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Medic Reminders > Medic and Lt. > Flashcards

Medic and Lt. Flashcards

1
Q

Indications for CPAP

A

1-2 word sentences,
O2 stat below 90%

CHF (10 cm), COPD (5cm)
severe asthma

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2
Q

Indications for EPI, for an Asthma patient (dose)

A

AMS, accessory muscle use, cyanosis, hypoxia despite treatment

0.5 mg IM (under 5 y/o 0,.15mg)

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3
Q

Steps for CHF Treatment (signs)

A

Sit up-right
Give NRB (to get o2 above 94%)
Give Nitro 0.4mg SL (up to 3)
Give CPAP (nitro paste 1 inch)

Signs: Swelling, BP High, Sweaty, JVD, PND, RR up, Hypoxia (below 94%) Rales or Wheezing

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4
Q

Steps for COPD Treatment (and signs)

A

Give NRB
NEB Treatment Albuterol 2.5/Atrovent 500mcg
Dex 10mg

Epi if severe, Mags 1-2g over 10-20mins

Signs: SOB, tripoding, RR up, Dry

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5
Q

Indications for Defribrillation

(What should you remember during pulse check)

A

Vfib, PVtach (immediately)
360j
REMEMBER to charge during pulse check

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6
Q

Treatment for Croup (and signs)

A

Dex 0.5mg/kg PO

Neb Epi (2.5mL of 1:1,000)

Signs: Barky cough, with stridor)

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7
Q

Treatment for Gunshot Victim

A

Ensure airway (check pulse)
Start CPR/PADs if needed
NDT if tension pneumo
Control Bleeding - tourniquet if needed
LR if hypotensive
Consider TXA 1g

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8
Q

Treatment for Fall Patient, Jumped from Building

A

Ensure airway
Check pulse, Start CPR/PADs if needed
NDT if tension pneumo
Spinal Restriction
Control Bleeding - tourniquet if needed
Stabilize Fractures
LR if hypotensive
Consider TXA 1g

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9
Q

Indication and Steps for Pediatric Code

A

Check for Pulse
High Quality CPR 100-120 compressions per minute
2 breaths per 30 compressions (one rescuer)
2: 15 (2 rescuer)

PADs
Advanced Airway (once every 3 seconds)
EPI (0.01mg/kg)
Defib 2, 4, 6, 8, 10

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10
Q

Signs of CHF vs COPD

A

CHF - High BP, RALES, crackles, EDEMA, , jvd, wet (capno normal 35-40, rounded)

COPD - wheezing, tripoding, mottled, dry (capno above 45, shark-fin)

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11
Q

Signs and Treatment for Anaphylaxis

A

Signs: (2 or more signs) hives, swelling wheezing, poss N/V or hypotension (shock), resp compromise, GI symptoms

EPI 0.5mg IM repeat every 5mins up to 3

Albuterol for wheezing

Diphen 50mg

Dex 10mg

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12
Q

Signs of Opioid Overdose

A

Slow breathing
AMS
Constricted pupils
Cyanosis

Opioids - Fentanyl, Morphine, Hydrocodone, Heroin, Codine OD

Give narcan, assess airway

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13
Q

List the H’s and T’s

A

Hypovolemia - low bp
Hypoxia - low ventilation
Hydrogen Ions (acidosis) - vent problem
Hypo/Hyper Kalemia - potassium imbalance
Hypoglycemia - check glucose
Hypothermia - warm

Toxins - antidotes if available
Tamponade, cardiac - pericardiocentesis if needed
Tension Pneumo - NDT if needed
Thrombus - pulm or coronary thrombosis
Trauma - Treat injuries

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14
Q

Sodium Blocker OD, Signs and Treatment

A

AMS
Widening QRS
Dilated pupils, flushed skin

Give Sodium Bicarbonate 1mEq/kg IV

Sodium blockers - Lidocane, procainamide, Quinidine

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15
Q

Calcium Channel Blocker OD, Signs and Treatment

A

Signs: sever hypotension, brady, poss AMS

Treatment - Give Calcium Chloride 1g slow IV push

Cal Ch OD - Diltiazem, Amlodipine, Verapamil

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16
Q

Beta Blocker OD, Signs and Treatment

A

Treatment - Glucagon

Signs - brady, AMS, poss hypoglycemia

Beta - Metorpolol, Atenolol (lol)

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17
Q

Mild,
Moderate,
Severe Allergic Reaction Signs

A
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18
Q

Synchronized Cardioversion
When and How?

A
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19
Q

Steps for Working Code (pVtach, Vfib)

A

CPR immediately for 2mins - BVM, Pads (front and back start) + Lucas

2 mins pulse chk - Defib 360j 1.

