ALS SKILLS Flashcards
COPD INDICATIONS
- COPD, CHF, Asthma or Bronchitis
- Wheezing
- Peripheral edema
- Rales
- Cough
- Pursed lip breathing
- Diminished/decreased breath sounds
- Accessory muscle use
- Anxiety
- JVD
COPD CONTRAINDICATIONS
• Apnea
• Unconscious
• Pediatric (appearing to be less than 15y/o)
• Suspected Pneumothorax
• Vomiting
• Systolic blood pressure 90mmHg or less
(relative contraindication consult with base
station)
• ALOC
• Failing respirations
PEDIATRIC KING LT AIRWAY
• Unresponsive and apneic (less than 6 per minute) • No gag reflex • Pediatric patient sizes: • 35-45” or 12-25 kg: Size 2 (connector color: green) • 41-51” or 25-35 kg: Sixe 2.5: (connector color: orange)
PEDS KING LT CONTRAINDICATIONS
• Conscious patient w/ an intact gag reflex • Known ingestion of caustic substances • Suspected foreign body airway obstruction (FBAO) • Facial and / or esophageal trauma • Patients w/ known esophageal disease (cancer, varicies, surgery, etc) • Epiglottitis • Airway Burns
ADULT KING LT INDICATIONS
• Unresponsive and apneic (less than 6 per minute) • No gag reflex • Anyone over four (4) feet in height: • 4-5 feet: Size 3 (connector color: yellow) • 5-6 feet: Size 4 (connector color: red) • 6 feet and over: Size 5 (connector color: purple)
ADULT KING LT CONTRAINDICATIONS
• Conscious patient w/ an intact gag reflex • Known ingestion of caustic substances • Suspected foreign body airway obstruction (FBAO) • Facial and / or esophageal trauma • Patients w/ known esophageal disease (cancer, varicies, surgery, etc.) • Epiglottitis • Airway Burns
NEEDLE CRICOTHYROTOMY INDICATIONS
• Upper Airway Obstruction with severe
respiratory distress
• Unable to ventilate with conventional
maneuvers or devices.
NEEDLE CRICOTHYROTOMY CONTRAINDICATIONS
• Transection of the distal trachea
NEEDLE THORACOSTOMY INDICATIONS
• Increasing Agitation • Progressively worsening dyspena/cyanosis • Decrease/Diminished breath sounds • Hypotension • Distended Neck Veins • Tracheal deviation • Blunt chest trauma consider Bilateral tension pneumothorax if SPO2 remains low
NEEDLE THORACOSTOMY CONTRAINDICATIONS
• None
Naso /Orogastric Tube INDICATIONS
• Any intubated patient where gastric
distension may impede ABC’s
• Oral route for patients with mid-facial
trauma and all patients less than six (6)
months of age.
NASOGASTRIC/ OROGASTRIC TUBE CONTRAINDICATIONS
• History of esophageal strictures, varicies
and/or other esophageal diseases
distension may impede ABC’s
• Caustic ingestion
• Oral route for patients with mid-facial
• Significant facial or head trauma
trauma and all patients less than six (6)
• History of bleeding disorders
months of age.
NASOTRACHEAL INTUBATION Indications
• Possible cervical spine injury with clenched jaw and gag reflex. • Trapped and inaccessible for direct laryngoscopy. • Severe respiratory distress per Protocol Reference #11010, Adult Respiratory Emergencies. • Patient’s nare is able to accommodate size 7.0, 7.5 or 8.0 endotracheal tubes.
NASOTRACHEAL INTUBATION CONTRAINDICATIONS
• Apnea Relative Contraindications Base Station Contact Required For: • Significant trauma to the face or nose and/or possible basilar skull fracture. • For patients on anticoagulant therapy. • Suspected airway burns. • Failed CPAP.
PEDS ETT INDICATIONS
• Non-responsive and Apneic patients
• Agonal or failing respirations with no gag
reflex
• Prolonged ventilation is required and
adequate ventilations cannot otherwise be
achieved
