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23 Cards in this Set
- Front
- Back
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Abdominal Pain
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O2, 12 Lead, IV
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Acute Coronary Syndrome
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O2, ASA 2 tabs 162mg, Nitro 0.4mg q5min x3, 12 Lead, IV, MS 2mg q5min x2 or Fentanyl 0.5mcg/kg max 50mcg q5 x2
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Allergic Reaction / Anaphylaxis
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O2, IV, Mild– Benadryl 50mg IV/IM, Moderate– Benadryl 50mg IV/IM, Albuterol 2.5mg Neb, Solumedrol 125mg IV, Epi (1:1000) 0.3mg IM, Severe– Epi (1:1000) 0.3mg IM x2 max dose 0.6mg, Benadryl 50mg IV/IM, Solumedrol 125mg IV, Albuterol 2.5mg Neb, Hypoperfusion protocol in needed Epi (1:10,000) 0.1-0.25mg/ 100cc/NS IV
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Altered Mental Status – Unknown Origin
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O2, 12 Lead, IV
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Cardiac Arrest – Asystole/PEA
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Dex, IV, ET, Epi q3-5min (1:10,000) 1mg IV or 2mg ET, Atropine q3-5min 1mg IV max 3mg, ET 2mg max 6mg, known acidosis Bicarb 50mEq IV
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Cardiac Arrest – V-Fib/V-Tach No Pulse
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CPR, FRD Witnessed shock 150J, unwitnessed 2min CPR then shock, Dex, IV, ET, Epi q3-5min (1:10,000) 1mg IV or 2mg ET, CPR 2min, shock 150J, CPR 2min, Amiodarone 300mg, known allergy Lidocaine 1.5mg/kg ET 3mg/kg, Torsades Mag Sulfate 2g/100cc NS wide open, Shock 150J, CPR Epi 1mg, Amiodarone 150mg 2nd dose, Lido–dose 0.75mg/kg may give 3rd, Continue Drug/Shock sequence
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Cardiac Arrest- Hypothermia
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Follow appropriate cardiac arrest protocol, double time between meds. One shock only for <86°
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Post Resuscitation Management
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Induce hypothermia, 12 Lead, ROSC •No Antidysrhythmic- Amiodarone 150mg/100cc NS 60gtts/min, •Amiodarone- Amiodarone 100mg/100cc NS 10gtts min, •Lido- Lidocaine 200mg/100cc NS 10gtts/min, •Mag- Amiodarone 150mg/100cc NS 60gtts, Versed 2mgIV
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A-fib/A-flutter
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O2, 12 Lead, IV, Unstable- HR150> w/ associated S/S Cardiovert 100J, 150J, 200J PRN, Versed 2mg
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Bradycardia
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O2, 12 Lead, IV, Unstable- 2°Type II/3° or ST Elevation MI immediate TCP, Atropine 0.5mg IV q3-5 max 3mg, all other Brady’s Atropine 1st then TCP, Versed 2mg prior to TCP, Hypotension Dopamine 200mg/250ccNS drip @ 10mcg/kg/min
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SVT
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O2, 12 Lead, IV, Stable- Adenosine 6mg, Adenosine 12mg x2, Unstable- Cardiovert 100J, 150J, 200J, Versed 2mg
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V-Tach/Wide Complex Tach w/Pulse
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O2, 12 Lead, IV, ICD Discharge Versed 2mg, Stable- Amiodarone 150mg/100cc NS 60gtts, PMVT Mag 2g/100cc NS 60gtts, Unstable- Cardiovert 100J, 150J, 200J, Torsades Defib 150J as needed, Versed 2mg
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Hypo/Hyperglycemia
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Dex, O2, 12 Lead, IV Dex <70 D50 25gms, NO IV Glucagon 1mg IM, If refractory repeat either once.
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Hypoperfusion
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O2, IV, 500cc NS q5min max 1000cc, Dopamine 200mg/250cc @ 10mcg/kg/min
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Electrolyte Abnormalities
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Dex, O2, 12 Lead, Hyperkalemia- Bicarb 50mEq, D50 25gms, Albuterol 10mg Neb,
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OB Emergencies
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O2, IV, hypotensive 500cc NS x2, Eclamptic Seizure- Mag 4gms/100cc NS 60gtts/min, • For Mag OD resulting in Resp/Cardiac arrest Calcium Chloride 10cc IV q5-10 repeat once
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OD & Poisoning
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O2, 12 Lead, IV, Acidosis: Bicarb 50mEq, Beta Blocker/Calcium Channel Blocker: Glucagon 3mg, Dopamine 200mg/250 cc 10mcg/kg/min 60gtts/cc,if refractory TCP, Calcium Chloride 10cc IV, CO O2, Cyanide Exposure: EMS Captain & Cyano Kit Magnesium: Calcium Chloride 10cc IV q5-10 x2, Narcotic: Narcan 0.4mg IV or IM repeat to max 2mg or IN Narcan 2mg, Phenothiazine: Benadryl 50mg, Tricyclic OD: 500cc NS IV rapid x2, Bicarb 50mEq, Organophosphate: Mild 1 Mrk 1 kit, Moderate- 2 Mrk 1 kits, Atropine 2mg q5min, for seizures 1 Diazepam Auto injector, Severe- 3 Mrk 1 kits,1 diazepam Auto injector Atropine 2mg q5min, seizure protocol,
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Psychiatric Emergencies
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O2, 12 Lead, Agitated Delirium protocol
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Trauma
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O2, IV, NSS 500cc/NS, repeat once
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Burns
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O2, 12 Lead, IV, 500cc NS IV x2
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Crush Syndrome
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O2, 12 Lead, IV, Prior to release NS 20cc/kg wide open, Prolonged rescue- intial dose + NS IV drip 10cc/kg/hr. Entrapment >4hrs- Bicarb 1mEq/kg max dose 100mEq, albuterol 10mg, Post Extrication- NS IV drip 5cc/kg/hr, Entrapment >4hrs D50
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Torso Injury
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O2, IV, Tension Pneumo– chest Decompression, Penetrating Trauma GCS>4 NS 500cc achieve SBP repeat once >70mmHg,GCS <4 NS 500cc to SBP >90mmHG; Blunt Trauma NSS 500 ml repeat once >90mmhg
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Traumatic Brain Injury
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O2, IV, Lidocaine 1mg/kg prior to ET tube, Combative- Versed 2mg IV q5min repeat once
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