Protocols
Per our NYS Protocol, what do we consider a pediatric patient?
"Have not yet reached their 15th birthday"
This is however a general guideline, and providers best judgement is to be used
What are the two types of diabetes
Type 1: Body does not make insulin, completely dependent on outside insulin (Born with it)
Type 2: Body makes insulin but the body doesn't respond appropriately to it (Develop it)
Ratio, Rate, Depth
30:2
100-120 bpm
1/3 depth
How many ASA can we administer
4, for a total of 324 mg
One, one is out of service. Officer side is currently capped.
Explain the steps to follow per your protocol immediately after delivering a child
-Clamp
-Cover
-Warm
-Only suction if stimulated and infant is still not breathing spontaneously or crying vigorously
What does Glucagon do
signals liver to release glucose, IM injection
Should we be performing continuous ventilations on a patient that has an oral airway in
No, AHA recommends against it. Stick to 30:2 until advanced airway is placed
What is an adult dose of epi
.3 mg
What order do the ladders go on the ladder rack of 313, and are they fly down or fly up?
(Top to bottom): 14, 24, 35
Fly side down
Explain how to assess a patient with a Total Artificial Heart to determine whether or not they need CPR (and if we perform CPR on them).
Refer to protocol
(I know we don't have glucometers) What blood sugar are we looking for to administer glucose per our protocol?
Below 60 mg/dL
With an advanced airway, what rate should we be ventilating a patient at
1 breath every 6 seconds
What SPO2 level do we need to intervene at?
Less than 92%
(Can also use to manage other signs of dyspnea)
....... So what are we calling that red pickup truck now
301
Explain how to assess a patient with a Ventricular Assist Device to determine whether or not they need CPR (and if we perform CPR on them).
Refer to protocol
What are some signs of hyperglycemia?
-Gradual Onset
-Kussmaul respirations
-Fruity/acetone breath
When do we perform CPR on an infant
Pulseless OR HR less than 60 with hypoperfusion
How many total doses of Narcan can we administer per standing protocol
2
..... So where are the mustang suits on the west side now?
2 on 313, 1 on the boat
List at least three criteria in our Obvious Death Protocol
-MOLST/DNR
-Body Decomposition
-Rigor Mortis
-Dependent Lividity
-Injury not compatible with life (eg decapitation, burned beyond recognition)
-Submerged in water greater than 1 hour
What are Kussmaul respirations and why do diabetics experience them
Deep, rapid, labored.
Body can't use the sugar in the bloodstream due to problem with the insulin. Body burns fats instead as an emergency backup, that produces ketones which are acidic. Body recognizes the acidity of the blood and initiates the deep respirations, attempting to "blow off" CO2 and reduce acidity of the blood
What are the two methods of performing CPR on an infant
-Two-thumb encircling Hands
-Heel of One Hand
Describe how Nitro helps during a heart attack
Sure
What kind of fire extinguisher do they carry in the cab of an airplane
Liquid Halon