Med Protocols Flashcards
Age classifications in med protocol
Adult >13 or signs of puberty
Pediatric: age 1-13 or signs of puberty
Infant: Age 1 month-1 year
Neonate: Age birth-1 month
Lee Health considers any patient less than 18 years old to be ______
Pediatric
For Trauma Alert Criteria adult is ______, pediatric is _____
16 and above, 15 and below
Priority 1 patient
unstable ALS patient; requiring immediate emergent medical attention for a life and or limb threatening illness or injury
Priority 2 patient
Stable ALS patient; requiring medical attention but not immediately endangering a patients life
Priority 3 patient
BLS patient; requiring non-emergent medical attention
Re-vital sign unstable patients every ___ minutes
5
Re-vital sign stable patients every ____ minutes minimum
15
The patient safety guideline provides a consistent and standardized foundation for ____,____,____,and _____ safety
Patient, provider, department, and system
6 Medication Rights
Right patient Right drug Right dose Right route Right Time Right documentation
What should be performed before the administration of any medication and/or critical procedure
Partner cross-check
This is not one treatment modality; it is a progression of interventions ranging from least invasive to the most invasive as necessary to achieve sufficient ventilation and adequate oxygenation
Airway management
When doing what, every effort must be made to avoid iatrogenic hyper/hypocapnea, hypotension, bradycardia and SpO2 desaturation events
Placing and advanced airway
Indications for prehospital endotracheal intubation can be narrowed to what three indications?
Inability to ventilate and/or oxygenate with non invasive tools and techniques
Inability to manage secretions with conventional methods
High index of suspicion for laryngeal edema
The mechanical aspect of breathing in which air moves into the lungs and CO2 moves out of the lungs
Ventilation
This requires both adequate tidal volume and respiratory rate
Proper ventilation
Tight lung patients (reactive airway disease) typically do better with what PEEP setting?
5cmH2O
We-lung patients may require what range of PEEP
7.5-15
What makes a patient
Med or Trauma complaint
With illness or injury
New AMS
Person in same event as a significantly ill and/or injured party
Discretion of highest medical authority providing direct patient care
Three components of refusal of care
Competence, Decisional capacity, informed refusal
DH Form 1896
Florida Do Not Resuscitate Order Form
Five presumptive signs of death
Unresponsive Apnea Pulseless Absent heart tones; 60 seconds at Point of Maximal Impulse Absent pupillary reflexes
Conclusive signs of death
Injuries incompatible with life Tissue decomposition Rigor Mortis Liver Mortis Algor Mortis
What district medical examiner are we in
21
Level 1 MCI
6-10 transports
Level 2 MCI
11-20 transports
Level 3 MCI
21-100 Victims
Level 4 MCI
101-1000 Victims
Level 5 MCI
1000+ victims
