Shared Flashcard Set

Details

LA County MICN
Course
195
Medical
Professional
03/15/2008

Additional Medical Flashcards

 


 

Cards

Term

 

 

 

TRAUMA CATCHMENT AREA

Definition

 

 

 

GEOGRAPHICAL AREA AROUND TC DEFINED BY

 

 STREET OR ETA

Term

 

 

SECURE TC CATCHMENT AREA

Definition

 

 

 

GEOGRAPHIC AREA AROUND TC DEFINED BY

 

 STREET/FWY/LANDMARKS

Term

 

 

OPEN CATCHMENT AREA

Definition

 

 

 

30 MIN/CODE 3 TRANSPORT

 

INCLUDING WEATHER/TRAFFIC

Term

 

 

 

UNDESINATED CATCHMENT

 

 

 

 

Definition

 

 

 

 

NO CATCMENT AREA

Term

 

 

 

INTERNAL DISASTER

Definition

 

CALL MAC

 

BOMB THREAT                          FIRE

FLOODING                    LOSS OF H20

HAZ-MAT        OTHER APPROVED MAC

Term

 

 

TRAUMA DIVERSION

Definition

 

 

TC WITH IN 30 MINUTES

 

Term

 

 

DIVERSION

Definition

 

 

15 MIN TO ALT. RECIEVING OR EDAP

 

20+10 TC/PTC/SRC

 

20 - PERINATAL/PMC

 

Term

 

 

WHAT IS ALWAY OPEN CATCHMENT

Definition

 

PEDIATRIC TRAUMA CENTER

Term

 

 

 

WHERE DOES EMT TRANSPORT GO WITH STABLE PT?

Definition

 

MAR 

 

EXCEPT IF THERE IS INTERNAL DISASTER 

 

Term

 

 

 WHERE DO YOU TAKE A PEDS PT?

Definition

 

 

MAR IS ALWAYS EDAP

Term

 

 

WHERE DO YOU TAKE PERINATAL PT?

Definition

 

 

MAR IS A PERINATAL CENTER

Term

 

 

WHERE DO YOU TAKE A UNMANAGEABLE

 

AIRWAY PT?

Definition

 

MAR

Term

 

WHAT DO EMT'S DO IF TIME FOR PARAMEDICS TO ARRIVE IF GREATER THAN TRANSPORT TO FACILITY IN LIFE THREATENING SITUATIONS?

Definition

 

EMTS CAN TAKE PATIENT TO MAR IF IT IS FASTER THAN WAITING FOR PARAMEDICS

Term

 

WHAT IF PT REQUESTS ANOTHER FACILITY?

Definition

 

CAN TAKE IF NOT TO FAR AND PT IS STABLE.

 

IF CAN'T THEN PARAMEDICS NEED TO HELP FIND OTHER TRANSPORTATION. IE: PRIVATE AMBULANCE

Term

 

WHAT ARE THE QUALITIES OF

 

CAPNOGRAPHY?

Definition

 

SUPERIOR TO COLOR METRIC END TIDAL CO2

BEST METHOD FOR CONTINUOUS MONITORING

IN CPR - DETECTS EARLY ROSC

CAN GIVE FEED BACK - EFFECTIVE CPR

Term

 

HOW DOES ESPHAGEAL DETECTOR DEVICE

 

WORK?

Definition

 

PUT ON ET TUBE DEFLATED.

 

IF REINFLATES BACK TO ORIGINAL SIZE IN

 

LUNGS

Term

 

 

HOW DO YOU VERIFY ET PLACEMENT?

Definition

 

ONE CLINICAL          

 

VISUALIZE PASSING THROUGH CORDS

EQUAL BREATH SOUNDS

CHEST RISE AND FALL

 

ONE ADJUNCT

 

CAPNOGRAPHY

ESOPHAGEAL DETECTOR DEVICE

END CO2 DETECTOR

Term

 

 

WHAT IS THE DEFINITION OF HYPERTENSION?

Definition

 

SYS BP EQUAL OR GREATER THAN 140

 

OR 2 OR MORE TIMES DIAS = OR GREATER THAN

90

Term

 

WHAT DOES HYPERTENSION DO TO BODY?

Definition

 

DECREASED PERFUSION CAUSING DAMAGE TO ORGANS.

Term

 

WHAT ARE S/S HYPERTENSION?

Definition

ALOC

CHEST PAIN

NEURO

HEADACHE

N/V

SOB

RINGING IN EARS

ABD

VISUAL DISTURBANCES

OTHERS

Term

 

GCS

 

WHAT ARE THE CATEGORIES FOR:

 

EYE OPENING

Definition

 

4 SPONTANEOUS

3 TO VOICE

2 TO PAIN

1 NONE

Term

GCS

 

WHAT ARE THE CATEGORIES FOR

 

BEST VERBAL

 

Definition

 

6             OBEYS

5        LOCALIZES

4    WITHDRAWAL

 3            FLEXION

 2        EXTENSION

1               NONE

Term

 

GSC

 

WHAT IS THE CATEGORIES FOR VERBAL?

Definition

 

5              ORIENTED

4             CONFUSED

3      INAPPROPRIATE

 2 INCOMPREHENSABLE

1                     NONE

Term

 

 

WHEN CAN YOU USE PACERS?

Definition

 

1ST LINE OF TX

 

= OR OVER 14

 

SYMPTOMATIC BRADY LESS THAN 60/MIN

 WITH ONE OR MORE SIGNS:

 

ALOC

CHEST PAIN

SOB

B/P LESS THAN 90

OTHER S/S SHOCK

Term

 

 

CAN YOU USE A PACER IN ASYSTOLE?

Definition

 

NO

Term

 

HOW WOULD YOU PREMEDICATE FOR

 

PACER?

Definition

 

VALIUM  2-10 MG (MAX 20)

 

MS 2-10 MG (MAX 20)

Term

 

WHAT ARE THE SETTING FOR PACER?

Definition

 

70 BPM/ 0 MA

 

INCREASE BY 10 UNTIL CAPTURE

 

NOT MORE THAN 100 MAX

Term

 

WHAT AGE DO YOU USE ADVANCED AIRWAY?

 

 

Definition

 

LESS THAN 12 YRS OR LESS THAN 40 KG

 

 

 

OFF BROWSLO TAPE CAN INTUBATE

Term

 

 

WHAT IS SAMPLE?

 

Definition

SECONDARD FOCUSED ASSESSMENT

 

S = S/S

A= ALLERGIES

M= MEDS

P= HX

L= LAST ORAL INTAKE

E= EVENTS LEADING P TO CURRENT PROBLEM

Term

 

WHAT IS FIELD TX M9

 

OVERDOSE/POISONING?

Definition

 

ABC'S

HIGH FLOW O2

IV NS TKO (FC IF LOW BP)

 MONITOR

LT LAT/SHOCK POSITION

NARCAN 0.08 - 2 MG IVP OPIATE OD

D50 1 AMP 50 CC IVP IF BS LESS THAN 80

Term

 

 

WHEN DO YOU USE COMBITUBE IN PEDS?

 

 

Definition

 

16 AND OVER

 

4 FT TO 6FT 5 IN

 

SMALL SIZE COMBITUBE

Term

 

 

WHAT AGE IS PEDS CPR?

Definition

 

1-8 YRS

Term

 

 

WHAT AGE IS INFANT CPR?

Definition

 

1 - 12 MOS

Term

 

WHAT AGE IS NEONATE CPR?

Definition

 

0 - 1 MOS

Term

 

 

WHAT AGE DO YOU USE INFANT/CHILD

 

AED PADS?

Definition

 

LESS THAN 8 YRS

Term

 

WHAT AGE DO YOU USE STANDARD AED PADS?

 

Definition

 

 

8 AND OVER

Term

 

WHAT DOES ALTE STAND FOR?

