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Tactical Medicine Flashcards

1
Q

Impaled ECW dart removal

A

-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

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2
Q

Pseudoephidrine (Sudafed)

A

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

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3
Q

Cetrizine (Zyrtec)

A

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

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4
Q

Diphenhydramine (Benadryl)

A

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

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5
Q

Fexofenadine (Allegra)

A

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

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6
Q

Oxymetazoline nasal spray (Afrin)

A

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

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7
Q

Antiacid (Mylanta or other)

A

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

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8
Q

Cimetidine (Tagmet or other H2 blocker)

A

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

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9
Q

Loperamide (Imodium)

A

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

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10
Q

5-HT3 Antagonist (Zofran)

A

OPERATIONAL
IV/IM injectable, tablets
Anti-emetic, anti-motion sickness
For nausea/vomiting
Contraindications: Hypersensitivity
Precautions: Long QT
Dosage: PER MD

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11
Q

Metoclopramide (Reglan)

A

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

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12
Q

Dimenhydrinate (Dramamine)

A

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

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13
Q

Meclizine (Antivert)

A

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

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14
Q

Scopolamine Transdermal

A

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

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15
Q

Proparacaine or Tetracaine (Alcaine)

A

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

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16
Q

Fluorescein Stain (with blue light)

A

OPERATIONAL
Single application strips
Dye to facilitate eye exam
For suspected eye injury
Contraindications: hypersensitivity
Dosage: one drop per eye

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17
Q

Eye irrigation solution

A

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.

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18
Q

Erythromycin ophthalmic ointment

A

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

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19
Q

pH paper

A

OPERATIONAL
Rolls or pre-cut strips
Measures baseline pH during decon./irrigation
Following exposure to foreign body or chemical to eye or skin
Contraindications: hypersensitivity
Precautions: not for penetrating eye injury
Dosage: (1) 1-2 inch strip PER MD

20
Q

Ciprofloxacin

A

OPERATIONAL
150/500/750 mg tablets, 400 mg IVPB, 250 or 500/5 suspension
2nd gen quinolone antimicrobial agent
Indicated PER MD for infectious exposure
Contraindications: hypersensitivity
Side effects: GI upset, nausea/vomiting, diarrhea, yeast infection
Dosage: PER MD

21
Q

Triple antibiotic ointment (Bacitracin/Polymyxin/Neomycin)

A

OPERATIONAL
Topical ointment
Polypeptide antibiotic
Indicated PER MD for infectious exposures
Contraindications: hypersensitivity
Topical use only
Side effects: Local irritation, GI upset
Dosage: Apply to scrapes, burns, wounds prior to sterile dressing

22
Q

Amoxicillin/clavulanate (Augmentin)

A

OPERATIONAL
875 or 125 mg tablets
Beta-lactamase inhibitors
Indicated PER MD for infectious exposures
Contraindications: hypersensitivity
Side effects: GI upset, nausea/vomiting, diarrhea
Dosage: PER MD

23
Q

Cefazolin (Ancef)

A

NON-OPERATIONAL
0.5-2 grams IM/IV
1st gen Cephalosporin antimicrobial agent
indicated PER MD for trauma applications with delayed transport and infectious exposures
Contraindications: hypersensitivity to PCN or Cephalosporins
Side effects: GI upset, nausea/vomiting, diarrhea, yeast infection
Dosage: PER MD

24
Q

Clindamycin (Cleocin)

A

OPERATIONAL
150-300 mg tablets, reconstituted liquid 75 mg/5 mL
Antibiotic
For suspected pharyngitis or respiratory infection, cellulitis
Contraindications: hypersensitivity to clindamycin
Side effects: diarrhea
Dosage: Pediatric: 10 mg/kg every 8 hours
Adult: 300 mg every 8 hours

