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39 Cards in this Set
- Front
- Back
SMOKE INHALATION |
Tube if needed. Check C.O., Draw bloods and administer the antidotes via separate lines along with saline infusion, then administer standing Norepi or Dopamine if the hemodynamics don't improve. |
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CYANIDE EXPOSURE |
Seek class order if more than 5 patients. Exercise caution. Tube if needed. Draw bloods and administer the antidotes via separate lines along with saline infusion, then administer standing order Norepi or Dopa if the hemodynamics don't improve. |
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OBSTRUCTED AIRWAY |
Ma gills, tube, and push the foreign object into the right mainstem if necessary. |
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V-FIB/PULSELESS V-TACH |
CPR, defibrillate, tube and line. Epi, amio, epi. Call for more Amio, Bicarb, Mag and/or Calcium. |
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PEA/ASYSTOLE |
Begin CPR, look for underlying cause, and decompress as needed. Tube and I.V., Epi, Dextrose, Epi. Call for Bicarb, Calcium or fluids. |
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AMI/Ischemia.
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Get a rhythm, Get a 12-lead, and run. Start a line enroute. Give aspirin and nitro. |
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AMI/Cardiogenic Shock. |
Get a rhythm, get a 12-lead, and run. I.V. enroute. Give fluid and norepi or dopa enroute, standing orders. |
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SVT
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Sedate and cardiovert the unstable; adenocard the stable. If BP normal or high, call for Dilt. If BP low, call for more rounds of cardioversion. You may also call for Amiodarone. |
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A-Fib/Flutter
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Sedate and cardiovert anything unstable; call the doc for stable above 150 BPM for Dilt (normal/high BP) or Amio. |
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V-TACH w/PULSE or WIDE COMPLEX
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Sedate and cardiovert the unstable; amio the rest on standing. Call doc for additional cardioversion, Mag, Calcium, or Bicarb. |
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BRADY/COMPLETE BLOCK |
Try atropine once, then sedate and pace. If no luck, call doc for additional atropine, dopa, calcium or bicarb. |
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APE |
Attach monitor, pop a line and give Nitro and CPAP. Call for Lorazepam, Midazolam, and/or Furosemide. |
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ASTHMA |
Start breathing treatments. Give Epi IM if it looks bad, and pop a line. Try mag followed by methyprednizolone or dexamethazone, then call doc for more epi. |
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COPD
|
Give breathing treatments, pop a line, try methylprednizolone or dexamethazone, and hit the road. |
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ANAPHYLACTIC REACTION |
Be prepared to tube. If there's shock or a history, IM Epi right away, otherwise skip the Epi. Pop a large bore, run fluids, and give I.V. steroids, then Benadryl. If bronchospasms, give one albuterol neb. Call doc for repeats and some Norepi or Dopa. |
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AMS |
Check sugar. Try Dextrose, Glucagon, Naloxone. Repeat Dextrose once, then call doc for repeat of standing if no change. |
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SEIZURE
|
Give Dextrose, maybe Glucagon, and one of the three sedatives (L or D or M). Call for more LDM if needed. |
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NON-CARDIOGENIC SHOCK
|
Decompress PRN, pop a large bore, IO if needed. Run fluids, and apply monitor. |
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SEPTIC SHOCK |
Tube as needed. Drop two hoses and pump two liters, IO if needed. Record the rhythm, lactate and temp, if possible. Call the doc for a third liter. |
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TRAUMATIC ARREST
|
Load and go, decompress and tube on the fly. EKG if no chest holes. Pop two large bores and run fluids on the way in. |
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HEAD INJURIES |
Tube, monitor, and line. Lorazepam, Diazepam or Midazolam to control seizures. Hyperventilate if herniating. Call doc for more "LDM" if needed. |
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CHEMICAL EYE INJURIES (Pediatric and Adult) |
Remove any contact lenses, give Proparacaine or Tetracaine drops to facilitate irrigation. You may repeat the drops once. |
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BURNS (Pediatric and Adult) |
Tube quickly if airway is burned. Apply monitor to electrical burns. Pulse ox and two liters NS. Give Morphine if BP greater than 110 systolic, otherwise go with Fentanyl. |
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PAIN FOR ISOLATED EXTREMITY INJURY
(Pediatric and Adult) |
If non-isolated injury, scoop and run. Consult doc enroute for pain management options.
If isolated, monitor, pulse ox, line, and watch vitals. Give morphine on standing orders if systolic BP is above 110, otherwise go with Fentanyl. As always, narcan is standing by. |
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EXCITED DELIRIUM (Adult Only) |
Go with a quick shot of I.M or I.N Midazolam, preferably I.M.; Once things calm down, try to get a line, monitor, pulse ox, and BGL. Call for a slew of additional options: Ketamine, Midazolam, Lorazepam and Diazepam, via a variety of routes. |
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SEVERE NAUSEA / VOMITING (Pediatric and Adult) |
Line, vitals, and treat underlying cause of chunk blowing. Ondansetron with one repeat, standing. |
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OBSTETRIC COMPICATIONS
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Be alert for BP >160/110, headache, seizure, belly ache, APE. For severe pre-eclampsia, call for Mag once or twice. first round in 50 to 100 cc, but second round must be given in 100 cc. |
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NEONATE RESUSCITATION |
CPR, tube, and transport as fast as you can. N.G.O.G if distended. Epi down the tube. I.V.I.O if extended or delayed. Infuse saline on the way, and keep pushing epi. |
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PEDIATRIC RESP ARREST |
Be alert for OD or obstruction. Tube and decompress if needed. Enroute, give Naloxone I.N.I.M., Pass an N.G.O.G if needed. PPMC I.V.I.O. |
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PEDIATRIC OBSTRUCTED AIRWAY |
Ma gills first. Tube if epiglottis isn't enlarged, and push object into right mainstem if necessary. |
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PEDIATRIC CROUP/EPIGLOTTITIS. |
Do NOT tube. Transport and ventilate with high pressure BVM, passing N.G.O.G for distention. |
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PEDIATRIC NON-TRAUMATIC ARREST |
Shock and CPR. Tube and transport. Give high-concentration E.T epi, pass an N.G.O.G, start a line. Shock again, I.V.I.O amio if V.F, Epi Q3-5 either way. Call to repeat standing, or to give Naloxone, Dextrose, Bicarb, Magnesium or fluids. |
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PEDIATRIC ASTHMA WHEEZING |
Start the first of three Combivents. If 1 year or older, hit severe cases with IM Epi. Begin transport, and call the doc for repeat of Albuterol, repeat of epi after 20min, and I.V.I.O. |
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PEDIATRIC ANAPHYLAXIS |
Tube and give ET epi if severe, otherwise give Epi IM. Begin transport, and pass an N.G.O.G if needed. Call doc for repeats, I.V.I.O, and fluids. |
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PEDIATRIC AMS |
Transport, give IM Glucagon, then a line enroute. Give I.V.I.O Dextrose followed by titrated Naloxone. Call medical control to repeat any of the standing orders. |
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PEDIATRIC SEIZURES |
I.M Glucagon and I.M.I.N Midazolam, standing. Transport. Start a line to give Dextrose, but withhold Glucagon and Dextrose if BGL >60. Call enroute for: Lorazepam or Diazepam, or repeat Midazolam. |
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PEDIATRIC DECOMPENSATED SHOCK
|
EKG if no apparent hypovolemia, and treat any rhythm issues PPMC. Begin transport, start a line enroute on standing orders, and give fluids for shock. Call the doc for more fluids. Request cardioversion for unstable arrhythmias. Ask for Adenocard if the monitor can't deliver. |
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PEDIATRIC TRAUMATIC ARREST |
Transport. Tube and decompress enroute; line and fluids. Pass an N.G.O.G tube. Call for more fluids PRN. |
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HYPERGLYCEMIA (Pediatric and Adult) |
Tube if necessary. BGL over 300 with AMS, rapid breathing, and dehydration gets an I.V and a liter of fluid. Any BGL over 500 gets the same. Call for one additional liter, as needed. |