      I/O, iGel

4 mins pulse chk - Defib 360j 2. (Decide Staying, 2nd monitor eta…)

     Amio 300 + Epi (no other epi after)

6 mins pulse chk - Defib 360j (next is vector/dual sequential change (after 3rd shock) Don’t move patient till this

   New pads

8 mins pulse chk - Defib 360j (or dual sequential)

  Amio 150 slow IV 2mins

10 mins pulse chk - Defib 360j (or dual sequential)

  Esmolol 3-5ml for avg pt 2mins

12 mins pulse chk - Defib 360j (or dual sequential)

Repeat until ROSC or TOR

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20
Q

Sepsis Signs and Treatment

A
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21
Q

GCS (M, V, E)

A
22
Q

Trauma Tree (A, B, C, D)

A
23
Q

During Code how often do you pulse check and
how often do you give Epi/Amio

A

Every 2 mins - pulse check

24
Q

Steps for Pacing

A
25
Q

What can you give for Stable Brady

A
26
Q

What do you give for TCA OD

A

Signs - AMS, hypotension, Dysrhythmias, widen QRS, dialated pupils

TCAs - Amitriptyline

Treatment - Sodium BiCarb 1mEq/kg

27
Q

Ped Dose for Benadryl

A
28
Q

Ped Dose for Epi for Anaphylaxis

A
29
Q

What is the compression rate for 2 person CPR for

Ped
Adult

A
30
Q

Define Priority 1 vs Priority 2 Patients

A

Per 5-1

Priority 1
patients are those who need to be transported with visible and audible emergency warning devices to the nearest hospital or medical facility that can stabilize and treat them, unless a medical consultation directs otherwise

Priority 2 patients,
are transported without the use of emergency warning devices to the most appropriate area hospital, considering the best interest of a time-critical patient, which may sometimes involve the use of emergency warning devices at the EMS crew’s discretion

Per Maryland Protocol, 2-1

Priority 1 patients are critically unstable, requiring immediate life-saving interventions that cannot be provided in the field. They are triaged to the closest appropriate hospital-based emergency department, designated trauma, or designated specialty referral center

Priority 2 patients are stable enough to be triaged according to Maryland Medical Protocols to the closest appropriate hospital-based emergency department, designated trauma, or designated specialty referral center unless otherwise directed by EMS system medical consultation. Stable Priority 2 patients may also be referred to a freestanding emergency medical facility

31
Q

If a Doctor shows up and gives orders what must you do?

A

Per 5-13

Get ID

Doctor must agree to go with Patient

Lastly, you, as the EMS provider, need to talk directly with the medical control, over radio.

32
Q

PED code steps (yes.. again)

A

Check pulse
Start compressions
Start ventilations (15:2)

Attach AED
Give EPI (0.01mg/kg)

Pulse check every 2mins

33
Q

Steps for pVtach, Vfib (Code)

A

Check pulse
Start CPR
PAD (confirm VF/VT)
Defib immediately 200j
Resume CPR for 2mins
Defib 300j
Give Amio 300mg, follow with EPI

If Torsades give Mags
If Hyperkalemia giver Cal Hloride and Sodium BiCarb

Consider
Consider Dual - Sequential Defib

34
Q

TCA OD Med (and dose)

A

Signs - AMS, hypotension dysrhythmia widen QRS, dialated pulpils

Treatment - Sodium Bicarb 1mEq

35
Q

Beta Blocker OD Signs, Med (and Dose)

A

Signs - brady, hypotension, AMS

Treatment - Glucagon (1mg)

36
Q

When do you switch from CPAP to BVM

A

If patients spo falls below 90% and capno 45-50 or below 30

AMS

37
Q

Esmolol - What’s it for, when do you give, Dose

A

Indications - esmolol - beta blocker for Vfib, pVtach

500mcg/kg (average 3.5mL)

38
Q

Hyper K - signs (Med and Dose)

A

Signs - Peaked T waves, wide QRS, brady, dialysis

Treatment Cal Chloride 1g Slow, Sodium Bicarb 50mEq over 5 mins

39
Q

OD - Signs, Med and Dose

A

Signs - brady, hypo, AMS

Treatment -

40
Q

Step after ROSC

A
41
Q

When do you Sync Cardiovert (Signs and Jules)

A
42
Q

Trouble Breathing Treatment

A
43
Q

Cardiac Hospitals

A
44
Q

Stroke Hospitals

A
45
Q

Cat A Trauma Indications

A
46
Q

Droperidol Dose

A
47
Q

Cardizem is for

A

Afib, aflutter

48
Q

Calcium chloride is for

Dose?

A

For hyper k, cal ch od
1g slow

49
Q

Esmolol dose

A
50
Q

Glucagon is for (2) and dose

A

Low bgl and beta blocker od
And 1mg

51
Q

Sodium bicarb is for
Dose?

A

DKA, acidosis, renal failure, crush
TCA OD

1mEq/IV

52
Q

Mags is for

A

Eclampsia and

Medic Reminders (1 decks)

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