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AAOS Section 7
Advanced Skills; Airway, IV, Cardiac
52
Medical
Pre-School
06/19/2011

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Term
Gastric tube use in EMS
Definition
usually used to deflate a distended stomach, though they can be used to administer medications, and also removal of fluid
Term
Two types of G tubes
Definition
Naso gastric
Oro gastric
Term
Two methods for inserting an ET tube -
Definition
use of laryngoscope
or lighted stylet
Term
Orotracheal intubation used to -
Definition
control and protect airway, as well as administer certain meds
Term
Common complications of ET intubation -
Definition
Intubation of right mainstream bronchus
" of esophagus
soft tissue damage
hypoxia if you can't get it right and you're not breathing for them
Pt regains consciousness may barf or try to remove the tube
Term
Monitoring the intubated Pt
Definition
monitor breath sounds
check especially after moving Pt to ensure tube has not been dislodged
Term
End Tidal CO2 detector
Definition
disposable indicator that signals color change when ET tube properly inserted
Term
Extubation
Definition
removing the tube after it's been placed
Term
Esophageal Combi Tube (ECT)
Definition
multilumen airway that consists of a single, dual lumen tube with two cuffs
God I hope I don't need to know this
Term
Laryngeal Mask Airway (LMA)
Definition
advanced airway that is blindly inserted into the mouth to isolate the larynx for direct ventilation
Consists of a tube and mask / cuff that inflates to seal around the laryngeal opening
Term
Laryngoscope
Definition
instrument used to give direct view of the Pts vocal cords during ET procedures
Term
Laryngospasm
Definition
spasm of the larynx and surrounding structures.
Probably gonna see barf after this starts. You've been warned...
Term
Lighted Stylet
Definition
instrument used to aid in blind ET tube insertion
Term
Multilumen Airway
Definition
ETC or LMA or PtL,
good because you can ventilate even if you insert them wrong
Term
Pharyngeotracheal Lumen Airway PtL
Definition
derp. long words.
multilumen airway consisting of two tubes, two masks, and a bite lock
Term
Stylet
Definition
plastic coated flexible wire that gives added rigidity and shape to the ET tube
Term
Vellecula
Definition
NOT the name of a vampire lord, apparently.
The space between the base of the tongue and the epiglottis; receives the tip of a curved laryngoscope blade during ET
Term
Contraindications for the NG tube -
Definition
Trauma to face, head, or spine
Term
Contraindications for the LMA
Definition
Esophageal tumors
Vomiting
When high airway pressure required
Term
ET tube size range for most adults
Definition
6.5-8.5
Term
ET work should take no longer than ___ seconds to complete, otherwise hypoxia / brain damage and reduced HR a risk
Definition
30 seconds
Term
Combitube, Contraindicated
Definition
Conscious or semi conscious Pt with gag reflex
Children under 16
Adults shorter than 5 feet, like Gail
PTs who ingested a caustic substance
PTs with known esophageal disease
Term
EMT's skills re: IV admin
Definition
Check bag for clarity / expiration date / correct solution
Get the tube
Spike the bag
Term
Micro drip
VS
Macro Drip
Definition
Micro - 60gtt/mL
Macro - 10-15gtt/mL
Term
Common complications of IV therapy
Definition
Infiltration
Phlebitis
Occlusion
Vein irritation
Hematoma...
Allergic reaction
Catheter Sheer
Vasovagal reaction
circulatory overload
Term
Access Port, IV
Definition
sealed hub on the IV set designed for sterile access
Term
Administration Set, IV
Definition
tubing that connects bag to access port
Term
Butterfly Catheter
Definition
has plastic wings, anchoring points for securing the catheter
Term
Catheter, IV
Definition
flexible and hollow structure that drains or delivers fluids
Term
Catheter shear
Definition
needle cuts catheter during botched insertion; happens when you rethread the needle in the catheter, then try to re insert it.
Severed piece can get into the circulatory system and cause and kill the patient.
Term
External Jugular IV
Definition
IV access established in the external jugular vein of the neck.
For the brave only, bwahaha!
Term
Gauge - reference needle sizes
Definition
the name for the diameter of the needle. inversely proportional to the size of the needle, i.e. a 22 is larger than a 24.
JUST LIKE SHOTGUNS, BABY. WOO!
Term
Infiltration, IV
Definition
escape of fluid into the tissue surrounding the IV site, and not the veing
Term
Intraosseous Needle (IO)
Definition
rigid boring catheter drilled into a bone to provide IV fluid. Bitchin.
Term
Occlusion, IV
Definition
blockage, usually of a tubular structure such as a blood vessel
Term
Phlebitis
Definition
inflammation, usually of a vein. often associated with a clot
Term
Saline lock, AKA -
Definition
special type of IV apparatus also called a buff cap, heparin cap, heparin lock
Term
Vasovagal Reaction. IV
Definition
sudden HYPOtension and fainting associated with traumatic of medical events
Term
Urticaria, either IV or anaphylaxis
Definition
small areas of generalized itching or burning that appear as multiple, small, raised areas of the skin
Term
Air Embolus and tolerations of the PT
Definition
200ML of air max, yeah right. derp.
PLACE PATIENT ON LEFT SIDE WITH HEAD DOWN AND BE PREPARED TO VENT
Term
ECG leads
Definition
3,4,12
Term
Arrhythmia
Definition
abnormal rhythm of heart
Term
Asystole
Definition
complete absence of electrical activity in heart. "FLAT LINE" that isn't really flat at all, but you get it.
Term
ECG, defined
Definition
Electrocardiogram.
Traces heart's electrical activity through leads
Term
Electrical Conduction System, Cardiac
Definition
network of special cells in the heart through which an electrical current flows, causing contractions / pumping blood
Term
Limb Leads
Definition
4 lead ECG, one on each limb
Term
Sinus bradycardia
Definition
consistent P waves, PR intervals, and regular rate.... BUT LESS THAN 60/min
Term
Sinus Tachycardia
Definition
consistent P waves and PR intervals and a regular rate BUT OVER 100/min
Term
VFIB
Definition
ventricular fibrillation
rapid and disorganized contraction of cardiac muscle that doesn't do jack as far as circulating blood
Term
VTAC
Definition
ventricular tachycardia
presence of THREE OR MORE ABNORMAL VENTRICULAR COMPLEXES IN A ROW with a rate of 100/bpm or more
Term
Pacemaker for Heart
Definition
Sinoatrial (SA) node
PACE IS 60-100 BPM, AVERAGE OF 70
Term
Placement of ECG Leads
Definition
WHITE OVER RIGHT
SNOW(white) OVER TREES (green)
SMOKE (black) OVER FIRE (red)
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