It's the frontline drug given for STABLE SYMPTOMATIC BRADYCARDIA with dose, route, and frequency.
What is 0.5mg ATROPINE IV every 3-5 minutes?
These are Indications for RSI.
What are:
Impending Airway Compromise?
Failure to Oxygenate?
Failure to Ventilate?
Failure to protect the Airway?
This is an acceptable BIAD to use for a pediatric patient who is 10-25kg.
What is a Size 2 IGel?
The rhythm seen here.
What is MONOMORPHIC VENTRICULAR TACHYCARDIA?
This is a 6yr old patient who is 20kg w/ a bgl of 35. Pt is lethargic, pale, and diaphoretic. SpO2% is 94 and Blood Pressure is 94/60 Unable to give oral glucose. These interventions should be performed.
Oxygen
0.5-1g/kg or 5-10mL/kg
1g/kg=20g total given
which would be 200mL
It's the drug given to Pediatric Diabetic Hypoglycemia at the Advanced level. (Drug Dose/Route/Administration)
What is D10?
0.5-1G/kg or 5-10mL/kg
Can be repeated based on bgl results.
These are the basic needed ingredients (equipment) for intubating a patient successfully.
What is:
2 Paramedics (RSI)
BVM
Oxygen Source
Suction
BIAD
Blade and handle
Tube with Securing Device and Inflation syringe
Stylette/Bougie
Co2 monitor
What is Epinephrine 1:10,000
0.01mg/kg IV/IO with a Max of 1mg
every 3-5 minutes?
The Rhythm seen here.
What is Supraventricular Tachycardia?
This patient is a 72 y/o Female with a history of osteoporosis and Atrial Fibrillation, who fell within the last 24 hours. She presents with Altered Mental Status, Unequal Pupils, her left leg is longer than her right and faces away from her body. The provider will inform the hospital of this, and provide these main interventions.
What is a Geri-Trauma?
C-Spine immobilization
Bind Hips
Consider Sedation if Combative
Consider Airway Management if necessary.
This drug is a depolarizing agent used in RSI protocol as a temporary paralytic. (Drug, Dose, and Route)
What is Succinylcholine?, IV or IO, 1.5-2mg/kg
It's the most reliable monitor of endotracheal tube position.
What is WAVEFORM CAPNOGRAPHY?

CPR should be started in pediatrics with a HR less than this, despite adequate ventilation and oxygenation.
What is 60bpm?
This drug is contraindicated in this situation specifically.
What is NITRO?
Right Sided STEMI:
Due to
Elevation III>II
Depression in V2
Elevation in V4R
This patient is a 38 y/o Female who was at a picnic. She presents with Audible Wheezing, Difficulty Swallowing, Pale Diaphoretic Skin, and Hypotension. Her family identifies that she has a bee sting allergy. Treatment is necessary for this condition and can generally requires these interventions.
What is an Allergic Reaction?
Epi 1:1000 0.3mg IM
Benadryl 25-50mg IV/IM/IO
Albuterol 2.5-5mg Nebulizer (up to 3 times)
Normal Saline Bolus 500mL IV/IO
Solumedrol 125mg IV/IO
Last effort Epi 1:10 0.2-0.5mg Slow IV/IO push
An alternative to Etomidate used in RSI protocol that is contraindicated in possible head injuries. (Drug/Dose/Route/Frequency)
What is Ketamine? 1.5-2mg/Kg, IV/IO, May be repeated x1
This is the proper size IGel for a 50-90kg patient.
What is Size 4?
The majority of Pediatric arrests are due to this.
What are AIRWAY PROBLEMS?
This is the frontline drug used in association with this rhythm. (Drug name, Dose, Route)
What is Magnesium Sulfate 2gm IV/IO over 2 minutes.
This is a 52 y/o Male who presents with Deep/Rapid breathing, Flushed Dry Skin, Combative behavior, and a beeping insulin pump. CBG reads : "HI". He is most likely suffering from this and will require these interventions.
What is DKA?
Normal Saline Bolus 500mL IV/IO may repeat up to 2L max
Possible Sedation for combative behavior
This drug is an Inotropic Agent used for pressure control in Symptomatic Hypotensive patients. (Drug Name, Dose, Route)
What is Dopamine IV/IO 5-20mcg/kg/min
or Norepinephrine IV/IO 2-30 mcg/min
or Epinephrine 1:100,000 5mcg (0.5mL)/2 minutes IV/IO
When is it acceptable for an Advanced to intubate a patient?
What is NEVER***
In Pulseless VTach/VFib, This is the dosage of Electricity required for defibrillation in pediatric patients.
What is 2J/Kg with increase to 4J/Kg
At an Advanced Level, this is the appropriate course of action for a person presenting with this EKG.
Send EKG to Hospital and notify them that EKG READS STEMI
Oxygen
IV Access
Aspirin 325mg
Beta Blockers? Erectile Dysfunction Meds?
Nitro if SBP >90 every 5 minutes as needed
Fluids for pressure support
As an advanced, you are not allowed to interpret EKG rhythms in Buncombe County
This is a 50 y/o Male who presents with Vertigo, Hypertension, Hemiparesis, and recent surgical history. Symptoms formed less than 4 hours ago. Hospital should be notified of this and these interventions should be performed.
What is a CODE STROKE?
Accurate RACE score
12 Lead EKG
IV Access
Consider Labetalol 10mg IV after consulting Medical Control, if Hypertension meets criteria after 3 BP readings 10 minutes apart.