Standing Orders Flashcards
Abdominal pain EXCL
Pregnant OB/GYN SO
Trauma triage
Critical pediatric
Abdominal BLS Normal Volume
Iv NS/LR TKO
transport in a position of comfort
Clinical signs of Hypovolemia
Altered LOC Cyanosis
Rapid pulse Hypoxia <2cap refill
cool extremities Hypotension
Burn S/O Incl
Partial thickness greater than 10% tbsa
Full Thickness greater than 5% tbsa
Significant burns to face, genitals, and hands.
Electrical burns or inhalation injury.
Burns S/O EXCL
If PT meets trauma triage scheme
Burns supportive care
ABC’s 100%spo2 iv/io 20mg/kg and cardiac monitor
Snake bit S/O
Time of bite Remove clothes and jewelry Elevate limb to lvl of heart Mark discoloration If SBP <90 iv 20mg/kg
Sepsis S/O inclusions
Temp >100.4
Heart rate >90
Respiratory rate >20bmp
ETCO2 > 32 mmHg
Sepsis S/O Excl
Receiving treatment for heart failure
Hx renal failure/ on dialysis
Peds Cardiac arrest Excl
DOA
near drowning or trauma
For respiratory arrest follow AHA guidelines
Not for kids over 8yrs
Vaginal bleeding S/O Excl
Contractions
Trauma
Sexual assault
ANATOMIC CRITERIA
Penetrating injuries proximal to wrist or ankle • Open or depressed skull fracture • Facial injury with potential airway compromise • Obvious chest injury with flail chest or evident multiple rib fractures • Pelvic fractures (excludes isolated hip fractures from same level fall) •
PHYSIOLOGIC CRITERIA
GCS < 14, or • Systolic BP < 100, or • Respiratory rate < 10 or > 29 (< 20 in infant < one year) • Neurologic deficit or paralysis
MECHANISM CRITERIA
Falls - Adults: > 20 ft (one story is equal to 10 ft) - Children: > 10 ft or 2 times the height of the child • High-risk auto crash > 40 mph • Intrusion: > 12 inches into occupant compartment; > 18 inches of auto deformity • Ejection: from motorized mode of transport • Death in same passenger compartment • Extrication time > 20 min.
Dyspnea S/O excl
Chest pain Dysrhythmia
Smoke inhalation Toxic exposure
seizures trauma
