Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MD Protocols > MD Protocols > Flashcards

MD Protocols Flashcards

1
Q

Agitation - Moderate - Adult - Medical Delirium (e.g. Infection)

A

Droperidol 2.5mg IM. (1.25mg IM over 69)
Contraindication- pregnant Pt or QT interval longer than 440ms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Agitation - Moderate - Adult - Psych Emergency (e.g. schitz, off meds)

A

Droperidol 2.5mg IM. (1.25mg IM over 69)

Contraindication- pregnant Pt or QT interval longer than 440ms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Agitation - Moderate - Adult - Drugs or ETOH

A

Versed 5mg IV/IM (2.5mg over 69)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Agitation - Moderate - Adult - Head Injury

A

Versed 5mg IV/IM (2.5mg over 69)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Agitation - Moderate - Adult - Unknown

A

Versed 5mg IV/IM (2.5mg over 69)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Agitation - Severe - Adult

A

Versed 5mg IV/IO (2.5mg over 69)
Or
Ketamine 1mg/kg IM/IO (max 100mg) or 4mg/kg IM (max 400mg) - only if immediate and danger to Pt or EMS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Agitation - Moderate - Pedi < 5yo

A

No meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Agitation - Moderate - Pedi 5-12

A

Med Control for versed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Agitation - Moderate - Pedi 12-18

A

Doperdol - 2.5 IM or
Med Control for Versed
0.1mg/kg max 5mg IV/IO
0.2mg/kg max 5mg IM/IN (IM Preferred)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Agitation - Severe - Pedi < 13

A

Med Control for ketamine or versed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Agitation - Severe - Pedi 13-18

A

Ketamine 1mg/kg IV/IO (max 100mg) or 4mg/kg IM (max 400mg) - only if immediate and danger to Pt or EMS (If not…Med Control)

Versed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Allergic Reaction - Mild - Adult

A

Benadryl 25mg Slow IV/IM
or
Epi 0.5mg IM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Allergic Reaction - Moderate - Adult

A

Epi 0.5mg IM (3x every 5 min)
Establish IV
Benadryl 50mg IV/IM
DuoNeb 2.5mg albuterol 0.5 mg Atrovent - 2nd dose Albuterol 2.5 mg only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Allergic Reactions - Mild - Pedi

A

Benadryl 1mg/kg Slow IV/IM (max 25mg)
or
Epi
<5 yo 0.15 mg
5yo+ 0.5mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Allergic Reactions - Moderate - Pedi

A

Epi - <5 yo 0.15 mg or 5yo+ 0.5mg
Establish IV
If hypotensive 20ml/kg LR (2x)
Benadryl 1mg/kg - slow IV/IM (max 50 mg)
DuoNeb
< 1 yo only 1.25 mg Albuterol
1-2 yo 1.25 mg Albuterol and 0.25mg Atrovent
>2 yo 2.5 mg Albuterol and 0.5 mg Atrovent
May repeat Albuterol 1x

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Altered Mental Status - Ck

A

Tox/Environment
Hyper/Hypoglycemia
Seizures
Sepsis
Stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Anaphylaxis - Adult

A

Epi 0.5mg IM (3x every 5 min)
Establish IV
DuoNeb 2.5mg albuterol 0.5 mg Atrovent - 2nd dose Albuterol 2.5 mg only
Benadryl 50mg IV/IM
If hypotensive 20ml/kg LR (2x)
Dex 10mg IV/IO
Epi Drip after 3 doses of Epi IM - 1mL/min titrate to 2mL/min (1mg in 100mL = 10mcg/mL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Anaphylaxis - Pedi

A

Epi - <5 yo 0.15 mg or 5yo+ 0.5mg Q5 3x
Establish IV
DuoNeb
< 1 yo only 1.25 mg Albuterol
1-2 yo 1.25 mg Albuterol and 0.25mg Atrovent
>2 yo 2.5 mg Albuterol and 0.5 mg Atrovent
May repeat Albuterol 1x
Benadryl 1mg/kg - slow IV/IM (max 50 mg)
If hypotensive 20ml/kg LR (2x) till 70 +2x age to 10 (90)
Dex 0.5mg/kg IV/IO (max 10mg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ALTE/BRUE

