Policies

Question 1

Acute Allergic Mild

2 things

Answer 1

Life threats

Benadryl 1mg/kg MAX 50mg transport

Question 2

Acute Allergic Reaction Moderate/Severe

5 things + S/S

Answer 2

Uticaria,itching, welts, swelling of mucous membrane/mouth/eyes and or respiratory distress
Treat Life threats
Epi 1:1000 .3mg IM
Benadryl 1mg/kg IM/IVP/IO 50 max
Wheezes/Bronchospasm Albuterol 5mg
Transport
Anaphylaxis(profound shock) MAKE BASE- 1:10,000.1-.5mg slow IVP
Still Hypotensive consider DOPE 5-10mcg.kg max of 20mikes

Question 3

Acute Allergic Reaction MILD PEDS

3 things

Answer 3

Life threats
PUHA
Contact Base

Question 4

Acure Allergic Reaction Moderate/Severe PEDS

4 things plus S/S

Answer 4

Uticaria, raised welts, swelling of mucous membranes/mouth/eyes and or respiratory distress
Transport
Epi .01mg/kg 1:1000 Repeat 2x to MAX of .3mL
Benadryl 1mg/kg IM/IV/IO MAX of 50mg
Bronchospasm/Wheezes Albuterol 2.5mg
Anaphylaxis MAKE BASE FIRST
.01mg/kg .1mg/minute BASE ONLT

Question 5

NEURO CVA

FAA +

Answer 5

FAA
Facial Droop, ARM Drift, Abnormal Speech
BG Chem
Thrombolytic requirements: conscious, 6hours, persistent neuro deficits

Question 6

Child Birth

Answer 6

BENS PPP
Breech-left lateral knee chest
Eclampsia-left lateral treat seizure
Nuchal Cord-gently slide over head
SLICK Baby Don't Drop!
Prolapse cord-remove pressure
PULSATING Cord keep baby below mother till u cut cord AFTER IT STOPS Pulsating (6-8") from baby
24 weeks baby is vaible/eyes sealed shut
PLACENTA to hospital in BIO bag
PICTOCIN 20 units IV 10 units IM

Question 7

Respiratory Distress with Wheezes MILD PEDS

3 things

Answer 7

life threats
Consider CPAP
Base

Question 8

Respiratory Distress w/o Wheezes PEDS

Answer 8

PUHA
Albuterol 2.5mg up to 3x every 10 minutes
Consider CPAP (8+)
Croup? seal bark cough Consider BLOW BY Nebulized Saline

Question 9

Respiratory Distress SEVERE PEDS

2 things + S/S

Answer 9

Status 4 or 5- accessory muscle use, retractions 1-2 words tachypneic, cyanotic
Albuterol 2.5mg up to 3x every 10 minutes
EPI .01mg/kg 1:1000 IM repeat ONCE Max of .3mL
Consider CPAP

Question 10

Respiratory Distress with Wheezes ADULT

3 + S/S & Base

Answer 10

Albuterol In-line neb. then move to cpap
Status 4 or 5 one of the following or more:
ALOC, significant muscle use, fatigue, inability to speak, Low SPO@ poor skin signs w/o HX of COPD
Under 50 EPI .3mg IM w/o HX of CAD/HTN
50+ make base for same dose

Question 11

Isolated LIMB injuries

5 things

Answer 11

Control bleeding, spinal precautions, splint, amputation(seal in bag and no direct ice)
Morph 2-5mg IVP/IM to a max of 10mg

Question 12

CRUSH

Answer 12

Life threats, spinal, Morphine 2-5mg slow IVP/IO/IM MAX 10
Prior to release of compression 250mL Bolus
Albuterol 5mg HHNB
After Release of compression Base MAKE BASE for SODIUM Bicarb 1meq/kg in 1000cc NS w/o
Calcium Chloride 1gm or 20mg/kg PEDS
followed by 20cc FLUSH
IF no p wave, widened QRS, Peaked t wave, crush + 4hours,