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ACLS Case Scenarios
ACLS Case Scenarios
1) You are shopping at a grocery store and an elderly lady in the produce section suddenly grimaces, grabs her chest, and falls to the floor. You and a few others hurry to her side and she quickly becomes unresponsive.
Appropriate Action:
Initiate CABD.
Have one onlooker call for help.
Have another onlooker retrieve the AED.
Look, listen, and feel for breathing.
[Patient is not breathing.]
Assess for pulse.
[Patient has no pulse.]
Begin 2 person CPR.
[Have the student explain the steps of 2 person CPR.]
[Onlooker arrives with the AED.]
Initiate appropriate use of the AED.
[Have the student explain the correct use of the AED.]
[After the AED analyzes the patient a shock is recommended.]
Assure onlookers and yourself are clear of the patient.
Initiate shock.
Follow instructions of the AED until the arrival of medical transport.
2) You are just returning from lunch to the ER and you hear a code blue being initiated in bay 2. You run to the bay to find a patient confused, obtunded, and lethargic in the bed. Oxygen by NC, ECG, and IV access are already established. The nurse is unable to cycle a blood pressure. When assessing the ECG you see:
What should you do next?
Initiate CABD and ABCD.
[Patient is breathing.]
[Faint pulse is felt approximately 35 times a minute.]
Initiate transcutaneous pacing.
[Central line access is established.]
Initiate transvenous pacing.
3) You enter your friends house to find their elderly grandmother staring at the wall and leaning to their side.
[Have student identify signs of stroke.]
[Have student perform prehospital stroke assessment.]
Assess for unusual speech.
Assess for facial drooping.
Assess for arm drift.
Attempt to establish a history of onset and events.
Transport patient to hospital.
Check patient’s blood glucose.
[Have student explain appropriate medical interventions for this patient.]
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