BLS before ALS
With a positive BEFAST, I will check
Blood Sugar
Primary Stroke center
MWH, SRMC, CRMC
Cardiac arrest- ROSC pt. Still unresponsive but harder to BVM.
Yes- RSI if needed
Nitro dose
Paste 1inch, 0.4mg SL
My patient was found hypothermic/cold water drowning. Pulseless and apneic.
Full resuscitation required
Arriving first to an unresponsive patient
What is check for ABC
Code 27 when reporting to MWH
SANE RN is required
COPD or Asthma patients
Make every attempt NOT to intubate. Treat aggressively
How to make my own Epi push dose pressor
1ml of 1:10,000 in 9ml NS=1:100,000
1ml in 1L= concentration is 1mcg/ml
1ml of 1:1000 into 1L for infusion
Unable to ventilate or oxygenation the patient even after all attempts have been made.
Surgical Cric
Patient is placed in this position with SMR in place
Supine, on a padded stretcher
Minor is labeled at what age
Virginia law states 14years
Status epilepticus with copious amounts of vomit
Yes- avoid airway compromise or ingestion
Dose for ketamine
RSI- 2mg/kg
Pain management- 0.25mg/kg
My monitor reads **STEMI**
Immediate emergency transport. Call MWH(prior to leaving scene if possible), transmit, ALS.
Put this arm above the patients head when using soft restraints
Dominant arm
My patient is a DNR but no paper is found, these means could also be used in place of paperwork
Jewelry, On line physician, POST, MOST,POLST
CPAP placed, pt is now hypoventilation and unresponsive
Yes- Take off CPAP and intubate.
Contraindications for Toradol
Bleeding disorders, Trauma, Renal Failure, Allergy to ASA, Pregnancy
Burns involving face, hands, feet, genitalia, or major joints
Critical burns, pt needs to fly to burn center
Exposure to a radiological agent (HAZMAT has cleared)
Encapsulate the patient
Indications for TXA
Injury with hemorrhaging x3hr. 11yrs of age and older. Hypotensive and tachycardia.
Multisystem trauma with head injury. SYS below 90. Tachy at 150. Spo2 85%
No- Hypovolemic and hypoxic
Calcium Chloride is not compatible with this drug in the same IV line
Sodium Bi carb
A parent turns over a child up to 14days of life to EMS
Virginia Safe Haven law- Take the pt to the ER with as much information as possible from the parent.