Indications Flashcards
Activated Charcoal
acute oral poisoning
oral drug overdose
adults & children >1 who have ingested toxins less than 1 hour before ambulance clinician attended
adrenaline 1 milligram in 10ml
cardiac arrest
adrenaline 1mg in 1mkl
anaphylaxis
life-threatening asthma with failing ventilation and continued deteriation despite nebuliser therapy
amiodarone hydrochlorine
cardiac arrest shockable rhythms (administer after third shock if unresponsive to defibrillation)
aspirin
adults with ecg evidence suggestive of myocardinal infarction
ischaemia
atropine sulfate
systematic bradycardia in the presence of any of these adverse signs:
absolute bradycardia (pulse <40 bpm)
low systolic blood pressure for age
paroxysmal ventricular arrythmias requiring suppression
inadequate perfusion causing confusion
bradycardia following return of spontaneous circulation (ROSC)
benzylpenicillin sodium
suspected meningococcal disease in the presence of:
non-blanching rash
s&s suggestive of meningococcal septicaemia
chlorphenamine
severe anaphylactic reactions after initial resuscitation
symptomstic allergic reactiond
clopidogel
acute ST-elevation MI (STEMI) :
in patients not already taking clopidogel
in patients recieving thrombolytic treatment
anticipated thrombolytic treatment
anticipated primary percutaneous coronary intervention (PPCI)
dexamethasone
mild/moderate/severe croup, scored using Modified Taussig Score
diazepam
prolonged convulsions (>=5 mins) or repeated convulsions (3 or more in 1 hour) and are currently convulsing
eclamptic convulsions (if seizure lasts over 2-3 minutes)
symptomatic cocaine toxicity (severe hypertension, chest pain or convulsions)
furosemide
pulmonary oedema due to acute heart failure
glucagon
hypoglycaemia, clinically suspected hypoglycaemia or unconscious patients where hupoglycaemia is considered a likely cause (blood goucose <4millimoles per litre)
glucose 10%
hypoglycaemia or suspected hypoglycaemia when oral administration is not possible and a rapid improvement in clinical state and blood glucose level is required
unconscious patient where hypoglycaemia is considered a likely cause
management of hypoglycaemia in patients who have not responded to administration of IM glucagon after 10 minutes
glucose 40% oral gel
known or suspected hypoglycaemia in a conscious patient where there is no risk of choking or aspirating
glycerol trinitrate (GTN)
cardiac chest pain fue to angina or myocardial infarction, when systolic blood pressure is greater than 90mmHg
breathlessness due to pulmonary oedema in acute heart failure when systolic blood pressure greater than 110mmHg
suspected cocaine toxicity presenting with chest pain
Heparin (unfractionated)
ST elevation myocardial infarction (STEMI), required as adjunctive therapy with tenecteplase to reduce risk of re-infarction