Definition

 

 

 APPARENT LIFE THREATENING EVENT

Term

 

 CHARACTERISTICS OF ALTE?

Definition

 

TWO OF FOLLOWING:

 

APNEA

 

COLOR CHANGE (AM. FLAG)

 

CHANGE IN MUSCLE TONE

 

Term

 

DO MEDICS HAVE TO MAKE BASE CONTACT WITH PRONOUNCED DEAD IN FIELD?

 

 

Definition

 

NO

Term

 

WHAT IF MI ARREST OF SCENE?

Definition

 

 IF NO ROSC AND NO VIABLE RHYTHM

THEN PRONOUNCEMENT

 OR CAN GO TO SRC

 

ROSC WITH VIABLE RHYTHM CAN GO TO SRC

Term

 

WHAT ARE THE EXCEPTIONS TO GOING TO A MAR WITH CARDIAC ARRESTS?

Definition

 

1. TRAUMATIC FULL ARREST WITH PENETRATING TORSO GOES TO TC

 

2.  DNR/AHCD DOES NOT TRANSPORT

 

3.  PRONOUCEMENT OF DEAD IN FIELD

Term

 

 

POSSIBLE CAUSES ASYSTOLE

Definition

 

  1. HYPOTHERMIA
  2. HYPOVOLEMIA
  3. HYPO/HYPERKALEMIA
  4. HYPOXIA
  5. HYPOGLYCEMIA

6.  THROMBUS

7.  TAMPONADE

8.  TOXINS

9.  TRAUMA

10.  TENSION PNEUMO

Term

 

 

WHAT IS THE PQRST OF PAIN?

Definition

 

O = ONSET

 

P = PROVOKED

 

Q = QUALITY

 

S= SEVERITY

 

T = TIME/DURATION

Term

 

 

WHAT IS THE SEVERITY OF THE PAIN SCALE?

 

Definition

 

1-2 =  SOME DISCOMFORT

 

3 - 4 = HAVING DISCOMFORT

 

5-6 = MILD PAIN

 

 6-7= MODERATE PAIN

 

8-9 = SEVERE PAIN

 

10= MOST SEVERE

Term

 

 

IF PUT IN RESTRAINTS IN FIELD HOW OFTEN DO YOU HAVE TO CHECK NEURO/CIRC?

Definition

 

 

Q 15 MINUTES

Term

 

 

IF YOU HAVE A SEVERE COMBATIVE/VIOLENT PATIENT IN FIELD WHAT DO YOU DO?

Definition

 

CALL LAW ENFORCEMENT OFFICERS

Term

 

 

CAN YOU TAKE OFF RESTRAINTS ONCE YOU PUT THEM ON?

Definition

 

NOT UNTIL YOU REACH FACILITY

Term

 

WHAT IS RULE OF 9?

Definition

 

HEAD = 9%

 

FRONT TORSO = 18%

 

BACK TORSO = 18 %

 

ARMS = 9% EACH

 

LEGS = 9% EACH

 

Term

 

WHAT ARE CHARACTERISTIC OF 1,2,3 degree burns?

Definition

 

1. PAIN RED SWELLING (EPIDERMIS)

 

2.  BLISTERS (DERMIS)

 

3.  NERVE/BLOOD VESSELS DAMAGE (SUBQ)

HIGH BACTERIA INF. CAUSE OF DEATH

Term

 

 

WHAT IS A BURN PT DESTINATION?

Definition

 

IF THEY DO NOT MEET PTC,TC OR PMC CRITERIA

 

THEN THEY GO TO MAR/EDAP FOR AGE.

 

THEN CALL MAC FOR TRANSFER

Term

 

 

WHAT INFO DO YOU NEED TO GIVE MAC TO TRANSFER BURN PTS?

Definition

 

STATUS OF AIRWAY

 

% AND LOCATIONS OF BURNS

 

TYPE OF BURN  (ELECTRICAL, THERMAL OR CHEM)

 

CIRCULATION STATUS

 

LOC

 

OTHER INJURIES

 

PAIN MED HX

 

TX IN PROGRESS

Term

 

 

WHEN DO YOU TRANSPORT PERINATAL TO MAR?

Definition

 

WHEN IN RESP. DISTRESS

 

CARDIAC ARREST

 

CLEARLY NOT RELATED TO PREGNANCY

Term

 

 

WHAT ARE THE COMPLICATIONS OF IO'S

Definition

 

COMPARTMENT SYNDROME

GROWTH PLATE INJURY

SKIN/BONE INFECTION

FX/FAT EMBOLISM

LOCAL INFILTRATION OF FLUIDS

Term

 

 

WHEN CAN THEY PRONOUNCE IN FIELD?

 

Definition
  1. DECAPITATION
  2. MASSIVE CRUSH INJURY
  3. PENETRATING OR BLUNT INJURY WITH EVISCERATION OF HEART, LUNG, BRAIN
  4. DECOMPOSITION
  5. INCINERATION
  6. PULSELESS WHERE EXTRICATION MORE THAN 15 MIN
  7. BLUNT TRAUMA = 0 PULSE/EKG
  8. PULSELESS MULTIVICTIMS WITH LIMITED RESOURCES
  9. DROWNING MORE THAN 1 HR
  10. RIGOR MORTIS
  11. POST MORTEM
Term

 

 

WHAT ARE THE PHYSICAL ASSESSMENTS FOR PRONOUNCEMENTS?

Definition

 

  1. RESP = OPEN AIRWAY, LOOK, LISTEN, FEEL. AUSCULTATE LUNGS 30 SEC
  2. FEEL FOR APICAL PULSE FOR 60 SEC 
  3.           CAROTID PULSE ADULTS
  4.           BRACHIAL PULSE INFANTS
  5. NEURO = PENLIGHT - FIXED/DILATED
  6. UNRESPONSIVE TO PAIN
Term

 

 

WHO DOES PARAMEDICS/EMTS HAVE TO TRANSPORT?

Definition

 

  1. ABD PAIN
  2. ISOLATED FX SPINE, SKULL, HIP
  3. ABN. VAG BLEED
  4. ALLERGIC REACTION
  5. ASYMP HAZ MAT
  6. GI BLEED
  7. NEAR DROWNING
  8. GRAVELY DISABLED TO SELF/OTHERS
Term

 

 

WHAT IS SPECIAL ABOUT 12 MOS OR LESS TRANSPORTS?

Definition

 

SHALL BE TRANSPORTED NO MATTER THE COMPLAINT

Term

 

 

WHAT IS THE RULE ABOUT 13-36 MOS. TRANSPORTS

Definition

 

MUST MAKE CONTACT &/OR TRANSPORT TO HOSP

 

EXCEPTION MINOR EXTREMITY INJURY

 

IF PARENT REFUSES MUST MAKE BASE CONTACT

Term

 

 

 

WHAT IS PMC CRITERIA?

Definition

 

DYSRYTHMIA

 

RESPIRATORY DISTRESS

 

CYANOSIS

 

PROLONGED AMS

 

STATUS EPILEPICUS

 

ALTE LESS THAN 12 MOS.

 

Term

 

 

WHAT PTS DO YOU HAVE TO MAKE BASE CONTACT WITH?

 

 

Definition

 

  1. S/S SHOCK
  2. CARDIAC ARREST
  3. CHEST PAIN
  4. SOB/TACHYNEA
  5. PMC GUIDELINES
  6. 5 OR MORE PT NEEDING TRANSPORT
  7. ALOC
  8. POISON INJECTION/OD
  9. HAZMAT WITH C/O
  10. ABD PAIN WITH PREGNANCY
  11. CHILDBIRTH
  12. FX PELVIS/FEMUR
  13. FACIAL, NECK  ELECTRICAL, EXTENSIVE BURNS 20% ADULTS, 15% CHILDREN, 10% INFANTS
  14. TRAUMA CRITERIA
  15. TRAUMA CRUSH
  16. SYNCOPE
  17. LOC
  18. NEURO
  19. BLURRED VISION
  20. WEAK/DIZZY
  21. NUMBNESS
  22. AMA TO ABOVE
Term

 

 

WHAT PT IN CARDIAC ARREST REQ BASE CONTACT?

