The main elements of the adult procedure for CPR (Cardiopulmonary Resuscitation) with an AED (Automated External Defibrillator) are as follows:
1. Check for responsiveness: Before starting CPR, assess the victim for responsiveness by tapping the person's shoulder and shouting, "Are you okay?" If there is no response, proceed to the next step.
2. Call for help: Immediately call for emergency medical services (EMS) or ask someone nearby to call for help. It is crucial to activate the emergency response system as soon as possible.
3. Start chest compressions: Position the person on their back on a firm surface. Kneel beside the person's chest. Place the heel of one hand on the center of the person's chest, between the nipples. Place the other hand on top of the first hand and interlace the fingers. Keep your arms straight and position your shoulders directly over your hands. Begin compressions by pushing hard and fast, at a rate of at least 100-120 compressions per minute. Allow the chest to fully recoil between compressions.
4. Provide rescue breaths: After performing 30 chest compressions, give two rescue breaths. Tilt the person's head back slightly, lift their chin, and pinch their nose closed. Make a complete seal with your mouth over the person's mouth and deliver a breath that makes the chest rise. Each breath should last about one second.
5. Attach the AED: If an AED is available, turn it on and follow the voice prompts or visual instructions provided by the device. Open the person's shirt to expose their chest and attach the AED pads to the person's bare skin. Place one pad on the upper right chest, just below the collarbone, and the other pad on the lower left side of the chest, below the armpit.
6. Analyze the heart rhythm: Once the AED pads are attached, the device will analyze the person's heart rhythm. Ensure that no one is touching the person during the analysis.
7. Follow AED prompts: Based on the analysis, the AED will provide voice prompts or visual instructions. Follow the AED's prompts precisely. If a shock is advised, make sure no one is touching the person, ensure everyone is clear, and deliver the shock by pressing the designated button.
8. Resume CPR: After delivering the shock, immediately resume CPR, starting with chest compressions. Continue to follow the AED's prompts and perform CPR until help arrives or the person shows signs of life.
CASE 1: If the medical team continues to treat Dax, which of the following capacity assessment criteria are they most likely questioning?
Dax's ability to understand the risks and benefits
Dax's ability to appreciate the full-force of his decision
Dax's ability to give clear reasoning for his decision
If the medical team continues to treat Dax, the capacity assessment criteria they are most likely questioning is Dax's ability to appreciate the full-force of his decision.
Capacity assessment is the procedure that is done to determine the patient's capacity or competence to make decisions. The capacity assessment is carried out by medical practitioners. It is usually done when a patient is incapable of making decisions.
There are certain criteria that the medical team is likely to question. They are: Dax's ability to understand the risks and benefits Dax's ability to appreciate the full-force of his decision Dax's ability to give clear reasoning for his decision. In this case, Dax's ability to appreciate the full-force of his decision is what the medical team is most likely questioning if they decide to continue treating him.
This is because if Dax is incapable of appreciating the full force of his decision, he will not be able to make an informed decision concerning his treatment.
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Case 3:
Dr. Braydon performed a nasopharyngoscopy with an endoscope to check the patient’s adenoids and lingual tonsils
Dr. Braydon performed a nasopharyngoscopy with an endoscope to check the patient’s adenoids and lingual tonsils. This is referred to as a medical procedure that is used to examine the upper part of the throat, including the nose, pharynx, and larynx.
A nasopharyngoscopy with an endoscope involves inserting a flexible endoscope through the patient’s nostril, which is then guided to the throat. The endoscope has a camera on its tip that transmits real-time video to a screen where the doctor can observe the images. The procedure may be performed to help diagnose or treat various medical conditions, such as infections, tumors, inflammation, or blockages. It is also used to evaluate the effects of certain treatments and to obtain tissue samples for further examination. In the case of Dr. Braydon, he performed a nasopharyngoscopy with an endoscope to check the patient’s adenoids and lingual tonsils.
Adenoids are glands located behind the nose that help fight off infections. If they become swollen, they can cause breathing problems, snoring, and other symptoms. Lingual tonsils are located at the base of the tongue and can become inflamed, causing pain, discomfort, and difficulty swallowing. Dr. Braydon’s procedure helped him examine these areas more closely and determine if there were any issues that required further treatment.
Overall, a nasopharyngoscopy with an endoscope is a valuable tool that allows doctors to examine and diagnose a variety of conditions in the upper part of the throat.
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