Tactical Medicine Flashcards
Impaled ECW dart removal
-Dart to head, neck, hands, feet, or genitals must be stabilized and evaluated by physician.
-Barb extrication may be attempted once, as long as barb is not buried to the hub or in the above locations
-all patients receiving electrical intervention must be evaluated in ER
Pseudoephidrine (Sudafed)
OPERATIONAL
30 or 60 mg tablet
Decongestant
For nasal congestion/rhinorrhea
Contraindications: hypersensitivity, HTN
Side effect: insomnia
Dosage: 30-60 mg every 4-6 hours
Cetrizine (Zyrtec)
OPERATIONAL
10 mg tablet
Non-sedating antihistamine
For allergic symptoms
Contraindications: hypersensitivity
Precautions: HTN, liver/kidney disease
Side effects: dry mouth, urine retention
Dosage: 10 mg daily
Diphenhydramine (Benadryl)
NON-OPERATIONAL
25-50 mg tablets
Sedating antihistamine
For allergic symptoms
Contraindications: hypersensitivity
Precautions: HTN, liver/kidney disease
Side effects: dry mouth, urinary retention, somnolence
Dosage: 25-50 mg every 4-6 hours PER MD
Fexofenadine (Allegra)
OPERATIONAL
60 mg tablet
Non-sedating antihistamine
For allergic symptoms
Contraindications: hypersensitivity
Precautions: HTN
Side effects: dry mouth, urinary retention
Dosage: 60 mg once or twice daily
Oxymetazoline nasal spray (Afrin)
OPERATIONAL
Nasal spray 0.05%
Nasal vasoconstriction, decongestant
For rhinorrhea, sinus congestion, pain
Contraindications: hypersensitivity
Precautions: HTN
Side effects: minor nosebleed, often used to treat nosebleed
Dosage: 2x sprays per nare, 2-3 times a day
Antiacid (Mylanta or other)
OPERATIONAL
Liquid OTC
Antacid
For GI upset, GERD, PUD, gastritis, esophagitis
Contraindications: hypersensitivity
Precautions: some medications rely on acidic pH and should not be taken in combination
Interactions: Loose stool possible
Dosage: 15-45 mL every 4-8 hours
Cimetidine (Tagmet or other H2 blocker)
OPERATIONAL
200/300/400 mg tablet or 300 mg IV/IM
H2 blocker
For PUD, GERD, esophagitis, gastritis
Contraindications: hypersensitivity, other PPI use
Dosage: 300 mg IV/IM/PO every 6-8 hours, or 400 mg 2x daily
Loperamide (Imodium)
OPERATIONAL
2 mg tablet or 1 mg/5 mL suspension
Anti-diarrheal
For diarrhea
Contraindication: Known hypersensitivity, HTN, bloody diarrhea
Side effects: ENT Dryness
Dosage: 4 mg first dose, 2 mg each subsequent dose until stool formed, 16 mg max per day
5-HT3 Antagonist (Zofran)
OPERATIONAL
IV/IM injectable, tablets
Anti-emetic, anti-motion sickness
For nausea/vomiting
Contraindications: Hypersensitivity
Precautions: Long QT
Dosage: PER MD
Metoclopramide (Reglan)
NON-OPERATIONAL
10 mg IM/IV injectable
Anti-emetic, promotes GI motility
For nausea/vomiting
Contraindications: hypersensitivity
Precautions: Dystonic reaction risk (treat with diphenhydramine)
Side effects: sedation, dystonia
Dosage: 10-20 mg IV/IM/PO every 4 hours PER MD
Dimenhydrinate (Dramamine)
NON-OPERATIONAL
IM/IV injectable, 50 mg tablet
Anti-emetic, anti-motion sickness
For nausea/vomiting
Contraindications: hypersensitivity
Precautions/side effects: possible sedation
Dosage: 50-100 mg IM/IV/PO every 4 hours, PER MD
Meclizine (Antivert)
NON-OPERATIONAL
25-50 mg tablet
Anti-emetic, anti-motion sickness
For nausea/vomiting
Contraindications: Hypersensitivity
Precautions/side effects: possible sedation
25-50 mg PO every 4 hours PER MD
Scopolamine Transdermal
OPERATIONAL (if previously tolerated)
1 mg patch
anti-emetic, anti motion sickness
For nausea, vomiting, motion sickness prevention
Contraindications: hypersensitivity, angle closure glaucoma, hypersensitivity to belladonna alkaloids, seizures, urinary retention
Precautions: may cause sedation, disorientation underwater
Side effect: sedation
Interactions: use caution when taking potentially sedative drugs and anticholinergics
Dosage: 1 mg patch every 3 days, PER MD
Proparacaine or Tetracaine (Alcaine)
OPERATIONAL
Ocular anesthetic solution
Topical anesthetic
To facilitate eye exam, relieve eye pain
Contraindications: hypersensitivity
Precautions: Ensure eye protection from foreign objects after exam
Dosage: 1-2 drops per eye PER MD
Fluorescein Stain (with blue light)
OPERATIONAL
Single application strips
Dye to facilitate eye exam
For suspected eye injury
Contraindications: hypersensitivity
Dosage: one drop per eye
Eye irrigation solution
OPERATIONAL
100 mL, 200 mL bottles
To irrigate contaminants from the eye following exposure to foreign bodies or chemicals in the eye.
Contraindications: hypersensitivity
Dosage: Irrigate until pH of 7.4 is achieved.
Erythromycin ophthalmic ointment
OPERATIONAL
0.5% ointment
Macrolide antibiotic
For infectious exposure per MD
Contraindications: Hypersensitivity to penicillins
Topical only
Side effects: GI upset, nausea/vomiting, diarrhea
Dosage: PER MD