A

Place on cardiac monitor
Establish IV access on if required by Pt condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hypoglycemia - Adult

A

If BG is below 70mg/dL
50mL of D10 every minute to max of 250mL (25g) until:
normal mental status and
BG above 90
If still altered and BG below 90 repeat dosing
If no IV access 1mg Glucagon IM/IN
If still altered TX to hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Hyperglycemia - Adult

A

If BG is greater than 300mg/dL
10mL/kg bolus of LR unless, rales, wheezing, pedal edema or Hx of renal failure or CHF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Hypoglycemia - Pedi

A

If less than 28 days BG below 40mg/dL
If greater than 28 days BG below 70mg/dL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Hyperkalemia - Adult

A

LR 20mg/kg (per hypoperfusion protocol)
If Brady follow brady protocol
Calcium Chloride 0.5g-1g SLOW IVP 3-5 min
Sodium Chloride 50mEq IVP over 5 min

If crush syndrome or good kidneys
after Sodium Bicarb push add Sodium Bicarb drip of 100mEq in 1 L over 30-60 min

Albuterol 20mg neb - Med Control

Make sure to FLUSH w 5ml of LR b/t calcium and sodium.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Hyperkalemia - Pedi

A

LR 20mg/kg (per hypoperfusion protocol)
If Brady follow brady protocol
Calcium Chloride 20mg/kg SLOW IVP 3-5 min (max 1g)

MC
Albuterol
<2 yo 1.25mg neb
>=2 yo 2.5mg neb
If crush syndrome or good kidneys
Sodium Bicarb 1mEq/kg IV over 5min (50mEq max)
if <1yo dilute 1:1 w LR

Make sure to FLUSH w 5ml of LR b/t calcium and sodium.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

N/V - Adult

A

LR 20mL/kg to systolic of 90mmHg
Zofran 8mg IV over 2-5 min or 4-8mg IM or 8mg PO dissolved (2x)

MC 3rd dose of Zofran

Watch QT Interval

Contra pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

N/V - Peds

A

LR 20mL/kg to systolic of 70+2x age to 10yo (90mmHg)
Zofran
28 days to 12 yo - 0.1 mg/kg IV over 2-5 min
13-18 8mg IV over 2-5 min or 8mg PO dissolved or 0.1 mg/kg IM (max 8mg) (2x)

MC 3rd dose of Zofran

Watch QT Interval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Pain - Adult

A

Fent - 1mcg/kg IV/IO/IM/IN (200mcg max) (2x)
Ketamine 0.2mg/kg IV/IO over 1-2 min (20mg max) (2x)
0.5mg/kg IM/IN (50mg max) (2x)
Toradol - 15mg IV or 30mg IM (1x)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Pain - Pedi

A

Fent - 1mcg/kg IV/IM/IO (200mcg max) (2x)
Ketamine 0.2mg/kg IV/IO over 1-2 min (20mg max) (2x)
0.5mg/kg IM/IN (50mg max) (2x)
Toradol < 2 nothing
2+ 0.5mg/kg to 15mg max IV
1mg/kg to 30mg max IM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Seizures - Adult

A

Blood sugar
IM/IN - 5mg Versed
IV/IO - 0.1 mg/kg, 2mg at a time to 5mg - SLOW
For Pts 69 and over cut dose by 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Seizures - Pregnant

A

Check blood sugar
IM/IN - 5mg Versed
IV/IO - 0.1 mg/kg - 2mg at a time up to 5mg - SLOW
IV/IO - 4g of Mag in 50-100mL over 10 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Seizures - Pedi

A

Check BG
IM/IN - 0.2mg/kg - 5mg max
IV/IO - 0.1 mg/kg - 2mg at a time, 5mg max SLOW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Sepsis - Adult (not fluid sensitive)

