Bridgeport Area Alerts

Question 1

STEMI Alert Criteria

Answer 1

• 35 y/o +
• > 1mm in Limb Leads
• > 2mm in Precordial (V1-V6)
• No Pacing
• No LBB
• Reciprical Changes
• Machine “Acute MI Suspected”

Question 2

STEMI Suggestions

Answer 2

• Inferior should perform V4R
• V1-V4 perform posterior
• V6 perform posterior

Question 3

SEPSIS Alert Criteria

Answer 3

Vitals
* >18 y/o
* <96(36) or >100(38) or subjectivley febrile
* HR >90
* Resp >20
* New AMS
* SPB <90
* MAP <65
* EtCO2 <25

Confirmed or suspected infection

Question 4

SEPSIS Infection Suspicions

Answer 4

• Recent hospitilization/surgery
• any tubes into body (foley, PICC, PEG, etc.)
• immuno comprimised
• recent chemotherapy
• SNF or Rehab
• wounds, coughs, diarrhea, abdominal pain

Question 5

Trauma Alert Guidelines - Physical

Answer 5

Physiologic Criteria
* SBP <90 mmHg in an adult or
* SBP < (70+2 X Age) in a child
* GCS <13 from trauma
* Penetrating injuries
* Chest wall instability
* Spinal cord injury
* Burns >5% or any airway involvement
* Limb amputation
* Multiple long bone fractures
* Multiple organ system injuries
* Crushed, Degloved, Pulseless, Mangled Extremity
* Skull Fractures
* Pelvic Fractures

Question 6

Trauma Alert Guidelines - Mechanism

Answer 6

Significant vehicle deformity
* ≥ 12 inches of intrusion into passenger compartment
* ≥ 18 inches of intrusion to any part of the vehicle
* Steering wheel deformity, dash deformity
* Partial or complete ejection from vehicle
* Unrestrained occupant in rollover
* Prolonged extrication (greater than 20 minutes)
* Death of same-vehicle occupant
* Pedestrian or bicyclist run over, thrown, or hit by automobile traveling >20mph
* Hanging or drowning event
* Fall from height greater than 20 feet for an adult or greater than 10 feet for a child
* Falls with evidence of/or history of a head injury/strike while on thinners

Question 7

Trauma Alert Guidelines - Other

Answer 7

• Extremes of age < 5, > 55
• 20 weeks gestation or greater
• Provider discretion with high index of suspension trauma alert warranted
• Pt already receiving blood
• Whenever possible, keep family members together

Question 8

Stroke Alert Guidelines

Answer 8

• BGL >70 mg/dL
• CCSS Positive in ANY element
• Normal with last 24 hours

Question 9

Stroke Alert Transport/Treatment

Answer 9

• Short scene time (less than 15 min)
• Obtain 12 lead
• Transport reliable witness if possible