Universal Patient Care Guidelines - Medical Flashcards
EMS should wear all appropriate PPE, including protection for ____ and _____.
Eyes, gloves.
Scene Size-up:
A. Scene safety
B. Consult/follow dept-specific IMS as needed.
Regarding the use of face masks:
Follow mask policy in place at the location of patient care and healthcare facility they enter.
Masks should be worn in the following situations:
If pt has or suspected to have COVID-19 or other airborne transmitted infectious disease.
If you enter a home and the family is wearing masks.
During airway treatments including CPAP, BVM use, advanced airway placement, and nebulizer use.
Patients should be approached and assessed in ABC order except for:
Cardiac arrest.
Advanced airway of choice:
ET tube or supraglottic airway.
Consider advanced airway management for respiratory failure or airway protection. Consider factors such as:
altered mental status (GCS<8)
respiratory rate
spontaneous effort
pulse oximetry
and EtCO2 readings
Breathing. Expose the chest as required; note ____, _____, and _______ of respirations.
rate, depth, and pattern
Breathing. Obtain pulse oximetry readings on ____ patients.
all
Breathing. Administer Oxygen to ease pain and/or respiratory distress. Titrate to a SpO2 reading of at least ___% as appropriate.
94%
Breathing. If patient has history of COPD, use lowest concentration of oxygen to achieve SpO2 > ___% while also relieving dyspnea.
90%
Breathing. True/False. Never withhold O2 for fear of depressing respiratory drive.
True.
Breathing. Ventilate apneic patients using appropriate adjuncts and ____ _____________ ______.
high concentration oxygen.
Circulation. Adequacy of circulation is best assessed first by assessing _____ of ___________ and ______ ______. Then check the location, rate and _________ of the pulse.
level of consciousness and mental status.
character
Circulation. _________ refill in pediatric patients is a useful tool.
Capillary
Circulation. Hypotension is a SBP < ___ in the adult or < ____ in the pediatric patient.
90, 70 + (2 x age in years)
Circulation. Perform a ____________ on any patient who may have a cardiac cause for their complaint. Do not delay emergent interventions.
12-lead ECG
Circulation. Treat identified circulation deficiencies via the ___-________ Shock protocol as appropriate.
Non-traumatic shock
Circulation. If the issue is primarily cardiac related, treat in this order:
Rate, Rhythm, BP
Circulation. Refer to the _____ Protocols to address specific rhythm abnormalities.
Cardiac
Circulation. Cardiac arrest is an exception. Do not follow the usual ABC order. Follow CAB or _____________, ______, _________.
Compressions, Airway, Breathing.
Circulation. Continuous compressions with no interruption is very important. Aggressively search for and treat __ and __ in these patients.
VF and VT
Vascular access… Vascular access can be achieved using the following:
i. Saline Lock, for stable patients not needing volume replacement.
ii. Peripheral IV (to include EJ access): for fluids and medications.
iii. IO route: used in cardiac arrest patients or when access is critical and peripheral sites are unavailable.
Vascular access… Fluid administration is at the following rates:
i. TKO - slow drip for patients who may need meds of bolus.
ii. Fluid replacement - refer to protocol or OLMCP.
iii. Always follow med administration with 10-20 mL bolus.
