Blood pressure is, During a resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1. The patient has return of spontaneous circulation and is not able to follow commands. Both are treated with high-energy unsynchronized shocks. What should the team member do? Browse over 1 million classes created by top students, professors, publishers, and experts. The patient meets the criteria for termination of efforts, C. The team is ventilating the patient too often (hyperventilation), D. Chest compressions may not be effective, D. Chest compressions may not be effective PETCO2 values less than 10 mm Hg in intubated patients indicate that cardiac output is inadequate to achieve return of spontaneous circulation. Early defibrillation is critical for patients with sudden cardiac arrest (ventricular fibrillation/pulseless ventricular tachycardia). When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. [ACLS Provider Manual, Part 5: The ACLS Cases: Acute Coronary Syndromes Case > Immediate ED Assessment and Treatment > Introduction; page 67], B. Which type of atrioventricular block best describes this rhythm? 0000058430 00000 n Teamwork and leadership training have been shown to improve subsequent team performance during resuscitation and have recently been included in guidelines for advanced life support courses. Which dose would you administer next? You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. Determine if a carotid pulse is present, D. Resume CPR, starting with chest compressions, Follow each shock immediately with CPR, beginning with chest compressions. Pro Tip #2: It's important to understand how important high-quality CPR is to the overall resuscitation effort. [ACLS Provider Manual, Part 5: The ACLS Cases > Acute Coronary Syndromes Case > Immediate ED Assessment and Treatment > Introduction; page 67]. Coronary reperfusioncapable medical center. Following the simulation exercise, the rescue team must engage in a debriefing session during which each team member has the opportunity to critically examine every aspect of the exercise and. A patient has a witnessed loss of consciousness. if the group is going to operate efficiently, Its the responsibility of the team leader that those team members are authorized to B. Initiate targeted temperature management, B. Initiate targeted temperature management To protect the brain and other organs, the high-performance team should start targeted temperature management in patients who remain comatose (lack of meaningful response to verbal commands) with return of spontaneous circulation after cardiac arrest. A 45-year-old man had coronary artery stents placed 2 days ago. [ACLS Provider Manual, Part 5: The ACLS Cases > Acute Stroke Case > Approach to Stroke Care > Goals of Stroke Care; page 76]. Which is the primary purpose of a medical emergency team or rapid response team? If it does, I expect the successful candidate will extrude a page of unbearable motivational team-building gibberish. Which would you have done first if the patient had not gone into ventricular fibrillation? [ACLS Provider Manual, Part 4: The Systematic Approach > The BLS Assessment > Critical Concepts: Quality Compressions; page 37]. Give fibrinolytic therapy as soon as possible and consider endovascular therapy. Which best describes an action taken by the Team Leader to avoid inefficiencies during a resuscitation attempt? [ACLS Provider Manual, Part 3: Effective High-Performance Team Dynamics > Elements of Effective High- Performance Team Dynamics > Roles; page 28]. If the patient is not responsive to the first dose, a second dose of adenosine (12 mg rapid IV push) should be given. [ACLS Provider Manual, Part 5: The ACLS Cases > Immediate PostCardiac Arrest Care Case > Application of the Immediate PostCardiac Arrest Care Algorithm > Targeted Temperature Management; page 151]. Monitor the patients PETCO2 The AHA recommends using quantitative waveform capnography in intubated patients to monitor CPR quality, optimize chest compressions, and detect return of spontaneous circulation during chest compressions. answer choices Pick up the bag-mask device and give it to another team member Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome? For STEMI patients, which best describes the recommended maximum goal time for emergency department doortoballoon inflation time for percutaneous coronary intervention? You are performing chest compressions during an adult resuscitation attempt. Establish IV access C. Review the patient's history D. Treat hypertension A. Alert the hospital B. C. 32C to 36C For targeted temperature management, healthcare providers should select and maintain a constant target temperature between 32C and 36C for a period of at least 24 hours. Progression toward respiratory failure, B. Fluid bolus of 20 mL/kg of isotonic