 

Definition

 

PEDS 14 YR AND YOUNGER BLS UNTIL CONTACTED BASE STATION

Term

 

 

WHAT IS TRAUMA TRANSPORT CRITERIA?

Definition

 

  1.  TRAUMA WITH B/P LESS THAN 90
  2.  TRAUMA WITH B/P LESS THAN 70
  3.  PENETRATING CRANIAL INJURY
  4.  BLUNT WITH GCS <14, SEIZURE, UNEQUAL PUPILS, NEURO DEFICITS
  5.  PENETRATING NECK INJURY
  6.  BLUNT TRAUMA WITH FLAIL CHEST
  7.  CARDIAC ARREST WITH PENETRATING TORSO
  8.  FALL >15 FT
  9.  GSW TO TORSO
  10.  PENETRATING TORACIC BETWEEN MID CLAVICULAR LINES
  11. DIFFUSE ABD
  12. PASSENGER SPACE INTRUSION
  13.  OPEN/CLOSED INJURY TO SPINAL CORD WITH DEFICITS TO EXTREMITIES
Term

 

 

WHAT ARE THE TRAUMA GUIDELINES?

Definition

 

  1. SURVIVOR OR SAME VEHICLE FATAL ACCIDENT
  2. PEDS VS AUTO
  3. EJECTED FROM VEHICLE
  4. REQUIRED EXTRICATION
  5. VERY YOUNG AND VERY OLD
Term

 

 

WHAT IS DONE WITH TRAMA EXTREMIS PT?

Definition

 

IMMEDIATE TRANSPORT TO MAR IF OBSTRUCTED AIRWAY, HEMORRHAGE, UNMANAGABLE AIRWAY, AND OTHER

Term

 

 

WHAT IS CPR TO CHILD?

Definition

 

  1. SHAKE AND SHOUT
  2. AIRWAY/LISTEN FOR BREATHS
  3. 2 BREATHS
  4. COMPRESSION 1/3 DEPTH OF CHEST 30:2 CENTER OF CHEST X 2 MINUTES
  5. 911
Term

 

 

WHAT IS INFANT (< 1 YRS) CPR?

Definition

 

  1. SHOUT
  2. OPEN AIRWAY
  3. LISTEN FOR BREATH
  4. 2 BREATH
  5. COMPRESSION 30:2 X 2 MINUTES
Term

 

 

ADULT & CHILD > 1 YRS

 

FOREIGN BODY AIRWAY OBSTRUCTION

Definition

 

  1. 911
  2. ABD THRUST (SITTING OR STANDING)
  3. CHEST THRUST (OBESE/PREGNANT)
Term

 

 

ADULT UNRESPONSIVE

 

FOREIGN BODY OBSTRUCTED AIRWAY

Definition

 

  1. TONGUE/JAW LIFT LOOK FOR OBJECT
  2. CPR
  3. LOOK WHEN GIVE 2 BREATHS
  4. USE MAGILL FORCEPS
Term

 

 

BLS

 

CHILD/INFANT

 

NO ADVANCED AIRWAY

Definition

 

  1. 30:2 (1 RESCUER)
  2. COMPRESSION 100 RATE
  3. 15:2 (2 RESCUER)
  4. 1/3 - 1/2 DEPTH OF CHEST
Term

 

 

ADULT BLS

 

ADVANCED AIRWAY

Definition

 

  1. COMPRESSION 100/MIN
  2. NONSYCHRONIZED BREATHS q 6-8 (8-10 MIN)
Term

 

 

WHAT DOES REDDNET STAND FOR?

Definition

 

 

RAPID EMERGENCY DIGITAL DATA INPUT NETWORK

Term

 

 

WHAT ARE THE 3 BODY FLUIDS AND WHAT IS THE % OF FLUIDS IN BODY?

Definition

 

  1. INTRAVACULAR   7-10%
  2. INTERSTITUAL    18-25%
  3. INTRACELLULAR  65-75%
Term

 

 

 

 

WHAT IS CA++ MOST RESPONSIBLE FOR?

Definition

 

 

MUSCLE

Term

 

 

 

WHAT IS OSMOSIS?

Definition

 

LESSER CONCENTRATION TO HIGHER CONCENTRATION

Term

 

 

 

EXAMPLES OF HYPERTONIC SOLUTIONS

Definition

 

D50

 

PULLS WATER TO VASCULAR

Term

 

 

 

HYPOTONIC SOLUTION

Definition

 

 

D5W

 

 

Term

 

 

WHAT IS NEROTRANSMITTER ACETYLCHOLINE?

Definition

 

PARASYMPATHETIC 

 

 

 

Term

 

 

 

 WHAT IS CATECHOLAMINE?

Definition

 

NEUROTRANSMITTER

SYMPATHETIC

 

NOREPINEPHRINE

EPINEPHRINE

DOPAMINE

Term

 

 

 

WHAT BODY FUNCTIONS IS THE MEDULLA OBLONGATA RESPONSIBLE?

Definition

 

  1. RETICULAR ACTIVATING SYSTEM (RAS)
  2. VASCULAR CENTER (PVR)
  3. CARDIAC CENTER (INOTROPHY, CHRONOTROPY, AV CINDUCTION, EXCITABILITY
  4. RESPIRATORY CENTER
  5. ALL RESPOND TO CHEMORECEPTOR
Term

 

 

 

WHAT ARE THE BARORECEPTORS?

Definition

 

  1. IN CAROTID AND AORTIC ARCH
  2. MEASURES STRETCH OF VESSELS
  3. DETECTS CHANGES IN B/P
  4. VALSALVA STIMLANTS BAROREPTORS
Term

 

 

 

 

WHAT DOES THE HYPOTHALMUS REGULATE?

Definition

 

  1. BODY TEMP
  2. HUNGER
  3. THRIST
  4. SEX DRIVE
  5. EMOTIONS (ANGER, FEAR, PAIN, & PLEASURE)
  6. VOMIT REFLEX
Term

 

 

 

WHAT DO THE CENTRAL CHEMORECEPTORS DO?

Definition

 

  1. LOCATED IN BRAINSTEM
  2. RESPONDS TO CSF - CO2 LEVELS
  3. HIGH CO2 - CAUSES RESP/TV TO GO UP
  4. LOW CO2 - CAUSES RESP/TV TO GO DOWN
Term

 

 

WHAT DOES PHERIPHERAL CHEMORECEPTORS DO?

Definition

 

  1. LOCATED IN CAROTID/AORTIC BODIES
  2. RESPONDS TO 02 LEVELS IN BLOOD
  3. HIGH 02 - DECREASES RR/TV
  4. LOW 02 - INCREASE RR/TV

 

 

 

 

 

Term

 

 

WHAT ARE THE S/S INCREASE ICP FOR

 BRAINSTEM INJURIES?

Definition

 

  1. ALTERED MENTAL STATUS
  2. PROJECTILE VOMITING
  3. DECELEBRATE POSTURING
  4. DECORTICATE POSTURING 
  5. ABN. RESPIRATION PATTERN
  6. HIGH SYSTEMIC BLOOD PRESSURE*
  7. WIDENING PULSE PRESSURE*
  8. BRADY*

 

 

 

Term

 

 

WHAT IS THE S/S INCREASED ICP IN CEREBRAL INJURIES?

Definition

 

  1. SEIZURES
  2. DILATED PUPILS
  3. PERSONALITY CHANGES
  4. AMNESIA
Term

 

 

WHAT IS CUSHING'S TRIAD?

