BLS OSCE

Question 1

Order of Actions (10)

Answer 1

1. Safety
2. A-E
3. Response
4. Backup
5. Airway
6. Breathing/Circulation
7. Defib
8. Chest Compressions
9. Ventilations
10. Rythm Check

Question 2

1. Safety

Answer 2

Ask is there any danger to you or the patient eg sharp objects, trip hazards

Question 3

2. A-E Assessment

Answer 3

Point where you perform A-E assessment before the patient becomes unconscious/unresponsive

Question 4

3. Response

Answer 4

-Verbally check if they response (hello, can you hear me, open your eyes if you can hear me) get CLOSE
-Check for touch/pain response using trapezial squeeze

Question 5

4. Backup

Answer 5

Must call for backup during OSCE otherwise you will continue to do BSL and fail OSCE

Question 6

5. Airway

Answer 6

-Manually open mouth to check for obstruction
-Secure airway with OPA/NPA
-Get out Oxygen?

Question 7

6. Breathing/Circulation

Answer 7

-Listen to breaths from mouth (very CLOSE)
-Feel carotid pulse
-Look at chest rising/falling
-Speak that you have got nothing from all of those things

Question 8

7. Defib

Answer 8

-At this point we have recognised they are in cardiac arrest
-Get out defib pads and attach each in appropriate positions
-Assess rhythm on machine as shockable or not
-If yes, compressions while charging
-Come off, clear oxygen say ‘top, middle, bottom’
-Shock
-CLOCK TIME on machine

Question 9

8. Chest Compressions

Answer 9

-Straight onto the chest with good compressions based on;
Rate, depth, location and recoil
-Can use metronome to keep in time

Question 10

9. Ventilations

Answer 10

-After 30 chest compressions, two ventilations
-Use C-E grip (bring face to mask)
-Small squeezes causing little rise in chest

Question 11

10. Rythm Check

Answer 11

-Straight back on chest compressions doing 30:2 ratio till two minutes have passed
-Check rhythm to see if shockable or not WHILE doing a pulse check at carotid artery
-Shock, if need be, then repeat with chest compressions