The patient's GCS deteriorates in flight. The GCS is now 5 and you decide to RSI. The patient weighs approximately165 lbs. Calculate the appropriate dosage of Succinylcholine.
113-150 mg
A 220 lb. construction worker has fallen approximately 75 feet. He has sustained multiple long bone fx, chest trauma and has a 6" nail protruding from his left eye. The pt is alert, but complaining of severe difficulty breathing and has paradoxical chest wall movement and absent lung sounds on the left side. Your most appropriate action would be to:
Perform a needle Thoracostomy *Bonus* if you can describe the procedure
Your 12 year old trauma patient becomes markedly bradycardic during an intubation attempt. You most appropriate action would be to: A. Temporarily discontinue the attempt and ventilate via BVM and 100% FiO2 B. Continue the attempt and administer Atropine 0.5mg C. Start CPR D. Administer Lidocaine 1.5 mg/kg for ICP control
A.
You arrive at a facility for an OD patient. The sending P.A. reports that he has administered a total of 6mg of Narcan and there is a questionable history of trauma. The patient is becoming increasingly uncooperative and agitated. Your best approach to the safe transport of this patient would be:
Sedation with benzodiazepines and consider RSI
After transferring an intubated patient from the house to the back of the ambulance, what is your first priority?
Re-verify ETT placement by at least two methods.
List the IV dosages for these RSI medications Etomidate Ketamine Succinylcholine Rocuronium
Etomidate: 0.3 mg/kg Ketamine: 1-2 mg/kg Succinylcholine: 1.5-2.0 mg/kg Rocuronium: 0.6-1.2 mg/kg
What is the minimum means of verifying tube placement?
A minimum of continuous waveform capnography as well as two additional verification methods must be documented.
Name one depolarizing paralytic and one non-depolarazing paralytic that is in our protocol?
Depolarazing: Succs; Non-depolarizing: Roc
In the event that paralytics must be reversed, which medication can be given to counter the effects?
An antidote to paralytics is not in our medication box.
What are the components of a LEMON assessment?
Look; Evaluate (3-3-2); Mallampati; Obstruction; Neck mobility