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9 Cards in this Set

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Field treatment of hypothermia pt.
• If trauma is suspected protect C-spine.
• ABC’s, High flow Oxygen.
• Move patient to a warm environment (heated rescue/ambulance).
• Handle patient gently. Rough handling of hypothermic patients may be detrimental to
patient condition.
• Carefully remove cold/wet clothing.
• Wrap torso in warm, dry blankets.
• Monitor vital signs for one full minute to discern if carotid pulse is present.
• If patient is without a pulse, begin CPR with gentle BVM (apply SAED. If shock is
advised, deliver no more than one set of stacked shocks. Combi-tube should not be used
if pulse is present.)
• If any pulse is detected DO NOT perform CPR.
pg 108
What is the dosage for administering naloxone for overdose pts?
Adult- 2mg IN (1/2 of total volume per nostril). Small increments of Naloxone may be re-administered via intranasal route as needed
and titrated to effect.
Pediatric- 0.02mg/kg IN: Divide dosage. Give one-half of total volume per nostril.
pg 110
What is the dosage for administering albuterol?
Children < 2yrs of age = 2.5 mg in NS.
Adults & children > 2 yrs of age = 5mg in NS.
Repeat albuterol up to 2 times.
pg105
What is the START Triage Algorithm?
-Move walking wounded-Minor-Green
-No resp. after head tilt/OPA-Dead/dying-Black
-Respirations over 30-Immediate-Red
-Pulse (no radial pulse)-Immediate-Red
-Mental Status (unable to follow simple commands)-Immediate-Red
Otherwise..-Delayed-Yellow
* Remember Respirations-Pulse-Mentation (RPM) while determining IMMEDIATE patients
pg168
What is the START Triage Categorization Criteria
Red tag-Immediate/Critical
Yellow tag-Delayed/Serious
Green tag-Minor/Stable
Black tag-Deceased
Contaminated-May be from any triage category but need to be grossly decontaminated prior to transport.
pg168
Major burns are categorized
as:
• Partial thickness burns greater than 25% in adults, 20% in children.
• ALL full-thickness burns involving 10% or more of the body surface area.
• ALL full-thickness burns involving hands, face, eyes, ears, feet and perineum.
• ALL burns that compromise circulation.
• ALL burns with evidence of respiratory involvement. If patient is in respiratory distress and unable to secure airway, go to nearest facility.
• ALL high voltage electrical injuries.
• Burns with associated multi-system trauma.
• ALL high-risk patients.
pg115-116
Moderate burns are
categorized as:
• Partial thickness burns of 15-25% in adults; 10-20% in children.
• Full thickness injuries of less than 10% body surface area.
pg116
What are the S&S of heat exhaustion?
Pt will have a prolonged exposure to a warm environment or have excessive body heat produced by phyical activity. S&S of hypbolemia (altered mental status, pale clammy skin, weakness, nausea, decreased BP, weak rapid pulse, rapid, shallow respirations) may be present.
pg106
What are added S&S that distinguish heat stroke from heat exhaustion?
Altered LOC and pt will be hot to the touch.
pg106