Medical Protocols Flashcards
The first step in medical termination of resuscitation is determining ______.
A. Patient normothermic
B. EtCO2
C. Pulseless
A. Patient normothermic
Hypothermic patients should be resuscitated, under most circumstances.
A patient who is pulseless, apneic, and has what two signs present should not be resuscitated?
- rigor mortis
- decomposition
In the adult, what medical findings may prevent initiation of resuscitation?
- down time over 15 minutes “and”
- no bystander CPR “and”
- initial rhythm asystole
If an adult remains in a persistent asystole/agonal rhythm without reversible causes for greater than ____ minutes, resuscitation may be ceased.
A. 10
B. 20
C. 30
D. 40
B. 20
If a child remains in a persistent asystole/agonal rhythm without reversible causes for greater than ____ minutes, resuscitation may be ceased.
A. 10
B. 20
C. 30
D. 40
C. 30
What are “agonal rhythms?”
Rhythms that do not produce adequate perfusion and lead to death:
- asystole
- pVT
- VF
- PEA
In the adult/peds medical arrest, failure to obtain ROSC or maintain ROSC for more than ____ minutes may prompt cease resuscitation.
A. 5
B. 10
C. 15
D. 20
A. 5
In the adult/peds medical arrest, if EtCO2 remains above ____ with CPR, resuscitation should be continued.
30 mmHg
consult onscene critical care paramedic or medical command regarding transport or potential cease resuscitation
In the adult/peds medical arrest, if EtCO2 remains between ____ with CPR, resuscitation should be continued while Medical Control is contacted.
10-30 mmHg
In the adult/peds medical arrest, if EtCO2 remains below ____ with CPR, resuscitation should be discontinued.
10 mmHg
Describe the MOA of Aspirin
Inhibition of Thromboxane A2 (and subsequent decreased platelet aggregation) through upstream cyclooxygenase (COX-2 PATHWAY).
Cautions in ASA admininstration
- asthma
- chronic liver disease
Should STILL be administered if STEMI is present.
Absolute contraindications for ASA
- Hypersensitivity to ASA/NSAIDS/Salicilates
- pregnancy
What are the WSCEMSS indications for NTG?
- decompensated HF with pulmonary edema
- Cardiac chest pain in ACS
What medication may decrease the vasodilatory effect of NTG and why?
Ergot (genus Claviceps - 1* a rye fungus);
1st type of Ergot poisoning - “St. Anthony’s Fire” - the serotonergic effect of ergot poisoning on monks in 1095 A.D.; dizziness, hallucinations, paralysis, etc.
2nd type: distal vasoconstriction 2/2 to ergot alkyoids
Most ED drugs, when used within ____ hours, preclude the use of NTG. What is the exception?
48 hours; Viagra/Revation (sildenafil) 24hrs
What is the N/S dividing line in Wichita?
Douglas Avenue
What is the E/W dividing line in Wichita?
Main street
List the mile markers West of Main
1000 W - Seneca 2400 W - Meridian 3900 W - West 5500 W - Hoover 7100 W - Ridge 8700 W - Tyler 10300 W - Maize 119th 135th - Clearwater 151 W - Bentley 167 W - Colwich 183 W 199 W - Goddard 215 W 231 W 247 W - Andale 263 W - Viola 279 W - Mt. Hope 295 W - Garden Plain 311 W 327 W 343 W 375 W - Cheney 391 W 407 W - County Line (Kingman)
Mile Markers East of Main
200 E - Broadway 1600 E - Hydraulic 3100 - Hillside 4700 - Oliver 6300 - Woodlawn 7900 - Rock 9500 - Webb 11100 - Greenwich 127 E 143 E 159 E - Butler County Line
Mile markers N of Douglas
400 N - Central 13 N 21 N 29 N 37 N 45 N 53 N 61 N 69 N 77 N 85 N - Valley Center 93 N 101 N 109 N 117 N 125 N - Harvey Co. Line
Mile markers south of Douglas
400 S - Maple 1500 S - Harry 2300 S - Pawnee 31 S 39 S - MacArthur 47 S 55 S 63 S - Patriot in Derby 71 S - Meadowlark in Derby, Grand in Haysville 79 S 87 S 95 S 103 S 111 S 119 S - County Line
Funky areas:
East of Main
200 E - Broadway
1600 E - Hydraulic
Funky areas:
West of Main
1000 W - Seneca
2400 W - Meridian