Universal Patient Care
Target SpO2 for most acutely ill adult patients (except ACS or cardiac arrests)
What is 94-98%?
Mandatory confirmation for every intubation.
What is waveform capnography?
Two red-flag questions to ask yourself in suspected human trafficking.
What are "is someone else speaking for the patient?" and "Is someone holding onto their ID/Passport?"
First drug dose in VFib/Vtach after defibrillation.
What is Epi 1mg?
Protocol where FAST ED score is used.
What is Stroke Protocol?
The first step of every call - Identify hazards and wear reflective gear at night/roadways.
What is scene size up / PPE?
Maximum intubation attempts per patient.
What is two?
A patient must be this age (or emancipated) and have decision-making capacity to refuse.
What is > 18 years old?
Target EtCO2 during CPR.
What is >10-20mmHg?
Fluid bolus target in septic shock.
What is SBP >90 mmHg or MAP >65 mmHg?
GCS < 8 means that this is likely needed.
What is advanced airway protection/management?
Ventilation rate for adults NOT in cardiac arrest.
What is 12 breaths per minute?
This rule says service animals are allowed even if they have no vest or leash.
What is Special needs /Functional Needs (ADA rule)?
ROSC care - avoid this with oxygen.
What is hyperoxia (titrate to 94-98%)?
This is the #1 reversible cause of cardiac arrest in drowning.
What is hypoxia?
Minimum set of V/S for stable vs. critical patients.
What is at least TWO for stable; frequent for critical (every 5 minutes)?
This device is preferred for unconscious patients when BVM/BIAD/Intubation fails.
What is a surgical airway?
Documentation must include this scale plus AVPU/GCS for capacity.
What is Neuro exam + BGL (quick confusion scale)?
Bradycardia treatment if Atropine fails.
What is TCP?
Organophosphate poisoning (DUMBELS) - Treatment drug.
What is Atropine 2-4mg?
Daily Double
Routine use of these is NOT warranted; always drive safely.
What are lights and Sirens?
Ideal tidal volume during BVM or post-intubation.
What is 6-7mL/kg ideal body weight (minimal to see chest rise and fall)?
Daily Double
You CANNOT let a patient refuse if they have done this.
With this device your patient can be alert but pulseless and should not receive CPR.
What is a Ventricular Assist Device? (VAD)
TXA dose and indication in major trauma.