Trauma
Becks triad
Muffled heart tones
JVD
Narrowing pulse pressure/hypotension
*Seen in cardiac tamponade*
HELLP
Hemolysis, Elevated liver enzymes, low platelets
HEAVEN criteria
Hypoxemia
Extremes of size
Anatomic disruption/obstruction
Vomit/blood/fluid in airway
Exsanguination
Neck mobility
Lift information for aircomm/fresno dispatch (4 things)
Souls
Fuel
Risk
ETA
What RSI medications are paramedics allowed to push
None
TXA dose (Bolus and infusion)
1g/100ml NS over 5 minutes
1g/500ml NS over 8 hours (60ml/hr)
APGAR
Activity, pulse, grimace, appearance, respirations
Succ dose and contraindications (at least 3)
1.5-2mg/kg
Hyperkalemia
Crush or traumatic injuries > 2 days old
Spinal cord injury > 2 days old
Burn injuries > 24 hours old
Renal failure
Known history of malignant hyperthermia
Neuromuscular disorders
Penetrating eye injuries
Calcord channel
Blood pressure goal for a non-traumatic subarachnoid hemorrhage
SBP <140mmHg
Bolus (2-4ml/kg*BSA)/2 over 8 hours
Infusion (2-4ml/kg*BSA)/2 over 16 hours
Neonatal resuscitation epinephrine dose
.01mg/kg (.1mg/ml) IV/IO q3-5min
Push dose pressor doses and indications
Trauma: Vasopressin 2 units q 2minutes until SBP >90
Non-trauma: Phenylephrine 200 mcg q 2 minutes until SBP >90
Max girth for fixed wing transport
52 inches
Blood pressure goal for ischemic stroke patient post TPA
<180/105mmHg
Treatment for crush injury of a single extremity >2 hours (peds and adults)
LR open wide (prior to extrication)
1 amp of sodium bicarbonate (50 mEq)
Peds
1 mEq/kg for bicarb, 20ml/kg for LR
Treatment for active seizure in pregnancy
4g magnesium sulfate over 20 minutes
40mg/kg keppra (max 2g) over 10 minutes
if >2 minutes then
5mg IV or 10mg/IO Versed
2mg - 4mg Ativan
Tube placement confirmation
Direct visualization, wave form capnography, bilateral breath sounds, negative epigastric sounds, bilateral chest rise and fall
Oxygen tank and associated minimum oxygen requirements per aircraft
H1 - M tank/1200
H2 - LOX/3.5 total
AP 1 - M tank/1200
Who should get put on pressure control
Pediatric patients <10kgs
Any patient with lung compliance issues (PIP >35 and PPlat >30)
Components of blood documentation (5 items)
Type of blood product
Unit #
Time of initiation/completion
Volume infused
Vital signs including temp
Causes of late decelerations
Uteroplacental insufficiency caused by
- maternal supine hypotension
- tetanic contractions
- umbilical cord prolapse
- epidural anesthesia
ETCO2 range for head injured patients
30-35 mmHg
Sterile cockpit
Only talking about critical flight issues during taxi, take off, climb, decent and landing.
Signs of herniation (4)
Unilateral pupil dilation
Non reactive pupil
Decrease in GCS of 2 or more in a pt with a GCS of <9
Spontaneous posturing