Universal Protocal
Per UP 1, what is the minimum number of vital signs that must be obtained
What is two vitlas
What blood pressure is considered hypotensive for adults <65?
What is a systolic BP of 90 or less
What is a pediatric pt classified as?
What is less than 12 years of age or <49kg
Ondansetron should not be administered if QTc is greater than what?
What is 500 ms
What is the NS rate for a pt with a crush injury?
What is 1 Liter per hour IV / IO
What is the gold standard for monitoring any pt ever, especially related to a respiratory emergency?
What is ETCO2 monitoring
What is the acceptable SPO2 saturation for a BVM or Airway adjunct?
What is greater than 90%
How do you calculate pediatric blood pressure?
What is 70+2(age)
Promethazine is not to be given if the QTC complex is greater than?
What is 440 ms
When does the shock index become concerning?
When HR>SBP
How many IV attempts can you have before moving to IO (bone needle)?
What is 3
What are the four acronyms related to managing a difficult airway?
What is ROMAN/LEON/RODS/SMART
What are two or more body systems involved/ Epi 0.01mg/kg
What is the adult tachycardia synchronized cardioversion joules setting, Wide and Narrow?
What is Narrow and Regular: 100 J/ Narrow and Irregular: 200J for
What is Wide and Regular/Irregular: 200J
Why are external electrical burns so dangerous?
What is external burn from an electrical source may have extensive internal damage not seen. Or can cause cardiac dysrhythmias.
What is the preferred seizure medication of pediatric pts? What about for adults?
Midazolam 0.2 mg/kg (Maximum 5 mg) IM/ Lorazepam 1-2 mg IV/IM/IO, Midazolam 0.5 – 2.5 mg IV / IO 5 mg IM or 2 mg IN
What medication must be administered post-delivery of the baby? What medication should be administered if bleeding occurs no more than 3 hours after birth?
Oxytocin 10 IU IV/IM, TXA 1 gram
What is the max amount of mL per kg a pediatric pt can receive for a hypotensive emergency? What about sepsis?
60ml/kg and 30ml/kg
What is the first-line vasopressor for a pediatric suspected sepsis? What is the dose?
What is Norepinephrine at 0.1-2 mcg/kg/min
What are first-line medications for crush injuries?
Sodium Bicarbonate 50 mEq IV / IO, Pediatric: 1 mEq/kg IV / IO and Calcium Chloride 1 g IV / IO
What medication is now approved for behavioral sedation in pediatric patients?
What is Ketamine 4 mg/kg IM WITH ORDERS FROM MED CONTROL
What is the adult SIRS Criteria?
What is Temperature ≥ 100.4° F (38° C) Or ≤ 96.8° F (36° C) and Any 1 of the following: HR > 90/ RR > 20/ EtCO < 25 mmHg
What is considered a failed airway?
What is the inability to ventilate or oxygenate after 3 failed attempts
What is the appropriate joules to begin with for a pediatric defibrillation? What about cardioversion?
What is 2kj/kg, What is 1/kj, 2kj/kg then 4kj/kg
If a pt presents with signs of herniation, what is the appropriate ventilation rate and ETCO2 goal?
What is ventilate at 14 – 18 / EtCO2 between 30 - 35 mmHg