ALS/ACLS - Team Response Scenario - Javier Hernandez
[2022] COMPLETE SOLUTION
This is the rhythm that the telemetry technician observed on the cardiac monitor at the central
telemetry station. What is your interpretation of the rhythm on the cardiac monitor? Correct
Answer: Sinus Bradycardia
Based on the primary assessment findings, what additional actions should the team take? Correct
Answer: 1. Ensure vascular access and administer atropine.
2. Administer supplemental oxygen.
Three minutes after the initial dose of atropine is administered, Mr. Hernandez's heart rate has
increased slightly to 34 bpm, but there is no change in his clinical condition. How should Dr.
Hudson direct the team's next actions? Correct Answer: 1. "Valerie, please administer a second
dose of atropine."
2. "Haley, please attach defibrillator/pacing pads."
What has the rhythm changed to? Correct Answer: Ventricular tachycardia
What is the appropriate next action for the team to take at this time? Correct Answer: Check for
responsiveness, breathing and a pulse.
Mr. Hernandez is found to be unresponsive, with no pulse and no breathing. What is the
appropriate next intervention? Correct Answer: Begin CPR and administer one shock.
After one shock and 2 minutes of CPR, the rhythm check reveals no change in the rhythm. What
is the appropriate next intervention? Correct Answer: Resume CPR, administer one shock and
administer epinephrine.
As team leader, Dr. Hudson is responsible for monitoring CPR quality. Which of the following
actions are necessary to ensure high-quality CPR? Correct Answer: 1. Minimizing interruptions
to compressions.
2. Providing compressions that are at least 2 inches (5 centimeters), but not more than 2.4 inches
(6 centimeters), deep.
3. Providing compressions at a rate of 100 to 120 per minute.
4. Avoiding excessive ventilations.
Mr. Hernandez remains in pulseless ventricular tachycardia. What is the appropriate next
intervention? Correct Answer: Resume CPR, administer one shock and administer amiodarone.
The team resumes CPR, delivers a third shock and administers amiodarone, 300 mg IV push. At
the next rhythm check, the monitor displays this rhythm. What action should the team take next?
Correct Answer: Check for a pulse.
[2022] COMPLETE SOLUTION
This is the rhythm that the telemetry technician observed on the cardiac monitor at the central
telemetry station. What is your interpretation of the rhythm on the cardiac monitor? Correct
Answer: Sinus Bradycardia
Based on the primary assessment findings, what additional actions should the team take? Correct
Answer: 1. Ensure vascular access and administer atropine.
2. Administer supplemental oxygen.
Three minutes after the initial dose of atropine is administered, Mr. Hernandez's heart rate has
increased slightly to 34 bpm, but there is no change in his clinical condition. How should Dr.
Hudson direct the team's next actions? Correct Answer: 1. "Valerie, please administer a second
dose of atropine."
2. "Haley, please attach defibrillator/pacing pads."
What has the rhythm changed to? Correct Answer: Ventricular tachycardia
What is the appropriate next action for the team to take at this time? Correct Answer: Check for
responsiveness, breathing and a pulse.
Mr. Hernandez is found to be unresponsive, with no pulse and no breathing. What is the
appropriate next intervention? Correct Answer: Begin CPR and administer one shock.
After one shock and 2 minutes of CPR, the rhythm check reveals no change in the rhythm. What
is the appropriate next intervention? Correct Answer: Resume CPR, administer one shock and
administer epinephrine.
As team leader, Dr. Hudson is responsible for monitoring CPR quality. Which of the following
actions are necessary to ensure high-quality CPR? Correct Answer: 1. Minimizing interruptions
to compressions.
2. Providing compressions that are at least 2 inches (5 centimeters), but not more than 2.4 inches
(6 centimeters), deep.
3. Providing compressions at a rate of 100 to 120 per minute.
4. Avoiding excessive ventilations.
Mr. Hernandez remains in pulseless ventricular tachycardia. What is the appropriate next
intervention? Correct Answer: Resume CPR, administer one shock and administer amiodarone.
The team resumes CPR, delivers a third shock and administers amiodarone, 300 mg IV push. At
the next rhythm check, the monitor displays this rhythm. What action should the team take next?
Correct Answer: Check for a pulse.
