SAFETY/SCENE/IDK
L.O.C
LOC - Level of Consciousness
A – Alert
V – Verbal
P – Pain
U – Unconscious
what are the 4 things to look for when checking the oxygen tank?
labeled OXYGEN, yellow diamond, USP sticker, and green tank
what are cpr standards for an ADULT? including how many EMR's on scene, age to be considered an adult, ratio, depth, position of head/neck, ventilations?
Age - Greater than 12
Ratio -
30:2 – one EMR
30:2 – two EMR's
Rate – 2 compressions per second (100-120 beats per min)
Ventilations – 1s --> 5-6 seconds
Depth – about 2-2.4 inches
CHILD AED - age, weight, and what pad needed.
8 or younger or less than 55 lbs
pediatric AED pad
when/ how do you use an NPA (Nasopharyngeal Airway)?
if you can't use the persons mouth
person must be unconscious
put lube on the tube
bevel goes straight up
ABC's
A – Airway
B - Breathing
C – Circulation
Nasal Cannula:
Liters per min, LOC, O2 level
1-6 liter per min
conscious
22-44% O2
what are cpr standards for an CHILD? including how many EMR's on scene, age to be considered an adult, ratio, depth, position of head/neck, ventilations?
Age - Less than 12
Ratio -
30:2 – one EMR
15:2 – two EMR's
Rate - 100-120 beats per min
Ventilations – 1s --> 3-5 seconds
Depth – less than 2 inches
Chest Thrusts
Place the thumb side of your fist against the center of the patient’s chest on the lower half of the sternum.
Then cover your fist with your other hand and pull straight back, providing a quick inward thrust into the patient’s chest
what is an OPA? when is it used?
Oropharyngeal Airway
person is unconscious
if person gags - take it out
P.E.R.R.L
what is a normal pupil in mm?
Pupils
Equal
Round
Reactive
Light
3mm
NonReBreather
Liters per min, LOC, O2 level
10 – 15 liters per min
conscious
up to 90%
what are cpr standards for an INFANT? including how many EMR's on scene, age to be considered an adult, ratio, depth, position of head/neck, ventilations?
Age - Less than 1
Rate –
30:2 – one person
15:2 – two people
Rate - 100-120 beats per min
Ventilations – 1s --> 2-3 seconds
Depth – 1.5 inches
Abdominal Thursts
Using one or two fingers to find the patient’s navel, make a fist with your other hand and place the thumb side of your fist against the middle of the abdomen, just above the navel.
Grab your fist with your other hand.
Give quick inward and upward thrusts.
Respiratory Arrest
1 ventilation every 5-6 seconds then check pulse and breathing every 2 min
if no pulse - begin CPR
SAFETY SCENE (1-6)
1. Check to see if scene is safe - (senses) environment
2. Assess number of patients and severity of injury/illness
3. Call 911 for more assistance
4. PPE's
5. Mechanism of injury
6. Spinal Injury
Resuscitation Mask
Liters per min, LOC, O2 level
6-15 liters per min
unconscious
25- 55% with a tank
16% - without a tank
Signs that someone could have an Opioid Overdose?
Pinpoint pupils
Respiratory depression
Unconsciousness or severe sleepiness
Cyanosis.
Track marks from intravenous drug
Prescription pill bottles, pipes, needles, syringes, pill powder or other drug-related items.
History of opioid drug abuse
R.O.S.T
Return of Spontaneous Circulation
what happens to pupils of a patient that has had an opioid overdose?
pin point
Cardiac Arrest (No Pulse)
2 ventilations that last 1 second each and make the chest begin to rise
BVM
Liters per min, LOC, O2 level
15 liters per min
unconscious
90% or higher
How much is in 1 dose of Narcan?
When can you deliver another dose of Narcan after you administered the first?
2mg intranasally
.4 mg intramuscularly
Repeat AFTER 4 min.
When drowning or other hypoxic events are suspected as the cause of cardiac arrest, what do you do first?
Deliver 2 initial ventilations, then perform CPR.
Out of Hospital Cardiac Chain of Survival
Recognition of a Cardiac Emergency and Activation of Emergency Response System
Early CPR
Early Defibrillation
Advanced Life Support
Integrated Post-Cardiac Arrest Care