Adult Protocol questions
Help!
|
|
||||
|---|---|---|---|---|---|
| SVT protocol (old) | show 🗑
|
||||
| show | procainimide 20mg/min, suppressed hang drip 2mg/min, lido at 1mg/kg every 10min at 0.5mg/kg to a max of 3mg/kg, hang drip 2mg/min, mag 2gms 100ml over 5 min for torsades, adenosine svt, precordial thump witnessed v tach, sync cardio, lido
🗑
|
||||
| show | transport, if condition deteriorates sync cardioversion, verapamil for narrow complex at 5mg over 3 min, repeat in 15 at 10mg over 3 min, procainimide 20mg/min hang at 2mg/min
🗑
|
||||
| show | O2, rhythm strip, asa 162, IV, ITP &CBS 300cc NS, may repeat, 12 lead, if RVI 300ml bolus may repeat, TCP, for LVI 0.4mg nitro every 3 min, MS 2mg every 3 min, RCF 10mg additional MS
🗑
|
||||
| Cardiac Arrest (old)VF/VT | show 🗑
|
||||
| show | CPR,Advanced Airway,300cc bolus, may repeat,epi 1:10,000 1mg during every 2 min of CPR after each rhythm eval,1.0mg Atropine after 2nd cycle of CPR to max of 3.0mg, consider termination PEA<60, asystole, agonal rhythm, successful intubation, initial meds
🗑
|
||||
| show | Blood sugar give D50 if indicated, NG/OG tube for gastric distention, Narcan 2mg for opiate overdose.
🗑
|
||||
| show | Dopamine for inadequate tissue perfusion 400mg in 250ml, 5-20mcg/kg/min, Lido infusion 2mg/min for conversion from VF/VT, contact base to terminate, copy of ECG.
🗑
|
||||
| ALOC | show 🗑
|
||||
| Non traumatic shock | show 🗑
|
||||
| Burns-Adult | show 🗑
|
||||
| Burn classifications ADULT | show 🗑
|
||||
| show | <5% TBSA,<2%full,moderate=5-10TBSA,2-5full,high voltage inj.,susp. inhalation,circumferential,predisposed med issues,major= >10TBSA,>5full,high voltage,known inhal.,sign. burn to face,eye,ear,genital,joints
🗑
|
||||
| Determination of death on scene | show 🗑
|
||||
| show | O2 sat,nebulized albuterol/atrovent 2.5mg/.5mg, may repeat twice,CPAP up to 15cms in 3cms incriments,naso tracheal intubation
🗑
|
||||
| show | Airway adjunts/O2 sat,nebulized albuterol 2.5mg/atrovent .5mg, repeat twice, 300cc for inadequate tissue perfusion may repeat, CPAP up to 15CMS,EPI 0.3mg SQ 1:1,000,repeat after 15min,nasotracheal intubation
🗑
|
||||
| show | Nebulized atrovent/albuterol,2.5/.5 3times,CPAP,epi .3 1:1,000 repeat after 15 min,Diphenhydramine 25mgIV,50IM,EPI 1:10,000 .1mg as needed to .5mg, nasotracheal intubation
🗑
|
||||
| show | O2 sat,airway adjuncts,Nitro 0.4mg repeat W/signs of adequate tissue perfusion,CPAP,Nasotracheal intubation RCF(dopamine,Lasix 40-100mg,nebulized albuterol/atrovent once stabilized)
🗑
|
||||
| show | Heimlich/chest thrusts,C-spine if indicated,head tilt/jaw thrust,2 ventilations,if apneic establish advanced airway,visualize w/laryngoscope remove with Magill, needle cric if obstruction persists and unable to ventilate
🗑
|
||||
| show | Airway adjuncts,O2 room air sat,monitor,IV saline lock
🗑
|
||||
| show | non symptomatic=300cc may repeat,monitor. symptomatic=consider advanced airway,300cc bolus,set rate at 300cc if lungs remain clear,monitor/strip,atropine 0.5 max of 3.0mg,TCP for 2nd type 2/3rd,Dopamine 5-20mcg/kg/min
🗑
|
||||
| show | Poison control,monitor vitals,expeditious transport,ABC's,IV,hypotensive=500cc,20ml/kg may repeat for peds,charcoal 50gms(1gm/kg ped) PO alert w/gag,organophosphate=2mg ivp atropine repeat as needed.
