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WPBfire EMS Protocol > Standing Orders > Flashcards

Standing Orders Flashcards

1
Q

6 Rights

A

Person
Drug
Dose
Time
Route
Documentation

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2
Q

(EZ-IO) Placement

A

Adult:
Proximal humerus (Prefred method)
Proximal tibia
Distal tibia

Pediatric:
Distal femur
Proximal tibia
Distal tibia
Proximal humerus ( Only if the surgical neck can be palpated.)

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3
Q

IM Injections

A

All IM injections should be administer in the lateral thigh.
Adults:
21-23 Gauge 1.5 inch 4ml Per Site

Pediatrics:
23 Gauge 1 inch 1ml Per Site

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4
Q

MAD Device (Mucosal Atomization Device)

A

Versed
Fentanyl
Narcan
Ketamine

0.3-0.5 Desired
Max Dose 1ml Per Nostril

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5
Q

Pediatric Age Classifications

A

Neonates: Birth - 1 Month
Infants: 1 Month - 1 Year
Children: 1 Year to Puberty

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6
Q

What is the preferred method of vascular access in Pediatrics during cardiac arrest?

A

IO

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7
Q

AEIOU-TIPS Altered Mental Status

A

Alcohol
Epilepsy (Seizure)
Insulin (hyper/hypoglycemia)
Overdose/ Oxygen
Uremia (kidney failure)
Trauma
Infection
Psychiatric
Stroke/ Shock

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8
Q

OPPPQRSTA

A

Onest
Palliative: What makes the symptons better.
Provoke
Previous
Quality
Radiation
Severity of Pain
Time
Associated: What are the assocoated signs and symptoms.

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9
Q

COPD & Asthma SpO2

A

90%

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10
Q

Oxygen Administration

A

Nasal Cannula:
2 LPM
* All Stroke Patients

Non-Rebreather:
15 LPM
* 3rd trimester pregnancy:(27 - 40 weeks)
* Decompression sickness: When a diver swims to the surface too quickly, the nitrogen can form tiny bubbles in the blood and/or body tissues.
Carbon monoxide
Cyanide exposure

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11
Q

Overzealous Positive Pressure Ventilation Can Affect

A

Venous return: The flow of blood from the periphery back to the right atrium

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12
Q

Ventilation Rates Adults

A

With a pulse: 1 Breath every 6 Seconds
Without a pulse: 1 Breath every 10 Seconds
Patients with ICP: Maintain EtCO2 30-35 SpO2 >90

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13
Q

Ventilation Rates Pediatric

A

With a pulse: 1 Breath every 3 Seconds
Without a pulse: 1 Breath every 6 Seconds
Patients with ICP: Maintain EtCO2 30-35 SpO2 >90

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14
Q

When is High ETCO2 Acceptable

A

Cardiac arrest pre/post ROSC
Bronchospasm (Asthma, COPD)

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15
Q

Priority 1

A

Cardiac arrest or respiratory arrest

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16
Q

Priority 2

A

Unstable with life threating conditions

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17
Q

Priority 3

A

Stable patient no immediate life- threating conditions

18
Q

When Is Placing Patient In Prone Position Acceptable?

A

Penetrating injury resulting in pt being transported on stomach/ must document airway was controlled

19
Q

Priority 1: Cardiac Arrest With Shockable Rhythm V-Fib/Pulseless V-Tach Transport

A

If less than 20 minutes - Closest stemi facility
Greater than 20 minutes - Closest hospital

20
Q

Priority 2: Trauma Patients Transport

A

On scene time Should be less than 10 Minutes.
If greater than 10 must document.
Ground transports greater than 25: Transport by air
Trauma arrests in fire care: Transport to SMH
Ground transport greater than 40 Min: Closest ED

21
Q

Psychiatric Patients Transport

22
Q

Priority 3 Pregnant Patients Transport

A

Greater than 20 weeks and less than 36 and have complications Transport to SMH.
Stable 36 weeks or greater Transport To The ED of their choice.

23
Q

Priority 1: Pediatric Patients Transport

A

Pulseless, ROSC,Unstable Airway.
SMH pediatric.

24
Q

Trauma Hawk Criteria

A

Transport time greater than 25 minutes
Extrication time greater than 15
Ground response to scene greater than 10 minutes
MCI with multiple patients with traumatic injuries

25
Q

Trauma Hawk Restrictions

A

500lbs or more
Cannot lay supine
Combative
Hazmat

26
Q

Patients May Not Refuse care

A

AMS
Suicide
Mental Retardation
Not Acting Reasonable
Under 18

27
Q

Stroke Alert Transport: If ground transport is greater than 40 mins

A

Transport by air

28
Q

STEMI Alerts Transport West of Turnpike

A

Wellington Regional

29
Q

Interfacility Transfers with Intubation

A

Should be paralyzed and sedated by the sending facility. If not EMS Captain should be notified.

30
Q

ETCO2 Shall be utilized for the following patients

A

Pt requiring ventilating support
Pt with respiratory distress
Pt with AMS
Pt who have received pain med
Seizure pt
Suspected sepsis

31
Q

STEMI Alerts: North Of 45Th

A

Palm Beach Garden

32
Q

STEMI Alerts: South of Southern

33
Q

STEMI Alert: North of Southern Blvd & South of 45TH

34
Q

STROKE Alert: North of Okeechobee

35
Q

STROKE Alert: South of Okeechobee

36
Q

STROKE Alert: West of Turnpike

A

Wellington Regional

37
Q

Expose Employee Algorithm (Blood/Body/Fluid)

A

Take employee to the same ER as the source Pt

38
Q

Pediatric Hospitals

A

STABLE: St Mary’s or Palm West
PSYCHIATRIC: Transport to JFK

39
Q

Cardiac output

A

Amount of blood your heart pumps each minute

40
Q

Stroke volume × heart rate

A

Stroke volume × heart rate

WPBfire EMS Protocol (13 decks)

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