Question

After the first 15 seconds of PPV, you do the first heart rate assessment. The heart rate is not increasing, and the chest is not moving.

What should you do?
a) continue PPV and assess heart rate in 25 seconds
b) begin compressions immediately
c) begin Mr. SOPA ventilation and corrective steps immediately
d) continue PPV and assess heart rate in 15 seconds

Answer 1

The correct action is to start Mr. SOPA ventilation corrective steps immediately for ineffective PPV with no increase in heart rate and no chest movement, and if unsuccessful, proceed to CPR.

Step-by-step explanation:

When administering positive pressure ventilation (PPV) and noticing no increase in heart rate and no chest movement, the correct action is to begin ventilation corrective steps immediately. This is referred to as the Mr. SOPA approach, which stands for Mask adjustment, Suction the airway, Open the airway, increase Pressure, and Airway alternative maneuvers. The reason for these steps is that ineffective ventilation can lead to inadequate oxygenation and a non-rising heart rate, both of which require prompt correction. If these corrective steps are unsuccessful in establishing effective ventilation and the heart rate remains low, then CPR with chest compressions should be initiated following current guidelines, which emphasize high-quality, regular chest compressions to maintain blood flow in the absence of a spontaneous heartbeat.