Vitals
What is and detail the GCS scale
Glasgow Coma Scale, used to assess LOC in PTS
EYE OPENING 4-1
VERBAL 5-1
MOTOR 6-1
What is MOI/NOI?
Mechanism of injury- trauma
Nature of Illness- medical
When we use OPQRST?
Used when PT is experiencing pain
Dose for Nitroglycerine
SL tablet: 0.3-04.mg, 3-5 min apart, max 3 doses
SL spray: 1-2 sprays, 3-5 min apart, max 3 doses
What are we looking for in regards to checking circulation?
Pulse RRQ, BP, BGL, cap. refill, EKG, skin CCT
What is required of paramedics before approaching PTs?
BSI, scene safety, and PPE
What is SAMPLE?
Signs and Symptoms
Allergies
Medications
Pertinent past medical history
Last oral intake
Events leading up to
Dose for Dopamine HCL
5-20mcg/kg/min IV/IO infusion, titrate to PT response
What are the normal SpO2 and ETCO2 levels?
SpO2- 95-100%
ETCO2- 35-45mm Hg
After gathering your general impression of the PT, what comes next?
Consider (and call if needed) additional resources, C-Spine immobilization
What is OPQRST?
Onset
Provocation
Quality
Radiation
Severity
Time
Dose for Atropine, adult and pediatric
Adult- 0.5-1mg IV/IO, every 3-5 min, max 3mg
Pediatric- 0.02mg/kg IV/IO, max single dose 0.5mg; max child dose 1mg, max adolescent dose 3mg
While doing ABCs, what does E stand for?
Eyes/Exposure: check for PEARRLA, medical jewelery/devices, skin conditions (urticaria)
When does scene size begin?
When you get the call
What are the six rights?
Right:
-PT
-DATE (EXPIRATION)
-MEDICATION
-DOSE
-ROUTE
-DOCUMENTATION
Dose for Midazolam (Versed), adult and pediatric
Adult: 2.5mg IV/IO/IN, repeat 5 min if needed (hyperthermia); 0.1mg/kg IV/IO slow push (over 2 min), max 4 mg
Pediatric: 01.mg/kg IV/IO, max 1 mg (hyperthermia); 0.2mg/kg IM/IN, max 10 mg
Give all ABCs (Airway-Eyes/Exposure)
Airway: patent/ not patent
Breathing: RRQ, LS, SpO2, ETCO2, Ax muscle use, determine O2
Circulation: pulse RRQ, BGL, BP, cap. refill, skin CCT, EKG
Deformities: DCAP-BTLS, determine priority
Eyes/Expose: PEARRLA, medical devices/ jewelry, urticaria
Give the Scene Size-up
BSI/PPE
#, location of PTs
MOI/NOI
General Impression
Additional resources, C-spine consideration
What are types of pain Quality? (at least 3)
throbbing, shooting, stabbing, sharp, cramping, gnawing, hot/burning, aching, heavy, tender, splitting
Give the following information for Narcan:
CLASS
MECHANISM OF ACTION
INDICATIONS
CONTRAINDICATIONS
SIDE EFFECTS
DOSE
CLASS: opioid antagonist, opioid reversal agent, antidote
MECHANISM: competitive inhibition at opioid receptor sites; reverses respiratory depression and sedation due to opioids
INDICATIONS: complete/partial reversal of CNS and respiratory depression induced by opioids or synthetic opioids
CONTRAINDICATIONS: hypersensitivity/allergy
SIDE EFFECTS: seizures, N+V, PE, withdrawal symptoms, restlessness, dyspnea, hypo-/hyper-tension, dysrhythmias, diaphoresis
DOSE: ADULT- 0.4-2mg IV/IO/IM/ET; up to 4mg IN PEDIATRIC-0.1mg/kg IV/IO/IM/IN/ET, max 2mg IV/IN/IM/ET, max 4mg IN