Respiratory Distress
What is the maximum LPM at which we administer a non-rebreather?
15
"Obtain a Pulse Oximeter reading. Provide appropriate supplemental oxygen titrated to greater than __%."
92
"Obtain a blood sugar level. If the blood sugar is less than __mg/dl and the patient is alert and able to protect their airway, use oral glucose 15-24 grams."
60
"Ventilations should be just enough to see ____ ____."
Chest rise
"For suspected unstable _____ fractures, apply pelvic compression device per manufacturer instructions. If an appropriate pelvic compression device is not available, use a sheet to apply compression."
Pelvic
In adults, "If patient's heart rate is less than ___ beats per minute, and if appropriate, assist the patient with their own nebulizer as prescribed by the patient's physician, up to a 2-unit dose. Connect nebulizer to an oxygen source at 8 liters per minute."
150
"Do not exceed 3 doses given __ to __ minutes apart."
3 to 5
"If a paramedic unit is not available, initiate transportation to a CT capable, _____ certified** medical facility..."
"Ventilate at __-__ breaths per minute to decrease intra-thoracic pressure."
8-10
"If pain management efforts are unsuccessful, consider the administration of acetaminophen ____ mg PO (Tablet or Liquid)."
1000
In pediatrics, "If patient's heart rate is less than ___ beats per minute, and if appropriate, assist the patient with their own nebulizer as prescribed by the patient's physician. These include albuterol, levalbuterol and Combivent. Connect nebulizer to an oxygen source at 8 liters per minute."
180
"Do not administer aspirin if the patient reports an allergy to aspirin or other _______."
NSAID's
"If the patient is unresponsive or not alert enough to protect their own airway, paramedics or hospital personnel will need to administer ________ glucose in order to avoid aspiration."
Intravenous
VERY IMPORTANT - "No procedure should slow or stop _______."
Compressions
Visual disturbance, aphasia, neglect
"_____ airways are contraindicated in infants and small children. Assess the size of the nares and the proper length of the adjunct, as not to occlude the airway."
Nasal
"If the patient has their prescribed nitroglycerin and their systolic blood pressure is greater than __mm Hg, assist or give the patient nitroglycerin as prescribed."
90
Special considerations for causes of altered mental status have the acronym "AEIOU TIPS". Name two of those causes.
A - Alcohol and abuse. T -Trauma, temperature. E - Epilepsy, electrolytes, encephalopathy. I - Infection I Insulin. P - Poison, Psychogenic. O/U - Opiates, overdose Uremia. S - Shock, seizure, stroke, space occupying lesions, SAH.
"Complete a minimum of __ minutes of high-quality CPR performed by initial arriving EMS professional on scene before moving patients or initiating transport, unless the use of a mechanical chest compression device has been established and is providing effective compressions."
20
For Penetrating Trauma (Gunshot, knife or impaling injury to the neck, torso, or proximal extremity): Scene time: goal less than __ minutes"
5
"Consider obtaining a carbon monoxide reading, if greater than __, apply oxygen."
5
"Administer/assist the patient with taking uncoated Aspirin up to ___mg."
325
"If after __ minutes the patient continues to be symptomatic, re-determine blood glucose level and administer a second dose of oral glucose 15-24 grams if glucose is still below 60mg/dl and patient is alert and able to protect their own airway."
10
"Ensure complete _____ of the chest wall prior to the next compression."
Recoil
"Patients with GCS less than __ or exhibiting new onset paralysis or paresis: consider direct transport to a Level I or II Trauma Center (Maryland Level III) with neurosurgical capabilities."
13