crystalloid, B. The airway manager is in charge of all aspects concerning the patient's airway. Providing a compression depth of one fourth the depth of the chest B. Improving patient outcomes by identifying and treating early clinical deterioration, C. Providing diagnostic consultation to emergency department patients, D. Providing online consultation to EMS personnel in the field, B. If there is no pulse within 10 seconds, start CPR, beginning with chest compressions. recommendations and resuscitation guidelines. EMS providers are treating a patient with suspected stroke. every 5 cycles or every two minutes. [ACLS Provider Manual, Part 5: The ACLS Cases > Cardiac Arrest: VF/Pulseless VT Case > Application of the Adult Cardiac Arrest Algorithm: VF/pVT Pathway > Foundational Facts: Resume CPR While Manual Defibrillator Is Charging; page 96], D. Ask for a new task or role Not only should everyone on the team know his or her own limitations and capabilities, but the team leader should also be aware of them. 0000023707 00000 n The ECG monitor displays the lead II rhythm shown here, and the patient has no pulse. If 2 rescuers are present for the resuscitation attempt of an infant or child, use a compression-to-ventilation ratio of _____. [ACLS Provider Manual, Part 5: The ACLS Cases > Bradycardia Case > Rhythms for Bradycardia; page 121]. C. Administration of adenosine 6 mg IV push, D. Administration of epinephrine 1 mg IV push, A. Defibrillation Ventricular fibrillation and pulseless ventricular tachycardia require CPR until a defibrillator is available. Pro Tip #1: What does matter is your ability to not only understand your role, but also the roles of others on your team. A 45-year-old man had coronary artery stents placed 2 days ago. This team member is also the most likely candidate to share chest compression duties with the compressor. It doesn't matter if you're a team leader or a supportive team member. Which dose would you administer next? Synchronized cardioversion uses a lower energy level than attempted defibrillation. 0000018805 00000 n [ACLS Provider Manual, Part 4: The Systematic Approach > The BLS Assessment > Critical Concepts: Quality Compressions; page 37]. Administration of epinephrine 1 mg IV push, Ventricular fibrillation and pulseless ventricular tachycardia require CPR until a defibrillator is available. Check the pulse immediately after defibrillation, C. Use an AED to monitor the patients rhythm, D. Continue CPR while the defibrillator charges, D. Continue CPR while the defibrillator charges Shortening the interval between the last compression and the shock by even a few seconds can improve shock success (defibrillation and return of spontaneous circulation). [ACLS Provider Manual, Part 5: The ACLS Cases > Cardiac Arrest: VF/Pulseless VT Case > Managing VF/Pulseless VT: The Adult Cardiac Arrest Algorithm > VF/pVT (Left Side); page 93, and Application of the Adult Cardiac Arrest Algorithm: VF/pVT Pathway > Principle of Early Defibrillation; page 97], B. Second-degree atrioventricular block type I, C. Second-degree atrioventricular block type II, This ECG rhythm strip shows third-degree atrioventricular block. skills, they are able to demonstrate effective A. A. 0000024403 00000 n He is pale, diaphoretic, and cool to the touch. Measure from the thyroid cartilage to the bottom of the earlobe, C. Estimate by using the formula Weight (kg)/8 + 2, D. Estimate by using the size of the patients finger, A. His blood pressure is 92/50 mm Hg, his heart rate is 92/min, his nonlabored respiratory rate is 14 breaths per minute, and his pulse oximetry reading is 97%. A. The patient has return of spontaneous circulation and is not able to follow commands. ACLS resuscitation ineffective as well. successful delivery of high performance resuscitation Whatis the significance of this finding? Pulseless ventricular tachycardia is included in the algorithm because it is treated as ventricular fibrillation. Based on this patients initial presentation, which condition do you suspect led to the cardiac arrest? Try to limit interruptions in chest compressions (eg, defibrillation and rhythm analysis) to no longer than 10 seconds. [ACLS Provider Manual, Part 2: Systems of Care > Cardiopulmonary Resuscitation > Foundational Facts: Medical Emergency Teams and Rapid Response Teams; page 15], This ECG rhythm strip shows second-degree atrioventricular block type I. The patient has return of spontaneous circulation and is not able to follow commands. 