RQI ACLS
• You are caring for a patient with a suspected stroke whose symptoms started 2 hours
ago.
• The CT scan was normal, with no signs of hemorrhage.
• The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient? - ANS - Start fibrinolytic therapy as
soon as possible
A patient has a witnessed loss of consciousness. The lead I ECG reveals this rhythm.
Which is the appropriate treatment? - ANS - Defibrillation
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents
with the lead I ECG rhythm shown here.
Which is the appropriate treatment? - ANS - Performing synchronized cardioversion
A patient in stable narrow complex tachycardia with a peripheral IV in place is refractory
to the first dose of adenosine.
Which dose would you administer next? - ANS - 12 mg
A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a heart rate
of 190/min. The patient's lead I ECG is displayed here
Which best characterizes this patient's rhythm? - ANS - Unstable Supraventricular
Tachycardia
EMS providers are treating a patient with suspected stroke. According to the Adult
Suspected Stroke Algorithm, which critical action performed by the EMS team will
expedite this patients care on arrival and reduce the time to treatment? - ANS -
Provide prehospital notification
In addition to clinical assessment, which is the most reliable method to confirm and
monitor correct placement of an endotracheal tube? - ANS - Continuous Waveform
Capnography
• You are caring for a patient with a suspected stroke whose symptoms started 2 hours
ago.
• The CT scan was normal, with no signs of hemorrhage.
• The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient? - ANS - Start fibrinolytic therapy as
soon as possible
A patient has a witnessed loss of consciousness. The lead I ECG reveals this rhythm.
Which is the appropriate treatment? - ANS - Defibrillation
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents
with the lead I ECG rhythm shown here.
Which is the appropriate treatment? - ANS - Performing synchronized cardioversion
A patient in stable narrow complex tachycardia with a peripheral IV in place is refractory
to the first dose of adenosine.
Which dose would you administer next? - ANS - 12 mg
A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a heart rate
of 190/min. The patient's lead I ECG is displayed here
Which best characterizes this patient's rhythm? - ANS - Unstable Supraventricular
Tachycardia
EMS providers are treating a patient with suspected stroke. According to the Adult
Suspected Stroke Algorithm, which critical action performed by the EMS team will
expedite this patients care on arrival and reduce the time to treatment? - ANS -
Provide prehospital notification
In addition to clinical assessment, which is the most reliable method to confirm and
monitor correct placement of an endotracheal tube? - ANS - Continuous Waveform
Capnography