A

NS via pump

If still hypotensive - levophed 0.1 mcg/kg/min to 2mcg/kg/min

Till MAP < 65 or systolic < 90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Sepsis - Adult (fluid sensitive)

A

If PMHx of CHF or end stage renal failure

250mL NS

If still hypotensive - levophed 0.1 mcg/kg/min to 2mcg/kg/min

Till MAP < 65 or systolic < 90

Consult after that

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Sepsis Definition

A

Source of infection plus 2 of the following

Sys BP < 90
HR > 100
RR > 25 or ETCO2 <=32
Temp > 100.4 or < 95.9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Sepsis Definition - Peds < 28 days

A

Known Infection Plus 3 others
HR > 205
RR > 60
Temp 100.4
Cap Refil > 3 sec
Sys BP < 60
Mental - Unresponsive, confused, inappropriate or lethargic
High risk condition - Cancer, transplants, indwelling catheters, immunodeficiency, immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Sepsis Definition - Peds 1-12 Mos

A

Known Infection Plus 3 others
HR > 205
RR > 60
Temp 100.4
Cap Refil > 3 sec
Sys BP < 70
Mental - Unresponsive, confused, inappropriate or lethargic
High risk condition - Cancer, transplants, indwelling catheters, immunodeficiency, immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Sepsis Definition - Peds 1-<2

A

Known Infection Plus 3 others
HR > 190
RR > 40
Temp 100.4
Cap Refil > 3 sec
Sys BP < 70+2 x age
Mental - Unresponsive, confused, inappropriate or lethargic
High risk condition - Cancer, transplants, indwelling catheters, immunodeficiency, immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Sepsis Definition - Peds 2-4

A

Known Infection Plus 3 others
HR > 140
RR > 40
Temp 100.4
Cap Refil > 3 sec
Sys BP < 70 + 2 x age
Mental - Unresponsive, confused, inappropriate or lethargic
High risk condition - Cancer, transplants, indwelling catheters, immunodeficiency, immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Sepsis Definition - Peds 5-12

A

Known Infection Plus 3 others
HR > 140
RR > 35
Temp 100.4
Cap Refil > 3 sec
Sys BP < 70 + 2 x age
Mental - Unresponsive, confused, inappropriate or lethargic
High risk condition - Cancer, transplants, indwelling catheters, immunodeficiency, immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Sepsis Definition - Peds 13-17

A

Known Infection Plus 3 others
HR > 100
RR > 25
Temp 100.4
Cap Refil > 3 sec
Sys BP < 90
Mental - Unresponsive, confused, inappropriate or lethargic
High risk condition - Cancer, transplants, indwelling catheters, immunodeficiency, immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Sepsis TX - Peds

A

20mL/kg LR over 5-20 min

If no improvement additional 20mL/kg LR to 60ml/kg total

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Sepsis Peds - fluid sensitive

A

10ml/kg to 250mL
fluid sensitive includes neonates (,28 days), congenital heart disease, chronic lung disease or chronic renal failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Cardiogenic shock

A

NS on pump

If still hypotensive - levophed 0.1 mcg/kg/min to 2mcg/kg/min

Till MAP < 65 or systolic < 90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Hemorrhagic Shock

A

LR bolus up to 250 at a time.

If still hypotensive - levophed 0.1 mcg/kg/min to 2mcg/kg/min

Till MAP < 65 or systolic < 90

If head injury Sys BP >110

45
Q

COPD - Adult

A

DuoNeb 2.5mg albuterol 0.5 mg Atrovent - 2nd dose Albuterol 2.5 mg only
Dexamethasone 10mg IV
CPAP
Mag 2g in 100ml over 10min (MED CONTROL)

