BLS PCS Flashcards
unless the patient requires immediate intervention, the paramedic shall establish baseline vital signs which include…
- HR
- RR
- BP
- SPO2
- GCS
- Pupils
- skin condition
when should you initiate a chest auscultation and cardiac monitoring?
when the pt is exhibiting S/S of Cardiovascular, Respiratory, or Neurological compromise
for interfacility transfers, obtain the following information and transfer documents
- name of sending physician
- verbal and written treatment orders from sending physician
- transfer papers
- name of staff and equipment accompanying patient
- name of receiving facility and receiving physician
when working with a regulated health professional. what must be documented on the ACR?
- name of the regulated health professional
- the type of profession
- any care provided by the regulated health professional
when should you continuously administer high concentration oxygen for patients?
- confirmed or suspected CO or cyanide toxicity or noxious gas exposure
- upper airway burns
- scuba related disorders
- Cardiac arrest
- complete airway obstruction
- sickle cell anemia with suspected vaso-occlusive crisis
when should you administer high concentration of O2 if SPO2 is not functioning?
- age specific hypotension
- respiratory distress
- cyanosis, ashen, pallor colour
- altered LOC
- abnormal pregnancy/labour
what is the oxygen saturation a COPD patient should be at?
88 - 92%
how often should you reasses vital signs for a COPD patient?
q 10 mins
what are signs of obvious death as per the BLSPCS?
- gross charring
- open head and torso wound with gross outpouring
- gross rigor mortis
- dependent leviditis
- decapitation
- transection
- decompensation/ putrefication
you can only restrain a patient if..
- directed by doctor or police
- an unescorted patient becomes violent
- use of restraints is required to provide emergency treatment
is the patient is restrained what should be documented in the ACR?
- that the patient was restrained
- a description of the patients behaviour which required restraints
- the method of restraints
- the person who ordered the restraint
- position of patient
- clinical response to restraint
when should you consider leaving probes in the patient?
when embedded above clavicle, in the nipple, in the genital area
for abdominal pain (non traumatic) the paramedic shall consider like,limb,function threats such as…
- triple A
- ectopic pregnancy
- DKA
- PE
- perforated organs
-pancreatitis - testicular torsion
- pelvic infection
- hernias
for back pain (non traumatic) the paramedic shall consider life/limb/function threats such as…
- triple A or TAA
- spinal nerve root compression
- intra abdominal diseases
-occult injury
what is the preferred site for an IV line in a STEMI patient?
left arm
for patients who have COP or asthma, the paramedic should attempt to maintain ETCO2 between…
50 - 60 mmHg
if patient is in active seizure, the paramedic will observe for…
- eye deviation
- incontinence
- parts of body effected
- type of seizure
what are signs of cerebral herniation as per the BLSPCS?
a deteriorating GCS <9 with any of the following
- dilated and unreactive pupils
- asymmetric pupillary response
- decorticate or decerebrate posturing
if ETCO2 monitoring does not work and patient shows signs of cerebral herniation, at what rate do you hyperventilate an Adult, Child, and infant <1yoa respectivly?
20 , 25, 30 breaths per minute
how should you transport a patient with an eye injury?
supine with the head elevated at 30 degrees
when should a paramedic discontinue cooling efforts on a burn patient?
if shivering or hypotension develops
in hypothermia cases, when should a paramedic assume the core temperature of the pt is <32 degrees
- absent or minimal shivering
- decreased LOC / altered mental status
how often should the paramedic reassess the distal neurovascular status in the affected extremity?
every ten minutes
how long should you decontaminate a known or suspected alkali burn?
minimum of 20 mins