Definition

 

  1. HIGH SYSTOLIC B/P
  2. WIDENING PULSE PRESSURE
  3. BRADY
Term

 

 

WHAT ARE THE EFFECTS OF HYPERCAPNIA (INCREASE CO2)?

Definition

 

  1. VASODILATION
  2. LETHARGY/ALOC
  3. SEIZURES
  4. INCREASE INTRACRANIAL PRESSURE
Term

 

 

WHAT ARE THE S/S OF HYPOXIA?

(DECREASED O2 TO TISSUES)

Definition

 

  1. RESTLESSNESS/ANXIETY/ALOC
  2. SEIZURES
  3. INCREASE RESPIRATIONS
  4. ALTERED MENTAL STATUS
  5. CYANOSIS
  6. TACHYCARDIA
Term

 

 

MOST IMPORTANT CRANIAL NERVES?

Definition

 

  1. 3RD CRANIAL NERVE - OCULAR MOTOR
  2. 10TH CRANIAL NERVE - VAGUS (LONGEST)
Term

 

 

WHAT IS THE PURPOSE OF THE AUTONOMIC

NERVOUS SYSTEM?

Definition
  1. CONTROLS SMOOTH MUSCLES
  2. HEART MUSCLE   
  3. BLOOD VESSELS
  4. VITAL ORGANS
  5. BRONCHIALS
  6. MAINTAINS HOMEOSTASIS

 

 

 

Term

 

WHAT IS ATROPINE?

Definition

 

 

PARASYMPATHETIC BLOCKER

CHOLINGERGIC BLOCKING AGENT

ANTIDYSRHYTHIC AGENT

DECREASES VAGAL TONE RESULTING INCREASED HEART RATE AND AV CONDUCTION

DECREASES GI SECRETIONS

Term

 

 

WHAT IS THE PROTEIN RECEPTOR BETA1

(LOCATED IN THE HEART)?

 

ONE HEART

TWO LUNGS

Definition

 

FUNCTIONS ARE: 

  1. CHRONOTROPIC (HEART RATE)
  2. INOTROPIC (CONTRACTIBILITY)
  3. AV CONDUCTION
  4. IRRITABILITY
Term

 

 

WHAT DO PROTEIN RECEPTORS BETA 2 DO?

Definition

 

  1. LOCATED IN SMOOTH MUSCLE OF BRONCHIOLES
  2. VASODILATION OF ARTERIES
  3. DIALATION OF BRONCHIOLES
Term

 

 

WHAT DO THE PROTEIN RECEPTOR ALPHA DO?

Definition

 

  1. LOCATED IN ARTERILES OF SKIN/GI TRACT/AORTA
  2. FUNCTION: ARTERIAL CONSTRICTION
Term

 

 

WHAT IS IS PNEUMONIC?

 

A    /  B

 C  /  D

 

Definition

 

ALPHA = CONSTRICTS

 

BETA = DILATES

Term

 

 

WHAT DOES LOW DOSE OF DOPAMINE DO?

Definition

 

 

DILATIONS OF RENAL/MESTENTERIC ARTERIES

Term

 

 

 

WHAT DOES MODERATE DOSE OF DOPAMINE DO?

 

 

Definition

 

  1. DILATE RENAL
  2. BETA 1 INCREASE INOTROPY WITHOUT CHRONOTROPY
  3. INCREASE B/P BY INCREASE C.O.
  4. USED FOR CARDIAC SHOCK
  5.                DISTRIBUTIVE SHOCK
Term

 

 

WHAT DOES HIGH DOSE DOPAMINE DO?

 

 

Definition

 

  1. ALPHA - CONSTRICTS BLOOD VESSEL WHICH INCREASE PVR
  2. BETA1 - INCREASES INOTROPY/CHRNOTROPY
  3.             INCREASE B/P = VASCONSTRICTION +
  4.                                      C.O.
Term

 

 

WHAT ARE THE DOSAGES LOW, MOD, HIGH DOPAMINE?

Definition
  1.  LOW = 6 -12 MGTTS/DOPAMINE RECEPTORS
  2.  MOD = 12-60 MGTTS/ DOP/BETA
  3.  HIGH = > 60 MGTTS/DOP/BETA/ALPHA
Term

 

 

 

WHAT IS AFTERLOAD?

Definition

 

 

AFTERLOAD IS THE RESISTANCE AGAINST WHICH THE BLOOD MUST BE PUMP.

Term

 

 

 

WHAT IS DIASYSTOLE?

Definition

 

TIME MYOCARDIUM RELAXES

CARDIAC FILLING TAKES PLACE

Term

 

 

WHAT IS RESP DIFFUSION?

Definition

 

GASES GO TO PULMONARY CAPALLARIES

Term

 

 

WHAT IS PERFUSION?

Definition

 

BLOOD GOES TO LUNG/PULMONARY BED

Term
WHAT IS THE ORGAN RESPONSE TO LOW B/P?
Definition

S/S

  1. BRAIN - ANXIOUS/ALOC
  2. HEART - TACHY - EARLY
  3. B/P     - LOW B/P - LATE
  4. GI      -  N/V
  5. SKIN   - COOL/CLAMMY
  6. PUPILS DILATE
  7. RESP   - TACHYNEA
Term

WHAT IS THE % OF BLOOD LOSS?

 

Definition
  • 10-15%-----------500-750 cc  O SYMP
  • 20-25%-----------1000-1250cc - INCREASE HR
  • 30-35%-----------1500-1750cc - SKIN COOL BP
  •                                                NORMAL
  • 40-45%-----------2
Term
WHAT ARE S/S DECOMPENSATED SHOCK?
Definition
  1. HR - THREADY, WEAK, INCREASED
  2. BP - LOW
  3. ALOC
  4. THRIST
  5. SKIN CYANOSIS
  6. ALT RESP PATTERN
Term

HYPOVOLEMIC SHOCK

 

Definition
  • LOSS OF VOLUME CIRCULATING
  • FLUID IN INTRAVASCULAR SPACE
  • DECREASE STROKE
  1. HEMORRAGE
  2. LOSS OF PLASMA (BURNS)
  3. 3RD SPACING
  4. LOSS OF BODY FLUID (VOMITING/DIARRHEA)
Term
CARDIOGENIC SHOCK
Definition

 

  1. DECREASE HR OR STROKE VOLUME
  2. DECREASE CO
  3. 40% INFARTED
  4. GOAL TO INCREASE CONTRACTIBITY AND DECREASE WORKLOAD
  5. DECREASE PVR
  6. INCREASE DIASYSTOLIC FILLING
  7. INCREASE CORONARY PERFUSION
Term

OBSTRUCTIVE SHOCK

Definition
  1. OBSTRUCTS NORMAL BLOOD FLOW
  2. TENSION PNEUMOTHORAX - VENA CAVA
  3. CARDIAC TAMPONADE - ERICARDIUM
  4. PULMONARY EMBOLUS - PULMONARY ARTERY
  5. AORTIC ANEURYM - AORTA
Term

DISTRIBUTIVE SHOCK

Definition
  1. DEFECT BLOOD VESSELS CAUSES MASSIVE VASODILATION AND/OR INCREASE CAP PERMEABILITY
  2. NEROGENIC - SPINAL CORD, DECREASE REFLEX DIALATION
  3. DRUGS - MASSIVE VASODILATION
  4. SEPSIS - BACTERIA END TOXIN REACTION
  5. ANAPHYLAXIS - ANTIGEN/ANTIBODY
  6. CRUSH SYNDROME - TOXINS/ACIDS INCREASE
Term

AIR EMBOLUS WHILE USING EXTERNAL IV CATHETHER

Definition
  1. SOB
  2. DECREASE IN BP
  3. WEAK PULSE
  4. SUDDEN LOC
  5. TREATMENT: LT LATERAL TRENDELBERG
  6.                   CLAMP CATHETHER
Term

 

 