46
Q

Asthma - Peds

A

DuoNeb
< 1 yo only 1.25 mg Albuterol
1-2 yo 1.25 mg Albuterol and 0.25mg Atrovent
>2 yo 2.5 mg Albuterol and 0.5 mg Atrovent
May repeat Albuterol 1x
Epi - <5 yo 0.15 mg or 5yo+ 0.5mg 5q 3x
Establish IV
Dex 0.5mg/kg IV/IO (max 10mg)
Mag 50mg/kg - 2g max IV/IO in 100mL over 10 min (med control)

47
Q

Chlorine/Phosgene Exposure

A

For wheezing and bronchospasm
2.5mg Albuterol
Dex - 0.5mg/kg 10mg max IV/IO

For rales or suspected pulmonary edema
O2 and CPAP per CHF protocol

48
Q

CHF/Pulmonary Edema - Adult - Mild

A

SPO2 < 94 O2
Nitro 0.4mg q5 3x

49
Q

CHF/Pulmonary Edema - Adult - Moderate to Severe

A

CPAP
Assess BP bf each Nitro
If SBP>150
Nitro 0.4 and 1” nitro paste
Nitro 0.8mg 5q until 20% drop in SBP
If SBP drops < 90 250ml of LR 2x

50
Q

CHF/Pulmonary Edema - Adult - Hypotensive

A

250 mL LR (MED Control for more)
Epi drip 1mg in 100ml LR 10mcg/min max of 20mcg/min
Titrate to 90SBP or MAP of 65 (MED Control for more)

51
Q

CHF/Pulmonary Edema - Peds

A

NRB/CPAP
MED Control
Albuterol
<2 1.25mg
>2 2.5mg
Epi Drip

52
Q

Croup - Mild

A

Dex 0.5mg/kg PO - max 10mg

53
Q

Croup - Moderate

A

Dex 0.5mg/kg PO - max 10mg
Epi neb - 2.5mg

54
Q

Croup - Severe

A

Epi 0.01mg/kg IM 0.5mg max
Dex 0.5mg/kg IV/IM - max 10mg
Epi neb - 2.5mg

55
Q

Carbon Monoxide/Smoke Inhalation

A

Consider hyperbaric if
carboxyhemoglobin > 25%
or any of the following
carboxyhemoglobin > 15%
EMS/Fire Carbon Monoxide
alarm goes off
AND
LOC at any point
GCS<14
Rapid decline of neuro
Pregnancy (fetus has high affinity for CO so mom can b OK)
Chest Pain
Very young or old

56
Q

OD/Poison - Adult - Opioids

A

Narcan - 2mg IVP/IO/IM/IN 1mg each nare
Narcan - 4mg/0.1mL in one nare

57
Q

OD/Poison - Adult -CCB

A

Calcium Chloride 0.5-1g IVP over 10 min (UNLESS Pt in on Digoxin)

58
Q

OD/Poison - Adult - Dystonic reaction

A

Benadryl - 25mg IV or IM

59
Q

OD/Poison - Adult - General Ingestion

A

Charcoal - 1g/kg charcoal

60
Q

OD/Poison - Adult - BB

A

Glucagon - 1mg q5 IVP

61
Q

OD/Poison - Adult - Organophosphate

A

Atropine 2-4mg q5 until Pt has dry secretions/adequate O2

62
Q

OD/Poison - Adult - Tricyclics

A

Sodium Bicarb - 1mEq/kg IVP up to 50mEq. q10 2nd dose 0.5mEq/kg

63
Q

OD/Poison - Peds - Opioids

A

Narcan - 2mg IVP/IO/IM/IN 1mg each nare
Narcan - 4mg/0.1mL in one nare

64
Q

OD/Poison - Peds -CCB

A

Calcium Chloride 20mg/kg - 1g max IVP over 10 min (UNLESS Pt in on Digoxin)

65
Q

OD/Poison - Peds - Dystonic reaction

A

Benadryl - 1mg/kg, 25 mg max IVP/IM

66
Q

OD/Poison - Peds - General Ingestion

A

1g/kg charcoal

67
Q

OD/Poison - Peds - BB - 5yo+

A

Glucagon - 1mg IVP q5

68
Q

OD/Poison - Peds - BB - 28 days to 5yo

A

Glucagon - 0.5mg IVP q5

69
Q

OD/Poison - Peds - Organophosphate

A

Atropine - 0.02 mg/kg - max 2mg q5-10min until dry secretions and adequate breathing