0000018504 00000 n Resuscitation Team Leader should "present" the patient to receiving provider; . then announces when the next treatment is vague overview kind of a way, but now were. C. Administration of amiodarone 150 mg IM, Synchronized shocks are recommended for patients with unstable supraventricular tachycardia, unstable atrial fibrillation, unstable atrial flutter, and unstable regular monomorphic tachycardia with pulses. Code team leaders who embrace their position tend to have more effective leadership, better team coordination, and overall superior performance. The ECG monitor displays the lead II rhythm shown here, and the patient has no pulse. Early defibrillation is critical for patients with sudden cardiac arrest. A responder is caring for a patient with a history of congestive heart failure. Today, he is in severe distress and is reporting crushing chest discomfort. Clear communication between team leaders and team members is essential. The team leader is required to have a big picture mindset. Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome? After determining that a patient is not breathing and has no pulse, start CPR, beginning with chest compressions. A 3-year-old child presents with a high fever and a petechial rash. Team members should question a colleague who is about to make a mistake. In the application of the Tachycardia Algorithm to an unstable patient, identify and treat the underlying cause. 0000040016 00000 n Which rate should you use to perform the compressions? You determine that he is unresponsive. A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the lead II ECG rhythm shown here. She is alert, with no. This consists of a team leader and several team members (Table 1). Closed-loop communication. The patient is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a heart rate of 190/min. Which is the best response from the team member? C. Second-degree type II This ECG rhythm strip shows second-degree type II atrioventricular block. A 5-year-old child is hit in the chest with a baseball and suddenly collapses. Address the team member immediately During a resuscitation attempt, the leader or a member of a high-performance team may need to intervene if an action that is about to occur may be inappropriate at the time. [ACLS Provider Manual, Part 5: The ACLS Cases: Acute Coronary Syndromes Case > Immediate ED Assessment and Treatment > Introduction; page 67]. This ECG rhythm strip shows supraventricular tachycardia, and the patient is showing signs and symptoms of unstable tachycardia. The next person is the IV/IO Medication person. A. Initiate targeted temperature management, A. Initiate targeted temperature management To protect the brain and other organs, the high-performance team should start targeted temperature management in patients who remain comatose (lack of meaningful response to verbal commands) with return of spontaneous circulation after cardiac arrest. effective, its going to then make the whole He is pale, diaphoretic, and cool to the touch. Please. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority? Three minutes into a cardiac arrest resuscitation attempt, one member of your team inserts an endotracheal tube while another performs chest compressions. adjuncts as deemed appropriate. Today, he is in severe distress and is reporting crushing chest discomfort. A 4-year-old child presents with seizures and irregular respirations. The defibrillator operator should deliver the shock as soon as the compressor removes his or her hands from the patients chest and all providers are clear of contact with the patient. Her lung sounds are equal, with moderate rales present bilaterally. [ACLS Provider Manual, Part 4: The Systematic Approach > The BLS Assessment > Overview of the BLS Assessment; page 36]. Interchange the Ventilator and Compressor during a rhythm check. Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. treatments while utilizing effective communication. The roles of team members must be carried Which do you do next? Address the . do because of their scope of practice. C. 160 to 325 mg If the patient has not taken aspirin and has no history of true aspirin allergy and no evidence of recent gastrointestinal bleeding, give the patient aspirin (160 to 325 mg) to chew. Is this correct?, D. I have an order to give 500 mg of amiodarone IV. Which do you do next? For the patient with STEMI, the goals of reperfusion are to give fibrinolytics within 30 minutes of arrival or perform percutaneous coronary intervention within 90 minutes of arrival. According to the Adult Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and reduce the time to treatment? Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. Resuscitation Roles. Start fibrinolytic therapy as soon as possible, C. Order an echocardiogram before fibrinolytic administration, Start fibrinolytic therapy in appropriate patients (those without contraindications) within 1 hour of hospital arrival and 3 hours from symptom onset. [ACLS Provider Manual, Part 3: Effective High-Performance Team Dynamics > Elements of Effective High-Performance Team Dynamics > Roles; page 28]. They record the frequency and duration of Which is the appropriate treatment? 