NITROGYCERIN

Definition
  1. AVOID SYSTOLIC BP <100
  2. AVOID IF TAKEN SEX ENHANCING DRUG
  3. REASSESS 5 MIN
  4.        B/P
  5.        PULSE
  6.        LOC
  7.        RESPONSE TO MED
  8.        SKIN SIGNS
Term

 

TREATMENT OF DECOMPRESSION EMERGENCY

Definition

 

  1.  LEFT LATERAL POSITION
  2. AIRWAY
  3. MONITOR
  4. IF LOW BP FLUID
  5. HYPOTENSION UNRESPONSIVE TO FC - DOPAMINE
  6. SEIZURES - DIAZEPAM 5-10 MG
  7. CONTACT MAC FOR ONCALL HYPERARIC MD AND DETERMINATION FO PT DESTINATION

 

Term
SPINGER/SCORPION/WASP
Definition
  1. APPLY COLD PACK
Term

 

JELLYFISH TX

Definition
  1. RINSE SITE WITH STERILE SALINE
Term
TX BEESTING
Definition
  1. SCRAPE STINGER OFF SKIN
  2. APPLY COLD PACK
  3. DO NOT SQUEEZE POISON SAC
Term

SNAKE TX

Definition
  1. IMMOBILIZE AS MUCH AS POSSIBLE
  2. KEEP AFFECTED EXTREMITY BELOW LEVELOF THE HEART
Term
CYANIDE POISONING
Definition

ADMINISTER AMYL NITRATE 1 AMPULE IN CONJUNCTION WITH DECONTAMINATION

CRUSH AMPULE

USE NEW AMPULE Q 2-3 MINUTES

TAPE TO INSIDE OF BVM MASK

VENTILATE FOR 60 SECONDS

REMOVE AMPULE

CONTINUE TO VENTILATE FOR 15 SEC

REPEAT STEPS INTL IV CYANIDE ANTIDOTE AVAILABLE

Term

NERVE AGENTS TX

 

MILD EXPOSURE

Definition
  1. MILD EXPOSURE: MIOSIS, RHINORRHEA & SOB    
  2. MARK I KIT
  3. ATROPINE 2MG
  4. PRALIDOXIME CHLORIDE 600MG IM         
  5. IF SOB PERSISTS ATROPINE 2 MG IM OR IV
  6. GIVE ATROPINE Q 5 MINUTES UNTIL NOT SOB

 

Term

 

 

 

MIOSIS

Definition

 

 

 

 

 

CONSTRICTIONS OF PUPIL OF EYE

Term

MODERATE SYSTOMS

NERVE AGENTS

Definition

 

 

  1. MIOSIS, RHINORRHEA, SEVERE SOB AND VOMITING, DIARRHEA
  2. 2 MARK I KITS IM ONE AFTER THE OTHER
  3. IF SYMPTOMS PERSISTS ATROPINE 2 MG IM OR IV
  4. MR ATROPINE Q 5 MIN UNTIL SOB AND GI SYMPTOMS IMPROVE
Term

NERVE AGENT

SEVERE EXPOSURE

Definition
  • RESP DISTRESS,CYANOSIS, EXTREME SLUDGE, SEIZURES, UNCONSCIOUSNESS
  • 3 MARK I KITS IM ONE AFTER THE OTHER VALIUM 10 MG IM OR 5-10 IV
  • IF PERSISTS ATROPINE Q 5 MIN

   TOTAL OF 3 MARK I KITS

Term

PULMONARY IRRITANTS

PHOSGENE

Definition
  1. LIMIT PT EXERTION TO PREVENT ACCELERATION OF LUNG DAMAGE (DO NOT USE LASIX TO TX PUL EDEMA)
Term

 

PULMONARY IRRITANTS

AMMONIA

Definition

 

 

FLUSH SKIN AND EYES WITH COPIOUS AMTS OF WATER AND IRRIGATE EYES CONTINUOUSLY PRM

Term

 

 

CHLORIDE TX

Definition

 

 

FLUSH SKIN AND EYES WITH COPIOUS AMT OF WATER PRM

Term

HYPERTHERMIA

 

PERFUSING

Definition

 

  1. ENCOURAGE PO FLUIDS
  2. FLUID CHALLENGE
Term

HYPERTHERMIA

 

POOR PERFUSION

Definition
  1. IF ALOC CHECK BS
  2. FLUID RESUSCITATION
  3. MOVE TO COOL ENVIRNMENT
  4. REMOVE CLOTHING
  5. WET WITH WATER AND PROMOTE COOLING BY FANNING
Term

 

 

SVT

TX

PERFUSING

Definition

 

  1. VASALVA
  2. ADENOSINE 6 MG
  3. ADENOSINE 12MG IN 1-2 MIN
Term

 

 

SVT

NARROW COMPLEX

TX

POOR PERFUSION

Definition

 

 

  1. IF CONSCIOUS: ADENOSINE 6 MG
  2. SEDATION FOR AWAKE: VALIUM TO 10 MG
  3. SYNCHRONIZED CARDIOVERSION UP TO 4X
Term

VENTRICULAR TACH

WIDE COMPLEX

WITH PULSES

PERFUSING

TX

Definition
  1. MONITOR
Term

VENTRICULAR TACH

WIDE COMPLEX

WITH PULSES

TX

Definition
  1. SEDATION IN AWAKE PT
  2. SYNCHRONIZED CARDIOVERSION UP TO 4 X
Term

ALLERGIC REACTION

MILD RESPIRATORY DISTRESS PERFUSING

TX

Definition
  1. EPINEPHRINE (1:1000) 0.3 MG SQ
  2. IF WHEEZING ALBUTEROL 5 MG HHN
  3. BENEDRYL 50 - 100 MG IVP
Term

ALLERGIC REACTION

SEVERE RESP. DISTRESS

POOR PERFUSION

TREATMENT

 

Definition
  1. SHOCK POSITON PRN
  2. EPINEPHRINE 1:10,000 0.1 MG IVP
  3. MAY REPEAT Q 3 MINUTES
  4. HYPOTENSIVE - FC
  5. IF FC UNSUCCESSFUL - DOPAMINE 400/500 START AT 30 MCGTTS/MIN
Term

 

 

HYPERTENSIVE

TREATMENT

Definition

 

  • FOWLERS POSITION
  • IV

  ALOC

  CP

  EPISTAXIS

  FOCAL NEUROLOGIC DEFICITS

  HEADACHE

  N/V

  PARESTHESIA

  SOB

  VISUAL DISTURBANCES

  DIZZINESS/VERTIGO

Term

EMERGENCY CHILDBIRTH

PULSE > 60 MIN

Definition
  1. ASSIST DELIVERY,IF AMNIOTIC SAC INTACT, PINCH AND TWIST THE MEMBRANE TO RUPTURE CHECK CORD
  2. SUCTION MOUTH, THEN NOSE
  3. CLAMP  AND CUT CORD
  4. STIMULATE BY VIRGOUSLY DRYING NEWBORN WITH TOWEL
  5. WRAP IN THERMAL BLANKET, DRY TOWEL, KEEP WARM
  6. REASSESS RESPIRATIONS AND PULSES FREQ
  7. IF PULSE 60-100 AND NOT RISING, BVM FOR 30 SECONDS
  8. CHECK PULSES
Term

EMERGENCY CHILDBIRTH

PULSE LESS THAN 60

TREATMENT

Definition
  1. ASSIST DELIVERY
  2. IF AMNIOTIC SAC INTACT, PINCH AND TWIST THE MEMBRANE TO RUPTURE
  3. SUCTION MOUTH THEN NOSTRIL
  4. CLAMP AND CUT CORD
  5. STIMULATE BY VIGOROUSLY DRYING NEW BORN WITH TOWEL
  6. OXYGEN
  7. IF PULSE LESS THAN 60/MIN BVM VENTILATION FOR 30 SEC./CHECK PULSES
  8. IF PULSE REMAINS <60/MIN AND NOT RISING BEGIN CHEST COMPRESSION AT 120/MIN
  9. BVM USED "SQUEEZE-RELEASE-RELEASE" TECHNIQUE.
Term