70
Q

OD/Poison - Peds - Tricyclics - 1yo+

A

Sodium Bicarb - 1mEq/kg

71
Q

OD/Poison - Peds - Tyicyclics - <1 yo

A

Sodium Bicarb - 1mEq/kg diluted 1:1 with LR

72
Q

Snakebites

A

Immobilize extremity
Take a pic if possible
20mL/kg LR titrate SBP to appropriate levels (e.g. 70+2x age or 90 - whichever is less)

73
Q

OD/Poison - Adult - Stimulant

A

Versed 0.1 mg/kg 2 mg dose 5mg max slow IVP
half dose for over 69
or IM/IN 5mg

74
Q

OD/Poison - Peds - Stimulant

A

Versed 0.1 mg/kg 2 mg dose 5mg max slow IVP

or 0.2 mg/kg IM/IN 5mg max

75
Q

Burns - Burn Center Criteria

A

All full thickness
Partial thickness > 10% BSA
Burns to hands, face, feet, major joints, genitalia or perineum
Electrical burns from greater than 120V.
Suspected smoke inhalation
Circumfrencial burns involving extremities or torso

76
Q

Burns - Peds - Destination

A

Younger than 15yo - peds burn center

77
Q

Burns - TX - < 20% BSA or superficial

A

manage airway
no need for fluids

78
Q

Burns - TX - 20%+ BSA - 15yo+

A

No shock
Airway
500mL/hr LR up to 2L. (MED Consult for more)

If in shock
250mL LR. SBP ck after each bolus to maintain 90SBP or 65MAP.

If head injury target 110 SBP

79
Q

Burns - TX - 20%+ - <15yo

A

No shock
Airway
No fluids unless in shock

If in shock
250mL LR. SBP check after each bolus to maintain (70+2x age)

80
Q

GCS - Eye

A

4 - Spntanious
3 - Voice
2 - Pain
1 - No response

81
Q

GCS - Motor

A

6 - Verbal
5 - Localizes pain
4 - Withdrawal from pain
3 - Abnormal flexion - decorticate
2 - Extended/rigid - decerebrate
1 - No response

82
Q

GCS - Verbal

A

5 - Appropriate
4 - Confused but able to answer
3 - Inappropriate words
2 - Gibberish
1 - No response

83
Q

Spinal Motion Restrictions

A

MOI and
Midline Pt tenderness
New paraplegia/quadriplegia
Focal neuro deficit
Altered Mental/Disoriented
Distracting Injury
Neck pain or torticollis
High Impact crash
Death in same crash
Substantial torso injury

84
Q

Spinal Motion Restrictions - C-collar only

A

Pt found to be standing or ambulatory
GCS of 15
No neuro
No gross deformities
No distracting injuries

85
Q

STEMI w hypotension

A

If clear lungs 250mL of LR

86
Q

STEMI

A

ASA
Nitro
Pain mgmt

Cardiac center if within 45 min

87
Q

ACS

A

12 lead w/in 10 min
IV access
ASA 324
Nitro 0.4 SL q5 3x if
SBP>90
SBP does not drop 20mmHg after 1st dose
HR b/t 60-150
ED w/in 48hrs

If Pt does not have nitro script you need to have IV access before nitro

88
Q

Stroke

A

Last know well 22 hrs
Blood thinners
BG

LAMS 0-3 closest acute/primary stroke ctr or comprehensive stroke center

LAMS 4 or greater - comprehensive stroke center or thrombectomy capable primary stroke center

