Care Flight Entrance Practice Exam

In adult ACLS, what is the first action after you identify that the patient has no pulse?

Defibrillate immediately Check pulse again Administer 1 mg Epinephrine Start CPR and attach monitor

Correct Answer:

Start CPR and attach monitor

Explanation:

When a patient is pulseless, the immediate goal is to preserve brain and heart perfusion as quickly as possible. The fastest and most effective way to do this is to start high-quality chest compressions right away while the defibrillator/monitor is brought in and applied. Attaching the monitor as you begin CPR lets you identify the heart rhythm and determine whether a shock is indicated, but you shouldn’t delay compressions waiting to decide or to deliver a shock. In other words, compressions must start immediately, with the monitor connected so you can act on the rhythm as soon as it’s known.

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