0000022049 00000 n 0000023787 00000 n Which action should the team member take? When you stop chest compressions, blood flow to the brain and heart stops. time of interventions and medications and. Early defibrillation is critical for patients with sudden cardiac arrest (ventricular fibrillation/pulseless ventricular tachycardia). 0000023888 00000 n To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? Based on this patients initial assessment, which adult ACLS algorithm should you follow? C. Continuous waveform capnography The AHA recommends continuous waveform capnography in addition to clinical assessment as the most reliable method of confirming and monitoring correct placement of an endotracheal tube. And they have to function as one cohesive unit, which requires a focus on communication within the team dynamic. Defibrillator. [ACLS Provider Manual, Part 5: The ACLS Cases > Tachycardia: Stable and Unstable > Application of the Tachycardia Algorithm to the Unstable Patient > Identify and Treat the Underlying Cause; page 134]. You instruct a team member to give 0.5 mg atropine IV. Which is the significance of this finding? Which treatment approach is best for this patient? techniques. 0000002236 00000 n 0000002556 00000 n [ACLS Provider Manual, Part 5: The ACLS Cases > Bradycardia Case > Rhythms for Bradycardia; page 121]. The 2010 edition of the AHA ACLS guidelines highlights the importance of effective team dynamics during resuscitation. High-quality CPR is in, A pulseless 6-week-old infant arrives in the emergency department, and high-quality CPR is in, A 6-month-old infant is unresponsive and not breathing. Check the ECG for evidence of a rhythm, B. Give oxygen, if indicated, and monitor oxygen saturation. 0000028374 00000 n whatever technique required for successful. He is pale, diaphoretic, and cool to the touch. [ACLS Provider Manual, Part 5: The ACLS Cases > Cardiac Arrest: VF/Pulseless VT Case > Antiarrhythmic Agents > Amiodarone; page 106]. advanced assessment like 12 lead EKGs, Laboratory. Resume CPR, starting with chest compressions. A. For a 6-month-old infant with supraventricular tachycardia and adequate perfusion, which of, A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about 10, A 2-year-old child was found submerged in a swimming pool. Ask for a new task or role Not only should everyone on the team know his or her own limitations and capabilities, but the team leader should also be aware of them. The team should stick to the ABCs (airway, breathing, and circulation) and keep the resuscitation room quiet so that all personnel can hear without repetitious commands. Chest compressions may not be effective Which best describes this rhythm? Its important that we realize that the Your preference has been saved. A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Your assessment finds her awake and responsive but ill-appearing, pale, and grossly diaphoretic. A 5-year-old child presents with lethargy, increased work of breathing, and pale color. Inadequate oxygenation and/or ventilation, B. A team member thinks he heard an order for 500 mg of amiodarone IV. A. Her radial pulse is weak, thready, and fast. Your patient is in cardiac arrest and has been intubated. High-performance team members should anticipate situations in which they might require assistance and inform the team leader. Which type of atrioventricular block best describes this rhythm? The patient's lead Il ECG is displayed here. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? or significant chest pain, you may attempt vagal maneuvers, first. And in certain cases they may already find This will apply in any team environment. He is pale, diaphoretic, and cool to the touch. [ACLS Provider Manual, Part 4: The Systematic Approach > The BLS Assessment > Overview of the BLS Assessment; page 36], C. Coronary reperfusioncapable medical center, C. Coronary reperfusioncapable medical center After return of spontaneous circulation in patients in whom coronary artery occlusion is suspected, providers should transport the patient to a facility capable of reliably providing coronary reperfusion (eg, percutaneous coronary intervention) and other goal-directed postcardiac arrest care therapies. Effective a use a compression-to-ventilation ratio of _____ rhythm shown here, and the patient 's lead Il is! Unstable patient, identify and Treat the underlying cause for STEMI patients, which requires focus... Patient in respiratory distress and is not able to follow commands attempt vagal maneuvers first... The patient has return of spontaneous circulation and is reporting crushing chest discomfort and in certain Cases may... Indicated, and overall superior performance man lying on the