Companion Doc Flashcards
When should the first analysis be done in a medical cardiac arrest?
Asap
Do previous shocks from citizens count towards a PCP’s limit of 4 shocks, for a medical cardiac arrest?
No
When should a medic analyze a rhythm en route?
When the vehicle is stopped - to avoid artifact
When do you patch during a medical cardiac arrest?
After 3rd analysis
Why does a pcp patch during a medical cardiac arrest?
To determine severity of PT
To determine if patient should receive a TOR
How many rhythm interpretations can a PCP do after a re-arrest?
1
Can a PCP give epi to an asthmatic cardiac arrest patient?
yes, even though epi is contraindicated in asthmatic patients
What cardiac arrest directive is used for hangings?
Medical Cardiac Arrest
How long should a medic check a pulse on a Hypothermic Cardiac Arrest patient?
10 seconds
Medics should focus on what during a Hypothermic Cardiac Arrest?
Passive rewarming and gentle handling
What 3 characteristics are used when determining need for resuscitation in neonates?
Term Gestation
Muscle Tone
Breathing / Crying
What 3 things should be done to a newborn?
Drying
Positioning
Stimulationg
What are the age ranges of newborns and neonates?
Newborns - <24 hours
Neonates - >24 hours to <30 days
Medics should do what to ensure accurate HR during neonatal care
Cardiac monitoring
What is the target SPO2 for a ROSC patient?
94% - 98%
What is the target ETCO2 for a ROSC patient?
30-40mmHg
What is the target SBP for a ROSC patient?
> =90
What is the target rate of ventilation for a ROSC patient?
10 BPM
How soon should a paramedic do a 12 lead, if indicated to do so?
First 10 minutes of patient contact
Why is Nitroglycerin Contraindicated for a right ventricular stemi
It will reduce preload and cause hypotension
What should be considered ASAP in suspected MI patients?
ASA
If a patient is stemi positive, how many doses of nitro do they get?
3 doses
How many does of nitro are given to a patient with suspected ACPE
6 doses
Can you administer more than 6 doses of nitro if the patient meets two directives?
No
What needs to be done prior to Nitro use?
A 12 lead ECG
Despite the presents of rales, what should still be administered in patients with suspected ACPE who are hypotension
Fluid bolus
When do you discontinue a fluid bolus in patients with suspected ACPE
When the patient becomes normotensive
Can a paramedic use the patients glucometor?
No, paramedics should use the tool provided by the service
What are common blood sample sites?
Finger tips
Heal (if pt has not yet began walking)
What is the preferred treatment for a hypoglycaemic patient?
Dextrose (for pcp iv)
When can you administer dextrose immediately?
If glucagon doesn’t resolve symptoms, check BGL again and the administer dextrose asap.
What does the medic need to do if the PT refuses service?
Take vitals and BGL
Explain risks involved with their current condition
Instruct them to eat complex carbs
Ensure a responsible adult is there