 

 

DNR

Definition

 

  1. SPECIFIES RESUSCITATIVE MEASURES AND SUPPORTIVE MEASURES WHEN DEATH APPEARS IMMINENT.
  2. FAMILY CAN REVERSE.
  3. PATIENTS SIGNATURE
  4. PHYSICIANS SIGNATURE
Term

 

AHCD

Definition
  1. SPECIFIES RESUSCITATIVE MEASURES AND SUPPORTIVE MEASURES WHENPT IS INCAPACITATED.
  2. FAMILY MAY NOT REVERSE.
  3. MAY NAME AN AGENT TO MAKE HEALTH CARE DECISIONS IN CASE PT IS INCAPACITATED.
  4. PATIENT'S SIGNATURE
  5. TWO WITNESSES SIGNATURES OR NOTARY PUBLIC
Term

 

 

ATROPINE ADVERSE REACTIONS

Definition
  1. TACHYCARDIA
  2. INCREASE MYOCARDIAL O2 DEMAND
  3. SEIZURES
  4. DIZZINESS
  5. CONFUSION DILATED PUPILS
  6. BLURRED VISION
  7. DIFFICULTY SWALLOWING
  8. DRY MOUTH

 DO NOT GIVE ATROPINE TO NEONATES

Term

ET PLACEMENT USING EID

Definition

 

ALLOW BULB TO SELF EXPAND; IF BULB EXPANDS IN <= 5 SEC IN THE TRACHEA

Term

PVAD

MEDICATION ADMINSTRATION

Definition
  1. STERILE GLOVES
  2. PORT WITH ALCOHOL
  3. UNCLAMP CATHETER
  4. USING 10 CC SYRINGE ---INJECT 5 ML OF NS, IF MEET RESISTANCE, DONT USE.
  5. ASPIRATE FOR BLOOD RETURN. IF NO BLOOD RETURN, RECLAMP CATHETER AND DONT USE.
Term

ALTERED LEVEL OF CONSCIOUSNESS/WEAKNESS/DIZZINESS/SYNCOPE

CAUSES

Definition
  1. A    ALCOHOL, ANOXIA, ALLERGIC REACTION
  2. E    EPILEPSY, ELECTROLYTE IMBALANCE
  3. I    INSULIN (HYPO/HYPERGLYCEMIA)
  4. O   OVERDOSE
  5. U   UREMIA, UNDER-DOSE
  6. T   TRAUMA
  7. I    INFECTION
  8. P   PSYCHIATRIC, POST-ICTAL,POISONING, (INGESTION,INHALATION) PALPITATION (DYSRHYTHMIA)
  9. S   STROKE
Term

NORMAL PULSE RATE

ADULT

CHILD

INFANT

Definition

 

ADULT 60 -100

CHILD 80 - 120

INFANT 90 -160

Term
PALPATED PULSE IN RELATIONS TO BLOOD PRESSURE ( ADULTS)
Definition
  1. RADIAL APPROX > 80 SYS
  2. BRANCHIAL        >70 SYS
  3. FEMORAL           >70 SYS
  4. CAROTID           >60 SYS
Term

TREAT

MILD

ALLERGIC RX

 

Definition
  1. AIRWAY
  2. 02
  3. MONITOR
  4. IV
  5. EPINEPHRINE 1:1,000 0.3 MG SQ  MAY REPEAT X2 EVERY 20 MINUTES
  6. IF WHEEZING, ALBUTEROL 5 MG
  7. BENADRYL 50-100 MG SLOW IVP
  8. SIMPLE HIVES ARE NOT TREATED IN FIELD
Term

TREAT

ALLERGY/ANAPHYLAXIS

SEVERE RESP. DISTRESS

POOR PERFUSION

Definition
  1. AIRWAY
  2. O2
  3. SHOCK PRN
  4. MONITOR
  5. IV
  6. EPINEPHRINE 1:10,000 0.1 MG IVP*** MRX3!!!
  7. IF B/P LOW, FLUID CHALLENGE (RALES?)
  8. IF FAILS, DOPAMINE 400 MG/500CC START AT 30 MGTTS/MIN
  9. WHEEZES? ALBUTEROL 5 MG MR PRN
Term

TREAT

BRADYCARDIA

POOR PERFUSION

Definition
  1. AIRWAY/O2/MONITOR/IV
  2. GET PACER
  3. IF 2ND  II OR 3RD DEGREE HB DONOT DELAY FOR IV.
  4. IF AWAKE VALIUM OR MORPHINE UP TO 10 MG IVP
  5. ATROPINE 0.5 MG IVP WHILE WAITING FOR PACER ( Q 3-5 MIN. MAX DOSE 3 MG )
  6. EKG IF POSSIBLE CARDIAC EVENT
  7. CONSIDER FLUID CHALLENGE/ RALES?
  8. CONSIDER DOPAMINE 400MG/500CC START AT 30 MGTT/MIN
Term

SVT

PERFUSING

Definition
  1. PROCEDURES PRIOR TO BASE CONTACT
  2. UNCONSCIOUS CARDIOVERT IMMEDIATELY
  3. VALSALVA
  4. ADENOSINE 6 MG IVP RAPID IVP FOLLOWED BY 10-20 ML RAPID FLUSH NS
  5. ADENOSINE 12 MG IN 1-2 MINUTES
Term

SVT

POOR PERFUSION

Definition
  1. PROCEDURES PRIOR TO BASE CONTACT
  2. UNCONSCIOUS CARDIOVERT IMMEDIATELY
  3. IF CONSCIOUS ADENOSINE 6 MG RAPID IVP
  4. CONSIDER SEDATION IN AWAKE PT - VALIUM UP TO 10 MG TO SEDATION (MAX 20 MG)
  5. SYNCHRONIZED CARDIOVERSION UP TO 4X (100, 200, 300, 360 WS)
  6. ADENOSINE CONTRAINDICATIONS:  2ND OR 3RD DEGREE HEART BLOCK. TAKING PERSANTINE OR TEGRETOL, HX OF SSS.
Term

V TACH WITH PULSES

PERFUSING

Definition

MONITOR

Term

VTACH WITH PULSES

POOR PERFUSION

Definition
  1. SEDATION WITH AWAKE PT - VALIUM UP TO 10 MG (20MG MAX)
  2. SYCHONIZED CARDIOVERSION UP TO 4X:  100, 200, 300, 360j BIPHASIC
  3. MONITOR DOES NOT DISCHARGE ON "SYNC" TURN OFF SYNCH AND DEFIBRILLATE.
Term
CAUSES OF ASYSTOLE
Definition
  1. HYPOGLYCEMIA
  2. HYPOVOLEMIA
  3. HYPO/HYPERKALEMIA
  4. HYPOTHERMIA
  5. HYDROGEN ION
  6. HYPOXIA
  7. TRAUMA
  8. TOXINS
  9. THROMBUS
  10. TENSION PNEUMO
  11. TAMPONADE
Term
ASYSTOLE
Definition
  1. AIRWAY/CPR/MONITOR
  2. CONFIRM IN TWO LEADS IF ASYSTOLE
  3. IF DOUBT - TX FINE VFIB
  4. IV
  5. EPINEPHRINE 1 MG IV/IO Q 3-5 MIN 1:10,000
  6. NO IV/IO ---ET 2MG
  7. ATROPINE 1 MG Q 3-5 MIN MAX 3 MG -----2 MG ET
  8. CONSIDER CAUSE
  9. CONSIDER D50, CAL CHLORIDE 1 GM IV/IO, NARCAN 0.8-2MG IV/IO 2-4 MG ET
  10. RESUSCITATE ON SCENE UNTIL ROSC
  11. CONSIDER PRONOUNCEMENT OR TRANSPORT PER BASE ORDERS
Term

