BLS Scenario
Unlock This Video Now for FREE
This video is normally available to paying customers.
You may unlock this video for FREE. Enter your email address for instant access AND to receive ongoing updates and special discounts related to this topic.
Managing Cardiac Arrest During Non-Emergency Patient Transport
Scenario: Responding to a Sudden Cardiac Arrest
Quick and Effective Actions in a Critical Situation
While transporting a patient to the hospital under non-emergency conditions, a sudden and unexpected situation arises. The patient becomes unresponsive, and immediate action is crucial. Here's how to manage the scenario:
Calling for Assistance
Reacting to the Unresponsive Patient
As the situation unfolds, the following steps are taken:
- Requesting Help: Instruct a colleague to join you in the back of the vehicle.
- Assessing the Patient: Check for responsiveness, breathing, and pulse.
- Initiating CPR: Start chest compressions and prepare to use an AED (Automated External Defibrillator).
Using the AED
Guidelines for AED Deployment
Follow these crucial steps when using an AED:
- Activate Emergency Services: Call for professional assistance immediately.
- Prepare the Patient: Ensure the patient's chest is exposed.
- Prepare the AED: Remove the AED from its package without touching the patient.
- Assess Heart Rhythm: Wait for the AED to analyze the heart rhythm.
- Administer a Shock: If advised by the AED, deliver a shock by pressing the designated button.
- Initiate CPR: Follow AED instructions, giving 30 chest compressions and two breaths.
- Monitor Breathing: Continue assessing the patient's breathing and responsiveness.
Evaluation and Recovery
Monitoring the Patient's Condition
After successful intervention, assess the patient's condition:
- Airway: Ensure the patient's airway is clear and watch for any abnormal noises.
- Circulation: Check for central and peripheral pulses and evaluate capillary refill time.
- ECG Monitoring: Use ECG to monitor heart rhythm and rate.
- Respiratory Rate: Monitor the patient's breathing rate.
- Communication: Continue engaging with the patient to assess responsiveness.
- Oxygen Saturation: Monitor oxygen saturation levels and adjust oxygen delivery as needed.
Conclusion: Prompt Action Saves Lives
Successful Reversal of Cardiac Arrest
By acting swiftly and decisively during a cardiac arrest, there is a high probability of reversing ventricular fibrillation and achieving a positive outcome for the patient. This scenario underscores the importance of preparedness and quick response in emergency situations.