Red stuff
These are the ONLY people permitted to take blood out of the ED Blood Fridge
Who are the ED Techs
This induction agent acts as a dissociative when used during sedation/intubation
What is Ketamine
Where should the MTP blood cooler always remain?
With the patient
This must always be done before giving paralytics to prevent awareness during paralysis
What is administer the induction agent FIRST!
Documentation of this vital sign is most frequently missed
What is temp
This medication should be considered after each round of MTP. Dose/route/duration
What is Calcium Gluconate.
1-2 grams/IV/10 min to gravity
This induction agent is preferred in unstable patients because it maintains blood pressure.
What is Ketamine
How often is RN required to re-assess the need to continue or discontinue restraints?
Hourly
This MUST be performed prior to beginning any sedation procedure.
What is a time out
These patients (specific age group) MUST be weighed upon arrival to the ED
What is 12 years and below
These 3 blood products and one IVF MAY be given through the Rapid infuser
What are:
NS, Whole Blood, RBC's, FFP
This induction agent has a rapid onset but can cause hypotension, making it less ideal in unstable patients
What is propofol
Initial infusion rate (first 15 minutes) for non-emergent RBC's
What is 60-120 ml/hour
Where can you NEVER waste medication in the pyxis?
What is "under STAT ed patient"
An 8-year-old is placed in restraints at 1530. When does the order "expire"?
What is 1630?
Adults (18 and over): 4 hours
Adolescent (9-17): 2 hours
Peds (less than 9): 1 hour
This type of trauma creates less obvious signs
What are blunt force traumas
This paralytic has a much longer duration (up to an hour), increasing the risk of awareness if sedation isn’t continued
What is Rocuronium
This type of bleed is easy to go undetected initially during a trauma workup
What are retroperitoneal bleeds
This is THE only time PRN orders for restraints are allowed.
NEVER
For patients receiving continuous infusions of vasoactive medications, vital signs must be documented every:
What is 15 min.
(Bonus points: Name 8)
*For patients receiving continuous infusions of vasoactive medications, vital signs must be documented before and after any titration of the medication, in addition to the every 15 minute requirement.
The most commonly injured organ in trauma
What is the liver
This paralytic should be avoided in patients with burns older than 48 hours due to the risk of life‑threatening hyperkalemia
What is succinylcholine
According to UVMMC trauma standards, this is the required frequency for documenting a patient’s GCS.
On admission and every hour if initial GCS <12. Otherwise, every two hours or if there is a change in neuro status.
According to our ED practice guidelines, these three things must be done when administering intravenous opiates or benzodiazepines or sedation:
Patients must be placed on pulse oximeter monitoring
BOTH side rails must be up
Call bell within reach (always)
*(all for ONE hour after admin the med)
What must be typed into the pyxis to remove an RSI kit?
What is Intubation