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BVRS Protocols > Medical > Flashcards

Medical Flashcards

1
Q

signs of obvious death

A
  • rigor mortis
  • lividity
  • injuries incompatible with life
  • decomposition
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2
Q

compression rate and ratio for single/double (provider) adult and single(provider) pediatric patient

A

30:2 with BVM

120 compressions / minute

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3
Q

compression rate for a successfully placed BIAD

A

continuous compressions

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4
Q

compression: ventilation for double provider pediatric patient

A

15: 2

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5
Q

3 factors parts of a medical code

1 = most important

A

1) starting compressions (airway in peds)
2) defibrillation/ AED
3) support (airway, medications, rapid evac, capno, lucas device)

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6
Q

interventions during a medical ROSC

A

1) reassessment of ABCs
2) rapid transport to hospital
3) 12 lead
4) ALS medications if needed

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7
Q

interventions during an identified STEMI

A
  • place disconnected AED pads on patient
  • give 4x 81 mg aspirin
  • ALS for nitroglycerin or EMT assists with pt’s nitro
  • call STEMI alert at hospital ASAP
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8
Q

Interventions for mild* chest discomfort

mild = discomfort, history

A
  • 12 lead EKG
  • 4x 81 mg aspirin

-Consider cardiac history and atypical pain

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9
Q

Interventions for severe* chest discomfort

severe = nausea, sweating, pain

A
  • 12 lead EKG
  • 4x 81 mg aspirin
  • Consider ALS for nitro

-Consider cardiac history and atypical pain

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10
Q

contraindications of Aspirin

A
  • GI bleeding

- pediatric patient

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11
Q

contraindications of nitroglycerin

A
  • systolic below 100
  • inferior STEMI
  • use of ED medications in the past 36-48 hours
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12
Q

contraindications of atrovent

A
  • atropine sensitivity
  • wide angle glaucoma
  • obstruction of GI and GU
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13
Q

dosage of albuterol

A

2.5 mg/ 5 minutes - 4x max

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14
Q

dosage of atrovent

A

0.5 mg/ 5 minutes - 2x max

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15
Q

interventions for reactive shortness of breath (COPD, asthma, etc)

A
  • albuterol and atrovent via Nebulizer
  • high flow oxygen
  • monitor SpO2, EtCO2, patient’s LOC
  • consider ALS for medication

-consider airway, breathing, 12 lead

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16
Q

interventions for wheezing lung sounds

A

-atrovent and albuterol

consider contraindications

17
Q

interventions for minor* allergic reactions

minor = rash, itching, mild dyspnea

A
  • albuterol
  • atrovent
  • Benadryl
18
Q

interventions for major* allergic reaction

major = poor perfusion, anaphylaxis, dyspnea, swelling

A
  • Epinephrin auto-injector IM
  • albuterol
  • atrovent
  • Benadryl
  • consider ALS for IV medications
19
Q

treatment for angioedema

A

allergic reaction protocol

angioedema ≈ swelling of tongue, lips, cheeks

20
Q

possible causes of abdominal pain

A
  • Nausea/ vomiting (drugs, alcohol, toxins…)
  • GERD (consider cardia)
  • Abdominal aortic aneurysm (consider shock)
  • GI Bleed (consider shock, coffee ground vomit, black stool)
  • Infection
  • Trauma
  • STEMI
  • New onset of disease (chron’s, IBS, etc)
  • ectopic pregnancy and other complications \

and many more

21
Q

general interventions for altered LOC

A
  • glucomter
  • 12 lead EKG
  • stroke assessment
  • obtain history from close bystanders to compared current LOC to baseline
22
Q

8 possible causes for altered LOC

A
  • Diabetes - glucometer
  • psychiatric - prescribed meds may offer clues
  • overdose - examine surroundings and consider smells and environment (bars, parties, found needles)
  • trauma - consider MOI and examine pupils
  • seizure - consider history and meds
  • fever
  • stroke - VAN and Cincinnati assesment
  • cardiac event

don’t assume only one cause is the reason for the presentation of the patient

23
Q

interventions for low blood sugar with altered LOC

A
  • oral glucose if intact swallowing abilities
  • glucagon if unable to swallow safely
  • consider ALS for IV

-call medical control for refusals

24
Q

intervention for opioid OD

A
  • Assist with ventilations using an airway adjunct
  • narcan

-pupils should appear “pinpoint”

25
Q

interventions for EtOH OD

A
  • monitor ABCs
  • consider nausea/vomiting - suction as needed
  • consider ALS
26
Q

overall interventions for OD/ poisonings

A
  • ensure safety of crew, use proper PPE
  • try and identify substance if possible, time elapsed, amount ingested
  • Spinal Motion Restriction if needed
  • contact poison control if needed
  • consider shock
27
Q

what is the dose for narcan

A

0.4 mg - 4.0 mg IN/ 5 min or until Pt can breathe themselves

28
Q

general interventions for non-active seizing

A
  • glucometer
  • Identify and manage possible injuries (from falls, hitting head, swallowing objects, etc)
  • consider altered LOC
29
Q

general interventions for active seizure

A
  • protect patient from harm (moving objects, people, placing pillow under head, etc)
  • call ALS from medications
30
Q

components of Cincinnati stroke scale

A
  • Facial droop
  • Arm drift/weakness
  • Slurred speech
  • Time last seen normal (ideally under 6 hours)
31
Q

components of a VAN stroke assessment

A

Vision loss - partial loss? total loss?
Aphasia - trouble speaking?
Neglect - Ignoring one side of the body

32
Q

interventions for a stroke patient

A
  • glucometer
  • 12 leed EKG
  • stroke assessments
  • consider the best destination for the patient
33
Q

interventions for a mild psychiatric case

mild = agreeable pt, mostly calm, can’t/won’t harm crew or bystanders

A
  • transport in position of comfort

- do not let patient get in between crew and an exit from home, ambulance etc

34
Q

interventions for a moderate psychiatric case

moderate = agitated, listens to commands

A
  • transport in position of comfort

- ALS for chemical restraints

35
Q

interventions for a severe psychiatric case

severe = violent, irrational, agitated

A
  • law enforcement for physical restrains

- ALS for chemical restraints

BVRS Protocols (4 decks)

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