Medical Emergencies Flashcards
AEIOU TIPS acronym for AMS?
Alcohol
Epilepsy
Insulin
Overdose
Uremia
Trauma
Infection
Psych
Stroke/Shock
BGL less than 60 mg/dl treatment?
Oral glucose if pt has intact gag reflex and following commands.
- D10: 250 ml IV then retest BGL. May repeat 1x if it remains below 60 mg/dl
If unable to obtain IV access on a hypoglycemic pt?
- Insert IO
- 40 mg of Lidocaine over 1 min. Flush with NS flush after 1 min.
- D10: 250 ml IV then retest BGL. May repeat 1x if it remains below 60 mg/dl
If BGL is over 300 mg/dl?
NS 1 Liter IV/IO may repeat 1 x.
Zofran 4mg IM or slow IV/IO over 30 seconds.
Can IV Zofran be given sublingual?
Yes, if unable to get IV you can administer sublingual via needleless syringe.
Dystonic reaction?
Pt taking antipsychotics, antiemetics, or antidepressants who present with spasms of face, neck or limbs
Treatment for dystonic reactions?
Benadryl 50 mg IV/IM
- Rule out stroke
Hyperkalemia treatment if presenting with arryhthmias?
- Calcium chloride 1 gm slowly over 2 min
- Albuterol 2.5 mg via neb
- Sodium Bicarb 50 meq over 2 min
**DO NOT mix Bicarb and Calcium
Hyperkalemia treatment if hypotensive?
NS 500 ml bolus may repeat 1x. Check lung sounds
- If needed Epi push dose pressor
Priority 2 ALS, how often do you vitals?
Every 5 min
Priority 3 BLS, how often do you vitals?
At least 2 sets of vitals
Civil Assists refusals, how many vitals?
At least 1 set
For medical transports what is the age criteria for a pediatric?
17 yrs old or younger
For trauma transports what is the age criteria for pediatrics?
15 yr or younger
On scene time for trauma alerts should be less than?
10 min
Helicopter criteria?
Ground transport time greater than 20 min & On scene extrication time greater than 15 min.
Adult allergic reaction?
Benadryl 50 mg IV or IM
Moderate- Epi 1:1000 IM 0.3 mg may repeat x2 in 5 min.
Albuterol and Atrovent
Solumedrol 125 mg IV/IO/IM
If Severe and unstable include Epi push dose pressor
Pediatric Allergic reaction dosages
Benadryl 1mg/kg dilute with 9ml of NS for IV/IO. Max dosage 50 mg
Epi 0.01 mg/kg Max 0.3mg
Albuterol and Atrovent same dosage cut in half if under 1 yr old
Solumedrol 2mg/kg over 2 min Max 125mg
Push dose Epi is the same
How much Lidocaine do you give for IO?
40 mg over one minute and flush with 10 ml of NS you can give an additional 20 mg over 1 min.
Dextrose D10 dosage for peds?
5 ml/kg IV/IO 10 gtt/set max 100 ml may repeat x1 if BGL remains less than 60
Pediatric fluid resus dosage?
20 ml/kg may repat x2
neonate: 10ml/kg
Zofran dosage for Peds?
0.1 mg/kg IM/SL or Slow IV
Max 4 mg
Benadryl dosage for peds?
1 mg/kg dilute with 9ml of NS for IV/IO
Adult seizure Tx?
- Versed 5mg IV/IO up to 10 mg. Caution hypotension
- Ketamine 1mg/kg. Mix 50 mg in 50 ML bag administer desired amount over 10 min with 10gtt set Max single does 100 mg may repeat 1x
If no response 3mg/kg of Ketamine max 800 mg
Pediatric seizure management
Versed 0.1 mg/kg IV/IO
Versed 0.2 IM/IN
Ceftriaxone?
Reconstitute 2g using 20 ml of NS. Dilute the 2g of Rocephin in 50 ml bag over 10 min, 10 gtt/set
NO PED’s
Gentamicin?
80 mg IM NO PED’s
CHF, Anaphylaxis or Allergic reaction
CPAP 10 cm H2O moderate to severe resp distress.
Albuterol Atrovent combo
Solumedrol
Epi 0.3 mg IM
Mag Sulfate 2g in 50 ml bag over 10 min
Mag sulfate for pediatric?
50 mg/kg in 50 ml bag 10 gtt set. Over 5-10 min. Max 2g
Croup/Epiglottitis/Stridor
Racemic Epi: 1:1000 Epi.
3mg/3Ml in nebulizer