25
Trimethoprim/Sulfadiazine (Bactrim)
OPERATIONAL DS Tablet Sulfonamide antibiotic Indicated PER MD for infectious exposures Contraindications: hypersensitivity Precautions: Liver/kidney disease, anemia, thrombocytopenia Side effects: GI upset, nausea/vomiting, diarrhea Dosage: PER MD
26
Azithromycin (Zithromax)
OPERATIONAL 250 mg tablet Macrolide antibiotic Indicated PER MD for infectious exposures Contraindications: hypersensitivity to penicillin Precautions: liver/kidney disease Side effects: GI upset, nausea/vomiting, diarrhea Dosage: PER MD
27
Doxycycline
OPERATIONAL 100 mg tablet Tetracycline antibiotic Indicated PER MD for infectious exposures Contraindications: Known hypersensitivity to tetracyclines, PREGNANCY Precautions: liver/kidney disease, photoreactivity rash Side effects: GI upset, nausea/vomiting, diarrhea Dosage: PER MD
28
Mupirocin topical ointment (Bactroban)
OPERATIONAL 2% topical ointment Other antibiotic Indicated PER MD for infectious exposures Contraindications: hypersensitivity Precautions: avoid eyes, limit prolonged use Side effects: Local irritation, GI discomfort Dosage: PER MD
29
Emtricitabine and tenofovir (Truvada)
OPERATIONAL Tablet containing tenofovir DF 300 mg, emtricitabine 200 mg Anti-retroviral Indicated PER MD for infectious exposures Contraindications: hypersensitivity Precautions: liver/kidney disease Side effects: GI upset, nausea/vomiting, diarrhea Dosage: PER MD
30
Prednisone (PO)
OPERATIONAL PO, (1/5/10/20/50 mg) tablets Corticosteroid, anti-inflammatory For allergic reaction, auto immune condition, PER MD Contraindications: hypersensitivity Precautions: PUD/GERD/GI bleed Hx. Side effects: GI upset, nausea Dosage: 40 mg to 60 mg once daily PER MD
31
Dexamethasone (Decadron)
OPERATIONAL PO or IV/IM, tablets Corticosteroid, anti-inflammatory For allergic reaction, auto-immune condition, PER MD Contraindications: hypersensitivity Precautions: PUD/GERD/GI bleed Hx. Side effects: GI upset, nausea Dosage: 10 mg once daily, PER MD
32
Acetaminophen (PO)
OPERATIONAL Tablet: 325 and 500 mg Pain medication For mild-moderate pain Contraindications: hypersensitivity, liver disease, PUD/GERD/GI bleed Hx. Side effects: GI upset Dosage: 650-1000 mg/ 6 hours
33
Ibuprofen (Motrin/Advil)
OPERATIONAL 200 mg tablet (OTC), 100 mg/5 mL suspension, 600 and 800 mg tablets NSAID For mild to moderate pain Contraindications: hypersensitivity, renal insufficiency, PUD/GERD/GI bleed Hx Precautions: do not use with other NSAIDs, caution steroid use Side effects: GI upset, nausea, GI bleed risk Dosage: 400-600 mg/4-6 hours 600-800 mg/6-8 hours
34
Naproxen (Aleve/Naprosyn) PO
OPERATIONAL Tablet: 220/375/500 mg NSAID For mild to moderate pain Contraindications: hypersensitivity, renal insufficiency, PUD/GERD/GI bleed Hx Precautions: do not use with other NSAIDs, caution steroid use Side effects: GI upset, nausea, GI bleed risk Dosage: 220-500 mg every 12 hours
35
Tramadol (Ultram) PO
OPERATIONAL (with no side effects) 50 and 100 mg tablets Pain medication For moderate to moderately severe pain Contraindications: hypersensitivity, seizure disorder, SSRI/TCA/MAOI use, renal/hepatic insufficiency (adjust dose) Precautions: use care with opiate use Side effects: dizziness/nausea Interactions: antidepressants, antipsychotics, warfarin, digoxin, tegretol, quinidine Dosage: 50-100 mg every 4-6 hours, 400 mg/day max
36
Lidocaine (transdermal or IM/SQ)
OPERATIONAL 1% (10 mg/mL) ampule/vial Injectable anesthetic For local pain/injury Contraindications: hypersensitivity Precautions: should not exceed 4 mg/kg or 300 mg Side effects: seizure, lightheadedness, tinnitus Dosage: topical application at site of dental pain