DECOMPRESSION

EMERGENCY

Definition
  1. AIRWAY/IMMOBILIZATION
  2. HIGH FLOW 02
  3. LT LATERAL TRENDELBERG POSITION
  4. ADVANCED AIRWAY/MONITOR
  5. IV - IF HYPOTENSION FLUID CHALLENGE
  6. DOPAMINE 200 MG/250CC NS AT 30 MCGTTS/MIN
  7. IF ACTIVE SEIZURE WITH ALOC - VALIUM 5-10 MG ( MAX 20 MG)
Term

BEE STINGS

 

Definition
  1. SCRAPE STINGER OFF SKIN (USE CREDIT CARD)
  2. APPLY COLD PACK.
  3. DO NOT SQUEEZE POISON SAC.
Term

JELLY FISH

 

Definition
  1. RINSE SITE WITH STERILE SALINE
Term
SNAKE
Definition
  1. IMMOBILIZE AS MUCH AS POSSIBLE
  1. KEEP AFFECTED EXTREMITY BELOW LEVEL OF THE HEART.
Term
SPIDER/SCORPION/WASP
Definition
  1. COLD PACK
Term

STINGRAY/SCULPIN

 

Definition
APPLY COLD PACK
Term

HYPOTHERMIA

 

FROSTBITE

Definition
  1. HANDLE AFFECTED AREA GENTLY
  2. REMOVE CONSTRICTIVE JEWELRY
  3. COVER AD PROTECT AFFECTED AREA
  4. DO NOT ALLOW AFFECTED AREA TO THAW AND THEN REFREEZE.

 

Term

Pulmonary Irritates

 

PHOSGENE

Definition
  1. CONTACT HAZMAT RESOURCES
  2. SECURE AREA AND ESTABLISH INCIDENT SITE
  3. ENSURE DECONTAMINATION PROCEDURES ARE COMPLETED BEFORE TX OR TRANSPORT TO FACILITY
  4. AIRWAY/02/MONITOR/IV
  5. HYPOTENSION - FLUID CHALLENGE
  6. WHEEZING - ALBUTEROL
  7. LIMIT PT EXDERTION TO PREVENT ACCELERATION OF LUNG DAMAGE.
  8. DO NOT USE LASIX FOR TREATING PULMONARY EDEMA.
  9. CONTINUOUS FLUSHING C NS DURING TRANSPORT.
  10. LIMIT PT EXERTION TO PREVENT ACCELERATION OF LUNG DAMAGE
  11. DO NOT USE LASIX FOR PULMONARY EDEMA
Term

PULMONARY

 

IRRITANT

 

 AMMONIA

 

 

 

 

Definition
  1. CONTACT HAZMAT
  2. SECURE AREA AND ESTABLISH INCIDENT SITE
  3. AIRWAY/IMM/02/MONITOR/IV
  4. HYPOTENSIVE - FLUID CHALLENGE
  5. WHEEZING - ALBUTEROL
  6. FLUSH SKIN/EYES WITH COPIOUS AMTS OF WATER
  7. IRRIGATE EYE CONTINUOUS DURING TRANSPORT.
Term

PULMONARY IRRITATE

 

AMMONIA

Definition
  1. CONTACT HAZMAT RESOURCES
  2. SECURE AREA AND ESTABLIHS INCIDENT SITE
  3. WEAR PROTECGTIE EQUIPENT/GEAR
  4. ENSURE DECONTAMINATION PROCEDURES ARE COMPLEDTED BEFORE TREATMENT OF TRANSPORT TO FACILITY
  5. CONTINUOUS FLUSHING OF EYE WITH NS DURING TRANSPORT/ REMOVE CONTACTS
  6. DYSRTHYMIAS COMMON WITH TOXIC INHALATION - SEE GUIDELINES
Term

PULMONARY

 

IRRITATE

 

CHLORINE

Definition
  1. CONTACT HAZMAT
  2. SECURE AREA AND ESTABLISH INCIDENT SITE
  3. AIRWAY/IMM/O2/ MONITOR/IV PRN
  4. HYPOTENSION - FC
  5. WHEEZING - ALBUTEROL
  6. FLUSH SKIN AND EYES WIT COPIOUS AMTS OF WATER
  7. DYSHYTHMIAS - GUIDELINES PRN
Term

NERVE AGENT

  MILD

MIOSIS, RHORRHEA, SOB

 

SARIN

SOMAN

TABUN

VX

OTHERS

Definition
  1. CONTACT HAZMAT
  2. SECURE AREA AND ESTABLISH INCIDENT SITE
  3. AIRWAY/02/MONITOR/IV PRN
  4. HYPOTENSIVE? - FC
  5. WHEEZING? - ALBUTEROL
  6. 1 MARK I KIT (ATROPINE 2 MG & PRALIDOXIME CHLORIDE 600 MG IM
  7. IF SOB PERSISTS ATROPINE 2MG IM OR IV
  8. MAY REPEAT ATROPINE EVERY 5 MIN UNTIL SOB RESOLVED
  9. IF SOB PRESISTS ATROPINE 2MG IM/IV
  10. MAY REPEAT ATROPINE Q 5 MIN UNTIL NO LONGER SOB
Term

NERVE AGENT

 

MODERATE

 

MIOSIS, RHINORRHEA, SEVERE SOB, N/V, DIARRHEA

 

Definition
  1. CONTACT HAZMAT
  2. SECURE AREA
  3. AIRWAY/02/MONITOR/IV PRN
  4. 2 MARK I KITS IM, ONE AFTER THE OTHER.
  5. IF SYMPTOMS PERSIST, ATROPINE 2 MG IM/IV.
  6. ATROPINE 2 MG EVERY 5 MIN UNTIL SOB, DIARRHEA.
Term

NERVE AGENT

 SEVERE

 

SOB, CYANOSIS, EXTREME SLUDGE, SEIZURE, UNCONSCIOUS

 

SALVATION

LACRIMATION

URINATION

DYSPNEA/WHEEZING

DIARRHEA

EMESIS

Definition
  1. CALL HAZMAT
  2. SECURE AREA
  3. 02/MONITOR/IV PRN
  4. HYPOTENSION? - FC
  5. WHEEZING? - ALBUTEROL
  6. 3 MARK I KITS ONE AFTER THE OTHER-TOTAL3
  7. VALIUM 10 MG IM OR 5-10MG IVP
  8. IF PERSISTS ATROPINE 2 MG IVP MR Q 5MIN.
Term
CYANIDE
Definition
  1. AMYL NITRATE 1 AMPULE
  2. CRUSH AMPULE
  3. NEW AMPULE Q 2-3 MINUTES
  4. INSIDE BVM VENTILATE 60 SEC
  5. REMOVE AMPULE
  6. CONTINUE TO VENTILATE FOR 15 SEC
  7. REPEAT CYANIDE IV ANTIDOTE AVAILABLE
  8. DYSRTHYMIA? GUIDELINE
Term
WHAT IS TRAUMA CRTERIA?
Definition
  1. PENETRATING CRANIAL
  2. BLUNT CRANIAL ASS WITH ALOC(GSC =<14,EXCLUDING PT <1YR), SEIZURE, UNEQUAL PUPILS, OR FOCAL NEROLOGICAL DEFICIT
  3. PENETRATING NECK
  4. BLUNT THORARIC WITH FLAIL CHEST
  5. PENETRATING TORSO WITH CARDIAC ARREST
  6. GSW TO TRUNK
  7. DIFFUSE ABD TENDERNESS
  8. FALL >15 FT
  9. PSI
  10. SPINAL INJURY WITH SENSORY DEFICIT OR WEAKNESS TO ONE OR MORE EXTREMITY
  11. EXTREMITY INJURY C NEURO/CIRC COMPROMISE EXCLUDING FEET/HANDS
  12. PENETRATINGTHORARIC BETWEEN MID CLAVICULAR LINES
  13. BP <90 ADULTS, BP < 70 PED
Term

