During ALS Step 5, after each 2-minute cycle of BLS, what actions are performed?

During ALS Step 5, after each 2-minute cycle of BLS, what actions are performed?

• A. All of the above
• B. Change Compressors
• C. Evaluate for ROSC
• D. Evaluate ECG

Answer: (D)

After every two minutes of chest compressions, the key step is to reassess the rhythm on the ECG monitor and look for signs of return of spontaneous circulation. The ECG guide tells you whether the rhythm is shockable and whether there’s any evidence that the patient has regained circulation, which directly informs whether you should deliver a defibrillation shock, administer medications, or resume CPR. In real practice, you also rotate the compressor to maintain high-quality compressions and continuously monitor for ROSC, but the essential action being tested here is using the ECG to guide the next steps after each CPR cycle.

After every two minutes of chest compressions, the key step is to reassess the rhythm on the ECG monitor and look for signs of return of spontaneous circulation. The ECG guide tells you whether the rhythm is shockable and whether there’s any evidence that the patient has regained circulation, which directly informs whether you should deliver a defibrillation shock, administer medications, or resume CPR. In real practice, you also rotate the compressor to maintain high-quality compressions and continuously monitor for ROSC, but the essential action being tested here is using the ECG to guide the next steps after each CPR cycle.