ALS Adult Standing Orders/Adult Skills Flashcards
No. P-110, Adult Skills
Cardioversion - Synchronized (after x3 BHPO)
Unconscious SVT
Unstable VT
Unconscious Atrial Fibrillation/Atrial Flutter with HR ≥180
No. P-110, Adult Skills
Chest Seal:
Occlusive dressing designed for treating open chest wound
No. P-110, Adult Skills
Continuous Positive Airway Pressure
Age ≥15 years
Respiratory distress: CHF, COPD, asthma, pneumonia, or drowning
Moderate to severe respiratory distress. Retractions/accessory muscle use AND RR ≥25/min, OR SpO2 <94%
No. P-110, Adult Skills
Defibrillation
VT (pulseless) / VF
Repeat prn
No. P-110, Adult Skills
External cardiac pacemaker
Unstable narrow complex bradycardia with pulse, refractory to Atropine
Wide complex bradycardia
No. P-110, Adult Skills
Glucose Monitoring
Hypoglycemia (suspected)
Hyperglycemia (suspected)
No. P-110, Adult Skills
Hemostatic Gauze
Life-threatening hemorrhage in the trauma patient when tourniquet cannot be used or to supplement tourniquet
No. P-110, Adult Skills
Indwelling Devices
Use pre-existing external indwelling vascular access devices as primary vascular access if needed for definitive therapy
No. P-110, Adult Skills
Intraosseous Infusion
Fluid/medication administration in acute status patient when needed for definitive therapy and unable to establish venous access
No. P-110, Adult Skills
Intubate (ET/Stomal/ETAD/Perilaryngeal)
Apnea or ineffective respirations for unconscious adult patient or decreasing LOC
No. P-110, Adult Skills
Magill Forceps with direct Laryngoscopy
Airway obstruction from foreign body with decreasing LOC or unconscious
No. P-110, Adult Skills
Nasogastric/Orogastric Tube Insertion
Gastric distention interfering with ventilation
No. P-110, Adult Skills
Needle Thoracostomy
Severe respiratory distress with dismissed or absent lung sounds (unilaterally OR bilaterally) ANNNND systolic BP <90
No. P-110, Adult Skills
Re-alignment of Fracture
Grossly angulated long bone fracture with gentle unidirectional traction if necessary for splinting
No. P-110, Adult Skills
Tourniquet
Apply tourniquet in severely injured extremity when direct pressure or pressure dressing fails to control life-threatening hemorrhage. (Attempt to control life-threatening hemorrhage with direct pressure or pressure dressing not required prior to tourniquet application in a mass casualty).
