1 Google; NREMT. Step 2 Read the psychmotor scenario's. Step 3 Put face in Palms because these videos follow to a T the entire NREMT test.

Aimee Pearson well now (2017), you have a bvm, but no Oxygen

agreed!

he did a jaw thrust, jaw thrust is a safer maneuver in case there is an unknown or unseen spinal injury or trauma

Generally yes, at least for me. When I got to that point I was stopped letting the proctor continue CPR while I got the AED ready and applied, but just in case I would keep count in your mind so you’ll know in the case that they don’t tell you to stop.

@@guysthisismiranda2043 i passed i am a EMTB

Exactly what I was thinking.

I am thinking the same thing. Although maybe he already had one with him, but that doesn't help us students who are told to follow the sheet we are given.

😂

How do u know..did you knw that those dummies have a check light for adequate depth? The light comes off if you not compressing deep enough and comes on wen you are adequate

I promise you they were cleaned!