KEY POINTS
The Only Acceptable Site for Neonate IO
The proximal tibia is the only site acceptable for intraosseous access in the neonate
As Per Append B the AVPU is Part of What Step
General
(General patient impression)
Non Traumatic Arrest MAX crystalloid fluid dose
2L
TELEMEMRY OPTION AND THATS IT NO STANDING
20mL/kg (2L)
Cardiopulmonary resuscitation in a neonate is performed with chest compressions and ventilations in a 3:1 ratio at a rate of
120 per minute (90 compressions, 30 ventilations)
Snakebite:
Keep affected site(s) _____ than heart as tolerated
Lower
What Defines an Unstable Dysrhythmia PEDIATRIC
Need Both the Symptoms and the Formula
Patient with a dysrhythmia associated with ANY of the following:
Depressed mental status and absent peripheral pulses • Hypotension (systolic blood pressure < 70 mmHg + [2 x age in years])
List Three of the 3 of 7 Criteria for Trauma Under Mechanism of Injury
Mechanism of injury • Ejection or partial ejection from an automobile • Death in the same passenger compartment • Need for extrication for an entrapped patient • Vehicle collision with > 12 inches of intrusion to the passenger compartment OR > 18 inches to any site • Rider separated from vehicle with significant impact • Falls > 10 feet • Pedestrian or bicycle rider thrown, run over or with significant impact
If intubation is confirmed with direct visualization, but unable to ventilate:
10.1 Note the depth of the endotracheal tube
10.2 Deflate the endotracheal tube cuff, if using a cuffed tube
THE NEXT STEP IS TO
10.3 Advance the endotracheal tube to its deepest depth
For a PEDIATRIC patient requiring procedural sedation, sedation for advanced airway management, including induction and/or sedation with an advanced airway in place, administer medication options according to______________________
the weight-based dosing for adult patients
For respiratory failure, assist ventilations at a rate of
10 breaths/min with supplemental oxygen
The Angle the Pt Should Lay at for the Modified Valsalva is
45 Degrees
Modified Valsalva is the preferred adult vagal maneuver. This is performed by having the patient lay supine with the head of bed elevated and blow through a straw or end of an empty, clean 10 cc syringe for 15 seconds followed by supine repositioning with 15 seconds of passive leg raise at a 45 degree angle
Burn Criteria
Fill in ALL the Blanks
Burns ≥ ___ of the total body surface area (TBSA)
Full thickness burns (3rd degree burns or higher)
≥ ___ TBSA
Burns ≥ 9% TBSA in the following patients: • Age
< __ years or > __ years
Presence of pre-existing diseases that may ______
15%
5%
5 65
Complicate Recovery
Lorazepam Dose Behavioral Emergencies
(Need Dose and Routes)
Lorazepam 0.1 mg/kg IM (maximum 4 mg) OR Lorazepam 0.1 mg/kg IV/IN (maximum 2 mg)
Asthma COPD Wheezing
Mag Sulfate Dose Peds
For PEDIATRIC patients, administer Magnesium Sulfate 50 mg/kg IV (maximum 2 g) diluted in 50-100 ml Normal Saline over 10 minutes
An EMT can assist with the pt's nitro____ times
3
If available, assist the patient with their prescribed Nitroglycerin SL for chest pain every 5 minutes as needed (maximum 3 doses) only if the patient’s SBP > 120 mmHg
Do not attempt to reduce which two types of patella dislocations
intra-articular or superior patella
APGAR score interpretation:
(Fill in the Blank)
8-10__________
5-7__________
3-4_______
0-2________
8-10 Normal
5-7: Need for supplemental oxygen
3-4: Need for assisted ventilation with BVM
0-2: Need for CPR
Protocols That Have 1 Liter of Crystalloid Fluid As Their Max
(Need Weather its Standing or Telem)
Nausea Vomiting- 1 Standing
Burns 1 Standing + 1 Telem
Traumatic Arrest - 1 Telem
Hyperglycemia 1 Standing 1 Telem
Neonate Resus
Provide supplemental oxygen, but do not perform ventilations or compressions, when ALL of the following are present
Respiratory rate > 30 breaths/min
Heart rate > 60 beats/min
Absence of central cyanosis
Stroke (Fill in the blank x2) (NO HALF CREDIT)
For BGL _____ mg/dl, treat accordingly and perform the following: For neurological symptoms that have resolved after appropriate hypoglycemia treatment, transport patient to ___________
<60
the closest appropriate 911-receiving hospital
Do not reimplant the tooth if the patient has any of the following conditions
Altered mental status • Requires transportation in a supine position • Alveolar bone/gingiva are not present or if the root is fractured • Immunosuppression or if the patient has a cardiac condition requiring antibiotics prior to procedures
What is the Total Number of STEMI Hospitals within the REMAC System
34
If multiple doses of NAAK are required, how should you administer them
Rapid Succession
Abnormal Vital Signs For Sepsis
6 Total Things in the Chart
High heart rate (age dependent)
High respiratory rate (age dependent)
Skin: Tactile fever OR hypothermia; OR temperature > 100.4°F (38°C), if thermometer is available
Altered mental status (lethargy, irritability)
Poor perfusion
Need for high concentration oxygen
Behavioral
Providers may participate in physically restraining a patient when it becomes necessary to protect the patient or others from harm. Providers shall only use..................(what does the two bullet points below say)
The minimal amount of force required to effectively restrain the patient and protect them (and others) from harm
Soft restraints (such as towels, triangular bandages, or commercially available soft medical restraints) to restrain the patient to the stretcher