Acadian Protocols Flashcards
List MOI’s that indicate minimum status 3 PT:
- falls over 10 feet
- MVA with intrusion of 12 inches occupant site, 18 inches passenger
- MVA with injection (partial/ complete)
- MVA with death of occupant
- MVA with unsecured pediatric
- auto vs ped >20 mph impact
- motorcycle crash >20 mph
List mandatory equipment for emergency:
- O2
- cardiac monitor
- suction device
- ALS equipment
List 5 criteria for status 1 adult PT:
- new onset GCS <13 or <2 normal GCS
- respiratory rate <10 and >29
- acute SPO2 <90
- systolic BP <90
- HR <45 or >145
List 3 criteria for status 1 pediatric:
- poor muscle tone
- increased work of breathing
- reduced circulation of alin
What is the age range for pediatrics?
12 and younger
List 9 secondary assessments- trauma positive findings for status 2:
- all penetrating injuries
- chest wall instability
- two or more proximal long bone fractures
- crushed, degloved, mangled or piled less extremity
- amputation proximal to wrist /ankle
- pelvic fractures
- skull deformity / fracture
- paralysis
- active bleeding requiring wound packing / tourniquet
- unable to follow simple commands (motor GCS <6)
- heart rate >systolic BP
List 2 secondary assessments- medical positive findings (status 2):
- STEMI (angina-type chest pain)
- new onset stroke
If needed 12 lead should be done within ?
10 minutes
List 3 circumstances when a stays 1 PT can be made status 3:
- successfully treated hypoglycemia
- successfully treated narcotic OD
- anxious , hyperventilating PT w/ initial respiratory rate >29
Definitive care hospital for ROSC PT is :
Temperature targeted management facility
Definitive care hospital for STEMI pt is Hosptial with ?
Per cutaneous coronary intervention (PCI)
Definitive care hospital for non-trauma Peds is ?
24/7 pediatric ICU/NICU
What is needed if PT Choice of hospital is not definitive care ?
AMA (against medical advice )
List three conditions where the closest hospital is the definitive care hospital?
- cardiac arrest
- uncontrolled airway
- tension pneumothorax
Hey status 3 patient is any patient that requires?
- ALS and interventions at a general care hospital
List six acceptable reasons for diversion of a status 1 or 2 patient
- Patient’s medical condition warrants transported to an different hospital for stabilization
- Non-Functioning diagnostic capabilities.
- Mass casually incident
- ED closure
- No general surgery.
- ED saturation
When can a status 3 or 4 patient be diverted?
If ED is close to all incoming patients
List 6 unacceptable reasons for diversion of a status 1or 2 patient:
- ICU saturation
2.
