Medications
Adenosine
The limit for on scene time in trauma management is
<10 minutes
The first step in a confirmed cardiac arrest patient is
Continued Chest Compressions at a rate of 100-120 bpm
The method(s) for clearing an airway in a conscious patient less than the age of 1
Chest thrust and back blows
A following meds may be given via the ETT
NAVEL
Naloxone
Atropine
Vasopressin
Epi
Lidocaine
How many mcg/kg is the dose for Fentanyl in an adult patient.
1 mcg/kg IV/IO/IM/IN
For tourniquet failure you should do what
Place a second tourniquet adjacent to the initial tourniquet
This drug is given at an initial dose of 300 mg IV/IO and may be repeated how many times and at what dose
Amiodarone, may repeat once at 150 mg
The "5 rights" of medication administration
Right patient
Right drug
Right dose
Right route
Right time
CMS is the approved abbreviation for what
Circulation, movement, sensation
This medication is used for nausea and/or vomiting and given at a dose of 4mg PO/IV/IM
Zofran (Ondansetron)
Crush syndrome in the adult patient should receive what dose, and type, of fluids
NS 20ml/kg IV/IO
Hyperkalemia presents as what on the EKG and in what type of patients
Wide QRS or tall T-waves BEFORE the arrest. Typically found in dialysis, renal failure or hyperkalemia
What 2 drugs can be considered PRIOR to cardioversion, (if BP allows)
Midazolam, 2mg IV/IO, (5mg IM)
Fentanyl 25-50 mcg IV/IO/IM/IN
A paramedic must assess a patient within how many minutes of patient contact
3 minutes
3 indications for Amiodarone
Pulseless VF/VT
Post-VF/VT cardiac arrest resuscitation
Wide Complex tachy-dysrhythmias including VT
Situation where EMS resources are overwhelmed and lives will be lost without triage
Mass/Multiple Casualties (MCI)
In the airway management you should maintain and SpO2 of what
93%
Name the 7 indications for a 12-lead ECG
Chet pain, thoracic back pain, SOB or syncope
Sx concerning for cardiac origin, (diaphoresis, nausea, etc) especially if diabetic or elderly
ABD pain above the umbilicuc in adluts
CHF or acute PE
Any OD with potential cardia effects
Suspected CVA
After cardioversion
The 3 components of the GCS
Eyes
Verbal
Motor
Adult dose for Cardizem
0.25 mg/kg IV over 2 minutes. Max individual dose 20 mg
May repeat x 1 in 10 minutes PRN
In a traumatic arrest, what 2 things should be considered after the initiation of CPR
Pelvic Binder and Bilateral chest decompression
In airway management what drug is given if there is a concern for bronchospasm, COPD/Asthma) and in what dose
Albuterol 2.5mg nebulized
Name the 6 positions/roles in the CPR-Pit Crew
Compressor, right side
Compressor, left side
Airway
Team Leader
Access/Meds
Code Commander
When administering meds via the atomizer the minimum and maximum amount of fluid is
0.3 ml to a max of 1 ml per nare