Module 1: Principles of the Vortex Approach
'Best Effort at Lifelines' Quiz
© Copyright Nicholas Chrimes 2017.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence.
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What is your first name? *

 
Hi {{answer_56102116}}, before we start, let's check that you're ready for the quiz.

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

www.VortexApproach.org/lifelines

 
If you haven't already watched the Best Effort video, please do so now, before attempting the quiz.

 
Okay {{answer_56102116}}, looks like we're ready to get started. First lets look at some of the critical language used by the Vortex Approach.

The Vortex Approach emphasises the use of critical language - standardised terms which are clearly defined, mutually understood and consistently used by the airway team. The following questions will help familiarise you with the critical language of the Vortex Approach.
 
What is the term used by the Vortex Approach to refer collectively to the three upper airway  techniques of face mask, supraglottic airway and endotracheal tube? *


 
Which of the following terms is used by the Vortex Approach to describe a single initial instrumentation of the airway that incorporates as many optimisations as possible to maximise the chances of first pass success? *


 
Which of the following definitions best describes the term Best Effort as used by the Vortex Approach?


 
{{answer_56102116}}, your current score is {{var_score}} out of 3.

Take a look at the terms used at the bottom of the Vortex implementation tool, then review your answers to the first few questions.

Remember that what constitutes a Best Effort is context dependent - only those optimisations thought to be of value in that situation should be implemented.

 
Great start {{answer_56102116}}! Now let's see how you go at recognising the icons for each of the optimisation categories.

This section will help you to associate each icon with the optimisation category it represents. Visualising these distinctive icons provides a prompt that makes it easier to recall the 5 optimisation categories, instead of just trying to remember words.
 
Which of the following is the icon for the Adjuncts category of optimisations? *






 
What category of optimisation does this icon prompt? *


 
What category of optimisation does this icon prompt? *


 
Which of the following is the icon for the Manipulations category of optimisations? *






 
What category of optimisation does this icon prompt? *


 
{{answer_56102116}}, your current score is {{var_score}} out of 8. Review the Vortex implementation tool below then try again.

 
Well done {{answer_56102116}}. You have a perfect score so far! Now let's think about what specific interventions fall under each of these headings.

The next section will help you to associate the interventions you normally undertake to optimise success at upper airway rescue with the optimisation categories defined by the Vortex Approach. This allows you to use these categories as structured prompts, provided by you and your team, to facilitate efficient achievement of a Best Effort at each lifeline.
 
Which of the following interventions fall under the category of Manipulations of the Head & Neck for potentially optimising Face Mask Ventilation? *


 
Inserting an oropharyngeal airway is classified under which category of optimisation for Face Mask? *






 
Which of the following interventions fall under the category of Adjuncts for potentially optimising Supraglottic Airway? *


 
Which of the following interventions fall under the category of Manipulations of the Device for Face Mask? *


 
Use of a video laryngoscope is classified under which category of optimisation for Endotracheal Tube *






 
Which of the following interventions fall under the category of Manipulations of the Head & Neck for Supraglottic Airway? *


 
Which of the following interventions fall under the category of Adjuncts for potentially optimising Endotracheal Tube? *


 
Which of the following interventions are potentially useful to optimise success at all three upper airway lifelines? *


 
{{answer_56102116}}, your quiz score is currently {{var_score}} out of a possible 27. Quickly review the optimisation matrix below, then try these questions again.

 
Outstanding! You have maintained a perfect score {{answer_56102116}}. Only a couple more questions to go.

The last two questions reinforce the structured approach to implementing optimisations that the Vortex Approach advocates in order to achieve a Best Effort at each upper airway lifeline.
 
Which of the following statements about attempts toward a Best Effort is true? *


 
Which of the following statements about declaring a Best Effort at a lifeline is TRUE? *


 
Just to clarify {{answer_56102116}}, while individual attempts to establish an airway may alternate between different lifelines (and this approach may often offer advantages), attempts at one particular lifeline may be also repeated 'back to back'. Thus attempts at different lifelines may  be implemented in any order, according to the airway operator's judgement in a particular clinical situation.

To be worthwhile, each additional attempt must increase the chance of entering the Green Zone by including optimisations that have not previously been tried for that lifeline.

All possible optimisations for a given lifeline do not need to be implemented (and this will usually be inappropriate) only those that address the challenges being faced in a particular situation. It is worth noting though, that muscle relaxation and an attempt by the most experienced, immediately available clinician should always be part of a best effort.

Although up to three attempts are allowed to achieve a Best Effort at each lifeline, the aim should be to use the minimum number of attempts possible. Ideally a Best Effort would be achieved and declared after only one attempt - but this is not usually feasible.

With this in mind, please review your last two answers.

Congratulations {{answer_56102116}}, you have a perfect score in the 'Best Effort at Lifelines' quiz. 

If you'd like more information on the Vortex Approach, visit the website using the link below.

Vortex Website
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