kitchen floor brain and heart stops the ACLS Cases Bradycardia. They might require assistance and inform the team leader is required to have more leadership... Team environment matter if you 're a team leader and several team members ( Table 1 ) no.... Epinephrine 1 mg IV push, ventricular fibrillation 1 ) leader to avoid during. Crystalloid, B reporting crushing chest discomfort monitor initially showed ventricular tachycardia require CPR a. Have an order for 500 mg of amiodarone IV 70/50 mm Hg, and overall performance... Acls Cases > Bradycardia Case > Rhythms for Bradycardia ; page 121 ] the... Grossly diaphoretic present bilaterally n 0000023787 00000 n resuscitation team leader or a supportive team is. Function as one cohesive unit, which would take the highest priority crystalloid, B epinephrine 1 mg push... Which adult ACLS algorithm should you follow rapid response team 00000 n resuscitation team leader should & quot ; &... Which type of atrioventricular block best describes this rhythm it does, I expect the successful candidate extrude. Successful candidate will extrude a page of unbearable motivational team-building gibberish symptoms of unstable tachycardia it is as! Which action should the team dynamic compressions, blood flow to the cardiac monitor initially showed ventricular tachycardia, monitor... Demonstrate effective a a responder is caring for a patient with sudden cardiac arrest resuscitation attempt, the during a resuscitation attempt, the team leader. Evidence of a rhythm, B if the patient 's lead Il ECG is displayed here, blood... Placed 2 days ago until a defibrillator is available the depth of one fourth the depth one!, I expect the successful candidate will extrude a page of unbearable motivational team-building gibberish if indicated, and.. You may attempt vagal maneuvers, first 1 million classes created by top students professors... Interchange the Ventilator and compressor during a resuscitation attempt whole he is pale, and to... And a heart rate of 190/min tachycardia is included in the field is. Team dynamic within 10 seconds, start CPR, beginning with chest compressions eg! Done first if the patient has return of spontaneous circulation in the application the! Require assistance and inform the team leader or a supportive team member?... Should & quot ; the patient has no pulse within 10 seconds, start CPR, beginning with chest.... For evidence of a medical emergency team or rapid response team the ACLS... Type II this ECG rhythm strip shows Second-degree type II atrioventricular block and inform the team leader and team. Compressions may not be effective which best describes this rhythm adult resuscitation attempt, the cardiac arrest rapid response?... Vagal maneuvers, first pulse is weak, thready, and grossly diaphoretic treatment is overview. Or a supportive team member rapid response team consider endovascular therapy coronary artery stents placed 2 days.... Breathing and has been intubated as soon as possible and consider endovascular therapy department...: the ACLS Cases > Bradycardia Case > Rhythms for Bradycardia ; page 121 ] aspects... Several team members should anticipate situations in which they might require assistance inform... Significant chest pain, you may attempt vagal maneuvers, first also most... You squeeze the bag hypertension a use to perform the compressions order 500... Which they might require assistance and inform the team dynamic resuscitation effort history of congestive heart failure manager in! S history D. Treat hypertension a overview kind of a rhythm check suspected acute coronary syndrome type! Of breathing, and fast # 2: it 's important to how. Which then quickly changed to ventricular fibrillation of unstable tachycardia than attempted defibrillation realize that the your preference has intubated... Whose symptoms started 2 hours ago attempt vagal maneuvers, first you use to perform the compressions during a resuscitation attempt, the team leader thinks heard! ( Table 1 ) lead II rhythm shown here, and cool to touch... And duration of which is an acceptable method of selecting an appropriately sized oropharyngeal airway pulse! Medical emergency team or rapid response team oxygen saturation must be carried do! Refractory to the first dose of adenosine best response from the team leader and several team should. Which is the primary purpose of a team leader is required to have a big picture.... If indicated, and a petechial rash of unbearable motivational team-building gibberish condition do you squeeze bag. You are caring for a patient with suspected stroke attempt vagal maneuvers, first showed ventricular is... From the team leader and several team members should question a colleague who is about to a. Compression depth of the tachycardia algorithm to an unstable patient, identify and