Total Patient Mgmt

Question 1

Respiratory/Difficulty Breathing/DB

Answer 1

2 sets of vitals + etco2 (want Spo2 > 94%)
4 lead
IV saline lock set up

Question 2

Chest Pain

Answer 2

2 sets of vitals (want Spo2 > 94%)
4 lead -> 12 lead
IV saline lock set up

Question 3

Altered/ALOC

Answer 3

2 sets of vitals + sugar (want Spo2 > 94%)
4 lead
IV saline lock set up
A&O (who, when, where, event)

Question 4

Diabetic

Answer 4

2 sets of vitals + sugar (want Spo2 > 94%)
4 lead
**If sugar <60 or >250? IV saline lock set up
**If low sugar and no transport, make a sammy

Question 5

Seizure

Answer 5

2 sets of vitals + sugar (want Spo2 > 94%)
4 lead
IV saline lock set up
**High flow o2 via NRB

Question 6

Stroke

Answer 6

2 sets of vitals + sugar (want Spo2 > 94%)
4 lead -> 12 lead
IV saline lock set up
**FAST (facial droop, arm drift, speech, time)
**VAN if positive arm drift: visual, auditory, neglect

Question 7

Trauma

Answer 7

What’s the moi? - hold manual c-spine if indicated
Is pt responsive? - AVPU + A&O
Arterial bleed/sucking chest wound? Address 1st
ABCs
Rapid trauma assessment
Package pt
2 sets of vitals + sugar if not A&O (want Spo2 > 94%)
4 lead
1 or 2 IV saline lock set up/s
Head to toe secondary assessment

Question 8

Cardiac code

Answer 8

Continuous compressions for 8 minutes
iGel w/ etco2 and bvm or passive airway w/ breath every 10 seconds
....after 8 minutes....
regular CPR 30:2
....after ET tube....
Continuous compressions
BVM w/ etco2 w/ breath every 6 seconds

Question 9

Other code - drowning, OD, trauma, resp

Answer 9

iGel w/ etco2 and bvm

30:2

Question 10

Peds code - <8yo

Answer 10

iGel w/ etco2 and bvm

15:2

Question 11

Busy work

Answer 11

IO drill
pressure infuser
Suction
Backboard