General Care Guidelines

Question 1

Establish IV Access for these reasons (There are three of them)

Answer 1

1. To administer pre-hospital medications
2. Fluid replacement
3. Patient’s condition is likely to deteriorate before arriving at the hospital.

Question 2

Pre-Existing vascular access devices (PVAD) may be used only if:

Answer 2

1. The patient is in cardiac arrest
2. There is an emergent need to administer fluids or IV medications and a peripheral IV cannot be established and an IO is NOT appropriate due to the patient’s condition.

Question 3

Airway Management (BLS)

Answer 3

1. Open airway using chin-lift or jaw thrust. Protect c-spine when potential exists.
2. Suction if indicated.
3. Use OPA or NPA as needed to maintain a patent airway.
4. Assist ventilations as needed using a BVM + 100% O@. Ventilate at a rate of 20/min for pediatrics. 40-60 for newborns. Ventilate until visible chest rise and fall.
5. If a patient age 18 (see that it is 18 here) is in respiratory arrest with no gag reflex, insert an appropriate sized non-visualized airway if available.

Question 4

Airway Management (ALS)

Answer 4

Secure airway if there is a risk of aspiration or vomiting in an unconscious patient. Intubate adults with an ETT or non-visualized patient.

BVM ventilation is the preferred method for ventilating a pediatric patient. If cannot be adequately performed using BVM, place non-visualized airway. If non-visualized airway fails, proceed to endotracheal intubation