Face droop
No
Yes

Arm drift
Absent
Drifts slow
Drifts fast

Grip strength
Normal
Weak
No grip

89
Q

Category Alpha

A

Motor<6
SBP<90 (10yo+)
RR <10 or > 29
RR < 20 if less than 1YO

90
Q

Category Bravo

A

2 or more proximal long bones
Amputation proximal to wrist of ankle
Chest wall instability
Crushed, degloved, mangled or pulseless extremity
Open or depressed skull fracture
Penetrating injuries to anything other than distal to elbow or knees
Pelvic fracture
Paralysis

91
Q

Category Charlie

A

High risk auto crash greater than 12” on occupant side or 20” anywhere
Ejection including partial
Death in same compartment
Vehicle telemetry data consistent with high risk of injury
Rollover without restraint
Auto v ped/cyclist thrown, run over or over 20mph impact
Falls - 20’ for adult - 10’ or 3x of child’s height
Exposure to blast or explosion

92
Q

Category Delta

A

> 55YO
SBP < 110 if Pt older then 65
Peds
Burns wo trauma - burn ctr
Burns w trauma - trauma ctr
Pregnancy > 20 weeks
Blood thinners/bleeding disorder
EMS judgement

93
Q

Asthma - Adult

A

DuoNeb 2.5mg albuterol 0.5 mg Atrovent - 2nd dose Albuterol 2.5 mg only
Epi 0.5mg IM 5q 3x
Dexamethasone 10mg
CPAP
Mag 2g in 100ml over 10min (MED CONTROL)

94
Q

TOR - Adult Exclusions

A

Pregnant
Hypothermic
Submersion

95
Q

TOR - Adult

A

15 2-min cycles of CPR
Asystole
Vtach, Vfib or PEA and ETCO2 < 15
1 Epi on board

96
Q

TOR - Peds (< 18yo)

A

15 2-min cycles of CPR
1 dose of Epi
Asystole AND
ETCO2 < 15 AND
PD & EMS believe the scene can handle leaving child

If VT, VF or PEA transport after 3 epi

97
Q

Pronouncement of Death in the Field

A

Decapitation
Rigor Mortis
Decomposition
Dependent Lividity
Injury nor comparable with life
At MCI - pulseless and apneic pt my be left

98
Q

Pronouncement of death in the field exception

A

Pregnancy

99
Q

MOLST A-1 prior to arrest

A

Everything

100
Q

MOLST A-2 prior to arrest

A

Same as A-1 except no intubation

101
Q

MOLST B prior to arrest

A

Palliative care.
Passive O2. no BVM
You can suction
No IVs
You may admin pain meds

102
Q

Penetrating Trauma Arrest

A

15 YO+

Asystole - u can stop immediately

PEA, VF or VT

20ml/kg LR
Bilateral needle decompression if penetrating neck, chest or abdominal trauma
12-lead and ID and treat rhythm
Usually do not use Epi!

Treat reversible causes and transport to trauma center is within 15 min otherwise closest ED

103
Q

Blunt Trauma Arrest

A

15 yo+

Asystole - u can stop immediately

PEA, VT or VF
20ml/kg LR
Bilateral needle decompression if multi-system blunt trauma
12-lead and ID and treat rhythm
Usually do not use Epi!

If all reversible causes have been treated and still in arrest after 5 2min cycles of CPR consider TOR.

104
Q

ROSC - Adult

A

ID rhythm and treat
If VF or VT were present during arrest and currently a sinus rhythm consider amiodarone if not previously given. 150 in 100ml over 10
Target 90 SBP w LR or epi drip 1mg in 100ml
Begin transport to cardiac center unless further than 45 min

105
Q

Synchronized Cardioversion (adult)
SVT, A Flutter Vtach w pulse

A

100, 200, 300 and 360

106
Q

Synchronized Cardioversion (adult)
Afib

A

200, 300 and 360

107
Q

Synchronized Cardioversion (peds)
SVT, A Flutter, Vtach

A

0.5, 1, 2 Joules/kg

If they go to VFib DEFIB @ 2 to 4 joules/kg

108
Q

Pacing

A

13+ - 80
1-12 - 100
< 1yo 120

MD Protocols (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions