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21 Cards in this Set
- Front
- Back
4 ALS Standing Orders for general injury and trauma
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1. Airbag Deployment
2. External Bleeding/Hemorrhage 3. Eye Injury 4. Isolated Extremity Trauma SO-T-05 |
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Actions for airbag deployment causing eye irritation
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1. Brush off powder from face and irrigate with copious amounts of water
2. If patient wears contact lenses, ask patient to remove, if possible SO-T-05 |
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The SO treatment for external bleeding and hemorrhage includes:
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Apply direct pressure to bleeding site and consider use of a tourniquet for uncontrollable extremity hemorrhage
SO-T-05 |
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Treatment for external bleeding/hemorrhage patients includes
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1. Rapid transport if potentially unstable
2. O2 if saturation is <95% 3. IV bolus wide open to maintain perfusion 4. ALS transport to nearest appropriate PRC or Trauma Center if patient meets criteria. SO-T-05 |
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What is IV fluids SO for for external bleeding/hemorrhage patients?
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250ML then wide open to maintain perfusion; IV should be started enroute to PRC if doing so on scene would create transport delay.
SO-T-05 |
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OCEMS Policy #310.30 dictates
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Base contact for Trauma Triage Criteria
SO-T-05 |
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What two drugs may be adminstered to eye injury patients?
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1. Morphine Sulfate
2. Odanstron (Zofran) SO-T-05 |
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Morphine Sulfate criteria and dosage for eye injury
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BP >90 systolic
5mg (or 4 mg carpuject) IV/IM, may repeat x 1. SO-T-05 |
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Odansetron (Zofran) adult dosage
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Two 4mg ODT (tablets) to dissolve orally
SO-T-05 |
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Treatment for eye injuries includes:
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1. Cover injured eye without applying pressure to globe
2. Elevate head 30 degrees if no c-spine 3. Morphine Sulfate/Odanstron prn 4. Transport (ALS if meds required) SO-T-05 |
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SO - T - 15 refers to
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Isolated extremity trauma (fractures or amputations) not meeting trauma triage criteria
SO-T-05 |
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Standing orders for isolated extremity trauma include:
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1. Splint or immobilize extremity
2. Cold packs over site 3. Morphine Sulfate 4. Transport SO-T-05 |
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Needle thoracostomy can be performed as an SO under what circumstances?
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MCI
Traumatic Full Arrest Adult or Peds SO-T-10 |
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Trauma arrest patients for whom resuscitation and transport is pursued should be triaged as follows:
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Unmanageable airway - triage to closest PRC
Penetrating or blunt traumatic cardiopulmonary arrest, including pregnant patients - triage to PTRC SO-T-10 |
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The following adult patients should be transported to the nearest PTRC as directed by the Base Hospital for replant evaluation:
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Cleanly cut amputations to:
1. Thumb 2. Multiple fingers proximal to the mid-phalanx 3. Complete or partial hand 4. Upper extremity 5. Any amputation to a child 6. Penis SO-T-15 |
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The following amputations do not meet replant criteria:
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1. Amputations with crush injuries
2. Amputations at multiple levels of the same body part 3. Finger tip amputations 4. Single finger in the adult 5. Self-mutilation with prior self-mutilation attempts 6. Amputations > 6 hours All the above are triaged to nearest PRC SO-T-15 |
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For bleeding that cannot be controlled with direct pressure:
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Apply OCEMS approved (MAT) tourniquet
SO-T-15 |
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ALS SO for crush injury
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1. Obtain pulse ox (<95% administer high flow O2)
2. IV/IO access in unaffected limb with 250mL normal saline bolus prior to release of compression force 3. Albuterol treatment if wheezing is present 4. Morphine for pain if needed SO-T-20 |
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For crush injury > 1 hour, administer:
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1. Albuterol 5mg nebulized with continuous inhalation (to reverse hyperkalemia)
2. Sodium bicarbonate 50mL prefilled syringe IV/IO one time SO-T-20 |
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SO treatment for Tasered patients with a regular pulse includes:
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Check for stable vital signs per I-40, mental competency and no request for transport.
If all ok, release to law with recommendation that "victim be medically cleared at intake or ER". Document this comment and name of law personnel on the PCR SO-T-25 |
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SO treatment for Tasered patients with an irregular pulse, unstable vital signs or altered mental status includes:
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1. Cardiac monitor
2. Pulse Ox (<95% give O2) 3. Determine blood glucose and treat if <80 4. Establish IV and infuse 250mL bolus then wide open to maintain perfusion 5. Sedation with midazolam if excited delerium 5. ALS escort to appropriate PRC SO-T-25 |