M.W. is a 70-year-old white woman with a medical history of hypertension, osteoarthritis, atrial fibrillation, and total hysterectomy who lives by herself in a two-story row home. She visits the….
Your patient is a 33 year old female who fell off the back of a motorcycle going approximately 20 MPH
Your patient is a 33 year old female who fell off the back of a motorcycle going approximately 20 MPH. Her respirations are irregular at 8 a minute. An OPA has been inserted and ventilations are being assisted with a BVM and 100% O2 at a rate and tidal volume of________________________. C-Spine precautions have been taken and she is packaged and moved to the ambulance where she stops breathing and there is no palpable pulse. CPR is started and the lead paramedic does a rapid sequence intubation. The BVM is attached to the ET tube and ventilations are restarted at a rate of ______________________________________________.
a. 10 to 12 breaths per minute. Tidal volume of just enough air to give adequate chest rise. / 8 to 10 breaths per minute without pauses in compressions.
b. 10-12 breaths per minute. Tidal volume of approximately 800 ml. / 5-6 breaths per minute with pauses for ventilation delivery over 1 second.
c. 12 to 20 breaths per minute. Tidal volume of just enough air to make the chest rise with each ventilation. / 10-12 breaths per minute with no interruption of compressions to deliver ventilations.
d. 5 to 6 breaths per minute. Tidal volume of approximately 600 ml. / 8-10 breaths per minute with pauses to deliver compressions.