TRIAGE GUIDELINES

 

MECHANISM OF INJURY

Definition
  1. SURVIVOR OF FATAL ACCIDENT C/O INJURY
  2. PEDESTRIANS STRUCK BY AUTOMOBILE
  3. EJECTED FROM VEHICLE
  4. REQUIRING EXTRICATION
  5. VERY YOUNG AND VERY OLD
Term

EXTREMIS PATIENTS

Definition
  1. IMMEDIATE TRANSPORT TO MAR
  2. OBSTRUCTED AIRWAY
  3. AS DETERMINED BY THE BASE HOSPITAL WHOSE LIVES WOULD BE JEOPARDIZED OTHERWISE NOT GOING TO MAR
Term
WHAT IF PARAMEDICS CANT MAKE BASE CONTACT?
Definition
PARAMEDIC CHOOSES DESTINATION BASED UPON GUIDELINES
Term

DETERMINATION OF DEATH

 

NO BASE CONTACT REQUIRED

Definition
  1. DECAPITATION
  2. MASSIVE CRUSH INJURY
  3. PENETRATING OR BLUNT INJURY WITH EVISCERATION OF HEART, LUNG OR BRAIN
  4. DECOMPOSITION
  5. INCINERATION
  6. PULSELESS, NON-BREATHING VICTIMS WITH EXTRICATION TIME GREATER THAN 15 MIN WHERE NO RESUSCITATIVE MEASURES CAN BE PERFORMED PRIOR TO EXTRICATION.
  7. BLUNT TRAUMA PTS WHO BASED ON PARAMEDICS THOROUGH PTS ASSESSMENT  ARE FOUND APNEIC, PULDSELESS, AND WITHOUT ORGANIZED EKG ACTIVITY UPON THE ARRIVAL OF EMS AT THE SCENE.
  8. PULSELESS, NON-BREATHING VICTIMS OF A MULT VICTIM INCIDENT WHERE INSUFFICIENT MEDICAL RESOURCES PRECLUDE INITIATNG RESUSCITATIVE MEASURES.
  9. RIGOR MORTIS
  10. POST-MORTEM LIVIDITY
Term
IN INTIAL ASSESSMENT REVEALS RIGOR MORTIS &/OR POST MORTEM LIVIDITY ONLY WHAT IS THE DETERMINATION OF DEATH?
Definition
  1. has an open airway
  2. look listen and feel for respirations.
  3. AUSCULTATE LUNGS 30 SEC FOR APNEA
  4. AUSCULTATE APICAL 60 SEC ADULTS
  5. PALPATE CAROTID PULSE 60 SEC PEDS
  6. PALPATE BRANCHIAL PULSE 60 SEC INFANTS
  7. CHECK PUPILLARY RESPONSE
  8. RESPOND TO PAIN STIMULI
Term

NONTRAUMATIC FULL ARREST

 

REQUIRES BLS UNTIL ONE OF FOLLOWING MET

 

THEN PT DETERMINED DEAD

 

 

Definition
  1. VALID DNR
  2. AHCD WITH WRITTEN DNR
  3. AGENT IDENTIFIED IN AHCD REQUESTING DNR
  4. WITHOUT SAID DOCUMENT OTHER FAMILY MEMBERS IN AGREEMENT
  5. PARENTS AT SCENE OF CHILD UNDER 18 TO DISCONTINUE CPR
  6. IN ASYSTOLE AND TIME HAS BEEN >10 MIN ACCORDING TO BYSTANDING
Term

WHICH CAN A FAMILY REVERSE?

 

DNR VS. AHCD

Definition
DNR CAN BE REVERSE BY FAMILY
Term
WHAT IS IN A DNR?
Definition
  1. SPECIFIES RESUSCITATIVE MEASURE AND SUPPORTIVE MEASURES WHEN DEATH APPEARS IMMINENT.
  2.  FAMILY CAN REVERSE.
  3. PTS SIGNATURE
  4. MD SIGNATURE
Term
WHAT IS IN A ADCD?
Definition
  1. SPECIFIES RESUSCITATIVE MEASURES AND SUPPORTIV E MEASURES WHEN PT IS INCAPACITATED.
  2. FAMILY MAY NOT REVERSE.
  3. PT SIGNATURE
  4. 2 WITNESSES SIGNATURE OR NOTARY PUBLIC
Term
RULES FOR PED AIRWAY
Definition
  1. CHILDREN UNDER 12 YRS OR < 40 KG SHALL BE MANAGED WITH BVM VENTILATION, NASOPHARYNGEAL (NP), OR OROPHARYNGEAL (OP) AIRWAY
  2. ECT MAY BE USED ON PT =>16 YRS  WHO ARE >4FT - <6FT 5IN (SM SIZE)
  3. CANT USE NP IN INFANTS
  4. CAN ONLY USE OP IF NOT GAG
Term

FIELD PROTOCOL M9

 

OVERDOSE/POISONING

Definition
  1. ABC
  2. 02 15L
  3. IV - NS TKO (FC LOW BP)
  4. MONITOR
  5. LEFT LATERAL/SHOCK POSITION
  6. NARCAN 0.8-2MG FOR OPIATE OVERDOSE
  7. D50 1 AMP 50CC IVP SLOW PRNB IF BL SUGAR <80
Term
NAMES OF OPIATES
Definition
  1. MORPHINE SULFATE
  2. DILAUDID
  3. HEROIN
  4. CODEINE
Term
NAMES OF TRICYCLIC
Definition
  1. Adapin (doxepin)
  2. Anafranil (clomipramine)
  3. Elavil (amitriptyline)
  4. Endep (amitriptyline)
  5. Ludiomil (maprotiline)
  6. Norpramin (desipramine)
  7. Pamelor (nortryptyline)
  8. Pertofrane (desipramine)
  9. Sinequan (doxepin)
  10. Surmontil (trimipramine)
  11. Tofranil (imipramine)
  12. Vivactil (protriptyl)
Term
SECONDARY FOCUSED ASSESSMENT
Definition
  1. S - S+S
  2. A - ALLERGIES
  3. M - MEDS
  4. P - PAST MED HX
  5. L - LAST ORAL INTAKE
  6. E - EVENTS LEADING UP TO CURRENT PROBLEMS
Term

WHAT CONDITIONS COULD BE

 

RESP DISTRESS

 

NONCARDIAC

 

RALES?

Definition
  1. OVERDOSE
  2. PNEUMONIA
  3. NEAR DROWNING
  4. INHALATION INJURIES
Term

WHAT IS THE TREATMENT OF

RESPIRATORY?

Definition
  1. AIRWAY/02/MONITOR/IV PRN
  2. NO NTG
Term

RESP DISTRESS

 

WHEEZES

Definition
  1. AIRWAY/02/MONITOR/IV
  2. ALBUTEROL 5 MG HHN
  3. MAY REPEAT PRN
  4. CONSIDER EPINEPHRINE 1:1,000 0.3MG SQ
  5. REPEAT Q 20 MIN X2
Term
WHAT CAN WHEEZING BE AN INITIAL SIGN OF?
Definition
  1. WHEEZING MAY BE AN INITIAL SIGN OF PULMONARY EDEMA, THATEFORE. REASSESS BREATH SOUND FREQUENTLY.
Term

ACUTE STOKE/NEURO DEFICITS

 

PROTOCOL

 

Definition
  1. AIRWAY/02/MONITOR/IV
  2. BLOOD GLUCOSE TEST
  3. FAST MG MD?
Term
SYNCOPE
Definition
  1. AIRWAY/02/MONITOR/IV
  2. BLOOD GLUCOSE PRN
  3. DEXTROSE MAY REPEAT X1
  4. DYSRHYTHMIA?
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