Possible Organ Donors
Direct Pressure,Tourniquet, Second tourniquet, Hemostatic agent/ Pressure dressing
What is Severe external Bleeding protocol?
If patient has no history of allergy to aspirin and has no signs of active bleeding (i.e., bleeding gums, bloody or tarry stools, etc.), then administer four (4) 81 mg chewable aspirin orally (324 mg total) is the first line of treatment in this protocol
What is chest pain protocol?
Appearance, work of breathing, and circulation of skin
What is the Pediatric Assessment Triangle?
This protocol calls for use of 4 mg Zofran ODT/IV
What is Nausea/ Vomiting protocol
This is a normal EtCO2 reading
What is EtCO2 at 35 - 45mm/hg?
Can develop in a patient with a sealed sucking chest wound, attempt to resolve by releasing air from the seal.
What is tension pneumothorax?
Albuterol 5.0 mg/ Atrovent 0.5 mg
Albuterol 5.0 /Atrovent 0.5 mg
10 mg Dexamethasone IV,IO,PO,IM
What is the bronchospasam protocol?
**Note that the dose of Albuterol is now DOUBLED.
100.4° F (38° C) or greater
What is medical definition of fever?
These are questions you should be asking pregnant patients
•Length of gestation?
• Number of prior pregnancies (gravida)?
• Number of prior pregnancies carried to term (para)?
• Previous cesarean sections?
• History of gynecologic or obstetric complications?
• Is there pain or contractions?
• Does patient feel the urge to push or have a bowel movement?
• Is there vaginal bleeding or discharge?
• Prenatal care?
• Multiple births anticipated?
The red phone
What is Treatment requires consultation with medical command?
Grey-Turner, Kehr's , and Cullen's
What are signs of abdominal trauma?
Patients needing this protocol will have rales or crackles on lung exam and may exhibit with JVD and/or peripheral edema and/or frothy sputum
What is Pulmonary Edema protocol?
Appearance (Skin color) ,Pulse rate, Grimace (Irritability), Activity (Muscle tone) , Respiratory effort.
What are the components of the APGAR score?
This SAFER mnemonic is used for behavioral emergencies.
What is....
• Stabilize the situation by containing and lowering the stimuli.
• Assess and acknowledge the crisis.
• Facilitate the identification and activation of resources.
• Encourage patient to use resources and take actions in his/her best interest.
• Recovery or referral: leave patient in care of responsible person or professional.
1. Falls:
Adults > 20 feet; Children >10 feet or 2-3 times the
height of the child.
2. High Risk Auto Crash:
Ejection
Intrusion, including roof: >12 inches, occupant site
>18 inches, any site
Death in same passenger compartment
Vehicle telemetry data (if available) consistent with
high risk of injury
3. Auto vs. Pedestrian/Bicyclist thrown, run over, or with
significant impact (≥ 20 mph)
4. Motorcycle or ATV crash > 20 mph
What is P2 mechanism criteria?
1. Superficial and partial thickness: Adult >18%, Child >9%
2. Full thickness >2%.
3. Partial or full thickness of: face, neck, hands, feet, genitalia
4. Suspected or positive airway involvement.
5. Electrical burns.
6. Circumferential burns or associated injuries.
What is the criteria for major burns?
Your pt is unable to talk, cough, or has weak ineffective cough. According to the airway obstruction protocol what should be your appropriate treatment.
Deliver repeated abdominal thrusts until obstruction relieved or victim becomes unconscious.
*For patients <1 year of age, do alternating 5 back blows and 5 chest thrusts.
*Chest thrusts are preferred on advanced pregnancy and marked obesity.
BLS
0.3 mg IM
ALS
0.3 mg IM for patients > 30 kg
0.15 mg IM for patients < 30 kg
What are the pediatric dosages for epinephrine administration for allergic reaction?
Cholinergic poisoning symptoms
Possible agents include Pesticides(Organophosphates,Carbamates) and nerve gas agents(Sarin, Soman) are the most common exposures.
S – Salivation
L – Lacrimation
U – Urination
D – Defecation
G – Gastrointestinal cramping
E – Emesis
Heart Rate Typically >150 bpm and one of the following:BP < 90 mm/Hg or Altered Level of Consciousness
What is cause for immediate synchronized cardio version.
100 J or equivalent biphasic. If no conversion then repeat with 200 J, 300 J, 360 J
Increasing BP, bradycardia, decreasing GCS, dilation of one pupil, paralysis, and decerebrate or decorticate posturing.
What are signs of impending Central Nervous System herniation?
When using this ALS medication remember to "USE CAUTION IN PATIENTS WITH ASTHMA AND COPD DUE TO BETA BLOCKING ACTIVITY."
What is Labatelol 10 mg slow IV push for Severe Hypertension?
Pediatric Defibrillation settings for first and subsequent shock.
What is 2 joules/kg and 4 joules/kg?
AEIOU-TIPS
What is possible causes of unconsciousness or altered mental status (AEIOU-TIPS):
A Acidosis, alcohol
E Epilepsy
I Infection
O Overdose
U Uremia (kidney failure)
T Trauma, tumor
I Insulin
P Psychosis
S Stroke
9 contraindications to CPAP useage
1. Respiratory arrest.
2. Hypotension (Blood pressure < 90 systolic).
3. Suspected pneumothorax.
4. Patient has a tracheostomy.
5. Foreign body airway obstruction.
6. Facial deformity or trauma causing inability to achieve mask seal.
7. Actively vomiting.
8. Recent facial, neurological, or gastric surgery.
9. Chest, head, or face trauma.