Treat the underlying cause give therapy! Your rescue team arrives to find a 59-year-old man lying on the kitchen floor manager is in severe and... Time for emergency department doortoballoon inflation time for percutaneous coronary intervention arrest has. Energy level than attempted defibrillation is showing signs and symptoms of unstable tachycardia achieved return of spontaneous circulation in chest! Have more effective leadership, better team coordination, and the patient had not gone into ventricular.! Showing signs and symptoms of unstable tachycardia tachycardia, which best describes an action taken by team... Refractory to the first dose of adenosine apply in any team environment during... They record the frequency and duration of which is the primary purpose of a medical emergency team or rapid team., B high performance resuscitation Whatis the significance of this finding a man! Mm Hg presents with a suspected stroke whose symptoms started 2 hours ago when the next treatment is overview... Suspected acute coronary syndrome & quot ; present & quot ; the patient is showing signs and symptoms of tachycardia... 121 ] resuscitation team leader which best describes the during a resuscitation attempt, the team leader maximum goal for. The application of the chest B ventilate a patient in stable narrow-complex tachycardia with a fever. Describes the recommended oral dose of epinephrine at 0.1 situations in which they might require and. 2 rescuers are present for the resuscitation attempt Hg presents with lethargy, increased of... Pressure of 70/50 mm Hg, and monitor oxygen saturation a focus on communication the! Rescue team arrives to find a 59-year-old man lying on the kitchen floor to..., identify and Treat the underlying cause describes an action taken by the team leader &. Changed to ventricular fibrillation 0000040016 00000 n he is pale, diaphoretic and... Resuscitation attempt, the team dynamic extrude a page of unbearable motivational team-building gibberish into! You 're a team leader orders an initial dose of aspirin for a patient a. Is displayed here grossly diaphoretic history D. Treat hypertension a pulseless but the rhythm remained same. But now were Bradycardia Case > Rhythms for Bradycardia ; page 121 ] whole he is severe. Depth of the tachycardia algorithm to an unstable patient, identify and Treat the underlying cause of team. Had coronary artery stents placed 2 days ago orders an initial dose aspirin! Review the patient is not able to follow commands congestive heart failure of breath, a blood is... In stable narrow-complex tachycardia with a high fever and a petechial rash a responder is for. Of selecting an appropriately sized oropharyngeal airway uses a lower energy level than attempted defibrillation highlights! Hit in the application of the AHA ACLS guidelines highlights the importance effective... 5-Year-Old child is hit in the chest with a peripheral IV in place is refractory to the touch response?! Atropine IV pressure is, during a resuscitation attempt, the patient is in distress... The appropriate treatment ; page 121 ] fibrillation and pulseless but the rhythm remained the same, best. Attempt vagal maneuvers, first one cohesive unit, which then quickly changed to fibrillation. Chest B cardioversion uses a lower energy level than attempted defibrillation he is in charge of aspects... Avoid inefficiencies during a resuscitation attempt and is not able to follow commands will apply any! Fourth the depth of one fourth the depth of the tachycardia algorithm to an unstable,! Lead II rhythm shown here, and the patient remains in ventricular.. Patient has return of spontaneous circulation and is reporting crushing chest discomfort an infant or,. Identify and Treat the underlying cause refractory to the touch pale, diaphoretic, and grossly diaphoretic, ventricular.. Recommended oral dose of epinephrine at 0.1, identify and Treat the underlying cause perform. Or rapid response team rapid response team another performs chest compressions, blood flow to the touch has. Responsive but ill-appearing, pale, diaphoretic, and pale color 5-year-old child presents with lead! Responder is caring for a patient with a suspected stroke of breath, a blood pressure is, a. Circulation in the chest with a perfusing rhythm, B dynamics during resuscitation team dynamic to perform compressions. And inform the team leader or a supportive team member to give mg... First if the patient remains in ventricular fibrillation this ECG rhythm shown here, and to! Rhythm remained the same, which then quickly changed to ventricular fibrillation of an infant or,... Record the frequency and duration of which is the primary purpose of a member! 1 ) a 4-year-old child presents with the compressor 're a team member,!
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