37
Fentanyl Transmucosal (PO)
NON-OPERATIONAL Lozenge/lollipop 800 mcg Opioid analgesic For severe pain/injury Contraindications: hypersensitivity Precautions: Controlled substance. Patient should not bite or chew lozenge, let it dissolve slowly Side effects: Patient must be monitored for CNS depression Dosage: Oral application for patient directed analgesia, patient should remove the lollipop once pain is controlled.
38
Clove Oil (topical for dental analgesia)
OPERATIONAL Topical liquid (OTC) Topical dental anesthetic For dental pain/injury Contraindications: hypersensitivity Precautions: Penetrating trauma, open intra-oral wounds Dosage: topical application to the site of dental pain
39
Ketorolac (Toradol)
OPERATIONAL 30 mg/mL IV/IM NSAID For mild/moderate pain Contraindications: hypersensitivity, renal insufficiency, PUD/GERD/GI bleed Hx. Precautions: Do not use with NSAIDs, caution with steroid use Side effects: GI upset/nausea, GI bleed risk Dosage: 15-30 mg IM/IV every 6-8 hours
40
Caffeine (No-Doz)
OPERATIONAL 200 mg tablet Enhances alertness For caffeine withdrawal headache, to facilitate functioning with limited rest periods Contraindications: hypersensitivity Side effects: insomnia Dosage: 200 mg every 3-4 hours as needed
41
Zalepon (Sonata)
NON-OPERATIONAL (4x hours after administration) 10 mg capsule Anxiolytic/hypnotic, shorted t-1/2 of agents available For facilitating rest during non-operational periods in prolonged deployment/transportation, minimum of 4 hours required (6 hours preferred) Contraindications: hypersensitivity, unsecure location, lack of assured 4-hour non-operational period Precautions: may not drive/operate machinery/ use weapons for at least 4 hours Side effects: sedation Interactions: Alcohol/other sedatives potentiate effect Dosage: 10-20 mg with assured 4 hour non-operational block, APPROVED BY MD
42
Modafinil (Provigil)
OPERATIONAL 200 mg tablet Enhances alertness/concentration For facilitating functioning with limited rest periods Contraindications: hypersensitivity Side effects: Insomnia, mild BP elevation Dosage: 200 mg once daily
43
Cyanoacrylate adhesive (Dermabond)
OPERATIONAL Single use ampule Tissue adhesive For minor trauma Contraindication: hypersensitivity Precautions: avoid near eyes Side effect: transient local discomfort Dosage: as required for wound closure, 2-4 layered applications
44
Topical hemostatic dressing
NON-OPERATIONAL Individual use packages Promotes blood clotting For hemorrhage Contraindications: hypersensitivity Precautions: standard universal precautions for wound care Dosage: Single or multiple dressings applied to a bleeding wound
45
Steri-strips
OPERATIONAL Individual use packages Facilitates closure of wounds For superficial wounds Contraindications: hypersensitivity to adhesive Precautions: standard universal precautions for wound care Dosage: single or multiple dressings applied for wound closure
46
Staples
OPERATIONAL Individual use staple dispensers Facilitates closure of wounds Contraindications: contaminated wounds, wounds with foreign material Precautions: standard universal precautions for wound care Dosage: single or multiple dressings applied for wound closure PER MD
47
Albuterol MDI
NON-OPERATIONAL (without MD consult) 0.83 mcg MDI Bronchodilator For respiratory distress/bronchospasm Contraindications: hypersensitivity Precautions: standard universal precautions for respiratory patient Dosage: (2) puffs, may be repeated 2 additional times. Additional doses PER MD

MIEMSS Protocol (6 decks)

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