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19 Cards in this Set

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Adult Trauma




Occlusive dressing





tap on three sides, release if worsened shortness of breath

Adult Trauma




Evisceration Tx. of intestine

1) cover with NS moistened dressing




2) cover with occlusive dressing




3) cover with blankets to keep warm




Do not push back unless prolonged extrication

Anaphylaxis/Allergic Reaction




Symptoms of severe reaction

wheezing and hypotension

Burns




BSA required for moist dressing

15%




over 15% - administer 1 liter NS

General Pre-Hospital care




how frequently do you obtain vital signs?

every 15 minutes, two sets suggested, more for critical patients



Heat Emergencies




Contraindications for Oral fluid replacements





altered mental status, abdominal pain, nausea




avoid alcohol, carbonated, and caffeinated

Hypothermia




Temperature





30 degrees celsius (86 degrees fahrenheit)

Syncope




Transport position for late pregnancy

left lateral recumbent

Spinal Assessment




Cervical Spine Criteria (5 total)

altered mental status




use of intoxicants




significant distracting painful injury




motor and/or sensory deficit




spine pain and/or tenderness

Sepsis




inclusion criteria (5 total)

Hyperthermia temp >38 celsius (100.4 F)


Hypothermia temp <36 celsius (96.8)


Heart rate > 90 BPM


Respiratory rate <10 or >20 per minute


SBP <90 mmHg or evidence of hypoperfusion

Respiratory Distress




CPAP PEEP settings

CHF - 10 cm H20




All other conditions - 5 cm H20

Psychiatric




Protective custody

(330.1100c (7), Sec. 100c, Michigan Mental Health Code)




...temporary custody of an individual w/ or w/o consent for purpose of health/safety of individual or public...individual not under arrest

Psychiatric




Authority to restrain

(Sec 20969 of Public Act 368)




if EMS determine, using professional judgement, patient cannot competently object to treatment, may transport w/o consent unless objection based on religious beliefs

Poison




Treatments:


spider/scorpion bite


snake bite


Bees/wasp







spider/scorpion bite - ice for comfort


snake bite - DO NOT apply ice


Bees/wasp - remove stingers

OB Emergencies




Signs of Pre-Ecampsia

BP 160/110 or higher




marked peripheral edema




diminished LOC




seizure - Eclampsia

OB Emergencies




HELLP Syndrome Signs





Hemolysis Elevated Liver Enzymes Low Platelet counts




Constant RUQ pain




visual changes or impairment

OB Emergencies




Cord clamping length

clamp 1 = 8 inches from infant




clamp 2 = two inches distal from clamp 1




wait until child responsive or pulsation stops

OB Emergencies




APGAR

Appearance


Pulse


Grimace


Activity


Respirations

OB Emergencies




Depressed APGAR score

below 7 or poorly responsive




Resuscitation Protocol