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Respiratory Arrest Case Teaching – Now, we’re going to take a look at the respiratory arrest case, and you are the ACLS team leader and you’ve come across a 25 year old male patient that appears to be unresponsive. A witness states that the person was wheezing and having a very difficult time breathing before they collapsed.
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The scene is safe and all personal protective equipment is in place. Now your first step is to make sure you’re practicing basic life support before we get into advanced life support. The first step is to verify if the patient is unresponsive. So you direct a team member to tap and shout.
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The patient does not respond, so you call the code team. Next you direct a team member to check for a pulse and for breathing. The patient is not breathing but does indeed have a pulse. The team member at the airway should place a basic airway adjunct and start rescue breathing with a bag valve mask at 15 liters per minute with oxygen.
The leader will direct the airway person to give 1 breath every 5 seconds. It’s important to look for good chest rise and fall to make sure that the breaths are effective. Next, the leader directs the defib monitor team member to get a set of vitals and attach the ECG monitor.
The vitals are blood pressure 100 over 70. Pulse is 120 and week. O2 sat is around 94%. The ECG shows a normal sinus rhythm. And since the ECG is normal, oxygenation is good, and the BP is stable, we’ll need to continue giving breaths and consider what caused the respiratory arrest.
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