P-110 ALS Adult Standing Orders Flashcards
Continuous Positive Airway Pressure
Age>15 years
Respiratory distress:CHF COPD ASTHMA PNEUMONIA or DROWNING
Moderate to severe respiratory distress: Retractions/accessory muscle use AND RR>_25/min OR SpO2<94%
Cardioversion-Synchronized (After x3 BHO)
Unconscious SVT
Unstable VT
Unstable Atrial Fibrillation/ Atrial Flutter with HR>180
Defibrillation
VT (pulseless) / VF
Repeat prn
External Cardiac Pacemaker
Unstable narrow complex bradycardia with pulse, refractory to Atropine.
Wide complex bradycardia.
Glucose Monitoring
Hypoglycemia (suspected)
Hemostatic Gauze
Life threatening hemorrhage when tourniquet cannot be used, or to supplement tourniquet.
Indwelling Device
Use pre-existing external indwelling vascular access devices as primary vascular access if needed for definitive therapy.
Intraosseous Infusion
Fluid / medication administration in acute status patient when needed for definitive therapy and unable to establish venous therapy.
Intubate (ET / Stoma / ETAD/ Perilaryngeal)
Apnea or ineffective respirations for unconscious adult patient or decreasing LOC.
Magill Forceps with direct Laryngoscopy
Airway obstruction from foreign body with decreasing LOC or unconscious.
Nasogastric / Orogastric Tube Insertion
Gastric distention interfering with ventilation.
Needle Thoracostomy
Severe respiratory distress with unilateral, diminished breath sounds and systolic BP<90 in intubated or positive pressure ventilated patients.
Re-alignment of Fracture
Grossly angulated long bone fracture with gentle unidirectional traction if necessary for splinting.
Tourniquet
Apply tourniquet in severely injured extremity when direct pressure or pressure dressing fails to control life threatening hemorrhage. (Attempt to control life threatening hemorrhage with direct pressure or pressure dressing not required prior to tourniquet application in mass casualty.)
Valsalva Manuver
SVT
