Module 1: Principles of the Vortex Approach
'Transition to CICO Rescue' Quiz
Go
 
What is your first name?

 
Hi {{answer_56133828}}, before we start, let's check that you're ready for the quiz.

Have you completed the 'Best Effort at Lifelines' module? *

     
 
Sorry {{answer_56133828}}, you must complete the material on 'Best Effort at Lifelines' before attempting this Quiz. The material can be accessed via www.vortexapproach.org/training/learner

 
Great!

If you haven't already, take a look at the following pages of the Vortex website first.

When you're done, use the BACK button on your browser to return to this page. 

www.VortexApproach.org/cico

 
If you haven't already watched the Transition to CICO Rescue video, please do so now, before attempting the quiz.


 
Okay {{answer_56133828}}, looks like we're ready to get started.

The Vortex Approach emphasises the use of critical language - standardised communication in which specific terms or phrases have a clearly defined, mutually understood meaning. The following questions will help familiarise you with the critical language of the Vortex Approach.
 
Which of the following terms is used by the Vortex Approach to describe the emergency creation of an artificial passage between the anterior neck and trachea to restore airway patency in a can't intubate, can't oxygenate (CICO) situation. *


 
According to the Vortex Approach, the recommended pronounciation of the term CICO is: *


 
Your score so far is {{var_score}} out of a possible 2. Why don't you take a look at the beginning of the video again  {{answer_56133828}}, then review your answers.

 
Which of the following statements are true with respect to the concept of Transition to CICO Rescue. *


 
The term transition refers to the simultateous process of trying to prevent a CICO situation by having Best Efforts at each of the upper airway lifelines, and priming for CICO Rescue.

The initiation of priming signals the start of transition. This should occur before the occurrence of and declaration of CICO. 

If a CICO situation does eventuate then transition is completed with successful performance of CICO Rescue. This is not necessarily the case though. Since CICO is such a rare event, however, in the vast majority of situations in which priming (and therefore transition) are initiated, entry into the Green Zone via one of the upper airway lifelines may  mean that priming can stop.

Thus in most situations, transition will not culminate in a declaration of CICO. This should be expected and does not mean that the initiation of priming was inappropriate.

With this in mind {{answer_56133828}}, review your previous answer,

 
Which of the following statements are true with respect to the triggers for escalation of the CICO Status *


 
Which of the following statements are true regarding the defined actions for each level of the CICO Status *


 
Take another look at the CICO Status tool then review your answers to the previous questions.

 
According to the Vortex Approach, is this a CICO situation?

Best effort at three lifelines without entering the Green Zone, SpO2 70% and falling, patient tachycardic. No prospect of waking the patient.

     
 
According to the Vortex Approach, is this a CICO situation? 

Best effort at both endotracheal tube and face mask without entering the Green Zone, no attempt yet made at supraglottic airway. SpO2 40% and patient bradycardic 45/min. No prospect of waking the patient.

     
 
According to the Vortex Approach, is this a CICO situation?

Best effort at three lifelines without entering the Green Zone. SpO2 remains at 100% post preoxygenation. No prospect of waking the patient.

     
 
According to the Vortex Approach, is this a CICO situation?

Best effort at  endotracheal tube without entering the Green Zone. Best effort at Face Mask provides entry to the Green Zone. Decision made to try to place a supraglottic airway but unable to enter the Green Zone following a subsequent Best Effort at supraglottic airway. SpO2 40% and patient bradycardic 45/min. Patient not showing signs of waking.

     
 
Take another look at this graphic which articulates the criteria for declaring CICO and initiating CICO Rescue. 

Also note that in the last question face mask ventilation was only abandoned in order to make an attempt at supraglottic airway. There has not been an attempt at face mask yet that has not provided entry to the Green Zone.

Now review you last few answers.

 
Congratulations {{answer_56133828}}, perfect score on the 'Transition to CICO Rescue' Quiz.

Powered by Typeform