🗑
|
||||
| Poisonings base may order | show 🗑
|
||||
| Heat related | show 🗑
|
||||
| show | frostbite=elevate,IV,pain relief=2mg MS up to 10mg IV/10mg IM adult, .1mg/kg up to 2mg, up to 5mg,.2IM to 10, RCF may repeat MS.Mild hypothermia=IV,monitor,glucose.
🗑
|
||||
| cold related:severe hypothermia | show 🗑
|
||||
| show | excessive bleeding=500cc may repeat,maintain at 150ml/hr,2nd large IV.hypertension/eclampsia=IV TKO,left lateral,strip,tonic/clonic=mag 4gms/20ml/3-4min,versed 2.5IVX2,5IMX2,base order dopa,2gm/100/30ml/hr,repeat versed after 10min,continued tonic/clonic
🗑
|
||||
| OB RCF | show 🗑
|
||||
| show | if reps<20 or gasping tactile stimulation and assisted ventialtion,if hr<100 ventilate BVM 30sec,HR<60 chest compressions 120/per min.IV/IO,advanced airway,epi 0.01mg/kg if hr<60,OG >2min ventilation,heel stick,
🗑
|
||||
| Newborn care base may order | show 🗑
|
||||
| show | Advanced airway as indicated,unmanageable airway=transport to the closest most appropriate.Requires intubation=airway can't be maintained with BVM,unable to intubate.For all calls:Monitor ECG warm IV fluids when available, unstable=BP<90 start 2nd IV,
🗑
|
||||
| Trauma blunt force, penetrating trauma, isolated closed head injury | show 🗑
|
||||
| Chest trauma, isolated extremity fractures | show 🗑
|
||||
| show | Lido 1.5mg/kg IV for suspected head/brain injury.Impaled object=remove object upon trauma base physician order if indicated.precautions=consider cardiac etiology with small mechanism of injury.
🗑
|
||||
| Critical Trauma Patient Physiologic-GCS,Respiratory,Hypotension | show 🗑
|
||||
| show | penetrating injuries to:torso,head,extremity proximal to the knee or elbow,neck,groin.blunt chest trauma resulting in:eccymosis,unstable chest wall,flail chest.severe tenderness to:head,neck,torso,abdomen,pelvis.
🗑
|
||||
| paralysis,abdomen, amputation, fractures. Any: skull deformity, major tissue disruption,suspected pelvic fracture | show 🗑
|
||||
| high speed crash | show 🗑
|
||||
| vehicle rollover,motorcycle crash, | show 🗑
|
||||
| Pedestrain, significant blunt trauma to, extrication | show 🗑
|
||||
| show | Death of Occupant in same passenger space, ejection partial or complete ejection of patient from vehicle, falls> or = 15feet, submersion with trauma.
🗑
|
||||
| show | ped<9,adult>65,have known resp. cardiac,liver disease or diabetes, hematologic or immunosuppresive conditions,isolated extremity injury w/neurovascular compromise,>20weeks pregnant, inablitly to communicate.
🗑
|
||||
| show | unmanageable airway, severe blunt force trauma, penetrating trauma arrest, burn pt meeting CTP.
🗑
|
||||
| show | MCI, Prolonged extrication time >20min,never delay pt transport waiting for an enroute EMS aircraft
🗑
|
||||
| show | HAZ MAT pts who can't be decontaminated, violent or under the influence or drugs or alcohol pts, stable pts,ground transport<30,traumatic cardiac arrest,other safety considerations determined by crew/pilot.
🗑
|
||||
| Considerations | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
danielloomis
Popular Paramedic/EMT sets