Geriatrics and ALS Assist Flashcards
Nasogratric Tube and Orogastric Tube contraindication
head, facial, spinal trauma
Poison that can be resolved using activated charcoal
Sellick Maneuver
Pressure on the cricoid cartilage to block the esophogus
Indication for endotracheal tube
need to create/maintain airway in an unresponsive patient with no gag reflex
Laryngoscope
Metal blade to get tongue out of the way for endotracheal insertion
Types of Laryngoscope blade
Macintosh (Curved) and Miller (Straight blade)
What is the EMT’s job before ALS endotracheal tube insertion?
Preoxygenate patient with 5 BMV ventilations
Complications of Endo tube
Tube goes into esophogus
aggravating spinal injury
taking too long (hypoxia)
vomiting
Soft tissue injury caused by insertion
tube failure
stimulation of vagus nerve through gagging (decrease HR)
Contraindication for multimumen airway
patient under 5’
BEMAGIC
BMV, Evaluate the airway, Manipulate the patient (head tilt), attempt first pass, GI, Confirm successful intubation
How to confirm successful intibation
How to confirm successful intubation
Equal rise and fall of the chest
King Airway contraindication
patient under 4’, conscious, gag reflex
Indication to use CPAP
Alert, able to follow commands, COPD or CHF
BIPAP
Bilevel positive airway pressure - Saves O2, delivers pressure during inhalation and exhalation
Air pressure handheld nebulizer
4-6 L/min
EKG set up (3-4 lead)
White on right. Smoke over fire. Clouds over grass
EKG White placement
Left mid-clavicular 2nd intercostal space
EKG Black placement
Right Mid-clavicular 2nd intercostal space
EKG Red Placement
Right Mid clavicular 7th intercostal space
EKG Green placement
Left Mid Clavicular 7th intercostal Space
12 Lead (First 4)
first 4 spread out
V1 12 lead EKG
Sternal Boarder 4th intercostal space
V2
V1 12 lead EKG
Right Sternal Boarder 4th intercostal space
