Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
40 Cards in this Set
- Front
- Back
|
What are the Adult Physiologic Trauma Triage Criteria?
|
GCS<13, LOC > 3 min, assisted ventilations, SPO2 < 90% Respiratory Rate <10 or >29, inadequate tissue perfusion, B/P<90mmhg, tachycardia
|
|
|
What are the Adult Anatomic Trauma Triage Criteria?
|
penetrating injuries to torso, head, neck, groin, extremities proximal to elbows/knees, blunt chest trauma with ecchymosis, unstable chest wall, flail segments, severe tenderness to head, neck, torso, abdomen, or pelvis, suspected spinal injury, loss of senstaion, tenderness to abdomen with firm and rigid abdomen, amputations, above wrist or ankle, two or more long bone fx, skull deformity, major tissue disruption, or pelvic fx.
|
|
|
11010 COPD
|
ABC VOMIT SPO2
Albuterol 2.5mg with Atrovent 0.5mg may repeat X 2. Consider CPAP if available Consider Nasotracheal Intubation BHC for Additional Orders |
|
|
11010 Adult Acute Asthma/Bronchospasm
|
ABC VOMIT SPO2
Albuterol 2.5mg with Atrovent 0.5mg may repeat X 2. NS 300cc with clear lungs Consider CPAP if available Epi 1:1000 0.3mg SC may rpt after 15 min Benadryl 25mg IV or 50mg IM Epi 1:10,000 0.1mg IV may rpt to 0.5mg Consider Nasotracheal Intubation BHC for Additional Orders |
|
|
11010 Adult Acute Pulmonary Edema/CHF
|
ABC VOMIT SPO2
NTG 0.4mg rpt as needed with B/P >90mmHg Consider CPAP if available Consider Nasotracheal Intubation BHC for: Dopamine 5-20mcg/kg/min Lasix 40-100mg or 2X daily dose max of 100mg Albuterol 2.5mg with Atrovent 0.5mg |
|
|
11040 Asymptomatic Bradycardia
|
ABC VOMIT SPO2 12 Lead
FC NS 300cc May Rpt w/clear lungs BHC |
|
|
11040 Symptomatic Bradycardia
|
ABC VOMIT SPO2 12 Lead
FC NS 300cc May Rpt w/clear lungs Atropine 0.5mg may Rpt q 5 min to max of 3mg or 0.04mg/kg Consider TCP Dopamine 5-20mcg/kg/min BHC |
|
|
11050 Narrow SVT
|
ABC VOMIT SPO2 12 Lead
FC NS 300cc May Rpt w/clear lungs Vagal Maneuvers Adenosine 6, 12, 12 RIVP Procainamide 20mg/min to 17mg/kg Sync. Cardioversion BHC |
|
|
11050 Wide Complex VT
|
ABC VOMIT SPO2 12 Lead
FC NS 300cc May Rpt w/clear lungs Procainamide 20mg/min to 17mg/kg Lidocaine 1mg/kg, Rpt q 10 min at 0.5mg/kg to 3mg/kg max, 2mg/min maintenance dose Mag 2gms/100cc over 5min Consider Adenosine Percordial Thump if Wittnessed Sync Cardioversion If rhythm is suppressed or cardioversion unsuccessful give Lidocaine 1mg/kg, then repeat q 10 min at 0.5mg to max of 3mg/kg, then initiate 2mg/min maintenance drip BHC |
|
|
11050 A-Fib/A-Flutter
|
ABC VOMIT SPO2 12 Lead
Transport to closest most appropriate If pt deteriorates: Sync Cardioversion Verapamil 5mg SIVP may Rpt after 15min at 10mg SIVP Procainamide 20mg/min to 17mg/kg BHC |
|
|
11060 Suspected Acute MI
|
ABC VOMIT SPO2 12 Lead
ASA 162mg PO FC NS 300cc may Rpt w/clear lungs 12 Lead, Consider V4R if signs of inadequate tissue perfusion NTG 0.4mg SL may repeat X 3 with adequate tissue perfusion MS 2mg Increments to max of 10mg Complete thrombolytic check list BHC |
|
|
11070 Adult V-Fib/Pulseless VT
|
CPR 2min if no CPR PTA
Advanced Airway Defib at Appropriate energy settings CPR 2min after each defib Epi 1mg IVIO every 2min cycle of CPR after each defib Reassess rhythm and defib if necessary After 2 cycles CPR give 1.5mg/kg IV/IO Rpt at 0.75mg/kg q 5min to 3mg/kg max If Rhythm persists Contact Base Hospital D50 25gms IV/IO Narcant 2mg IV/IO/IM NG/OG BHC Dopamine 5-20mcg/kg/min Lidocane 2mg/min maintenance dose for conversion |
|
|
11070 Adult Asystole/PEA
|
CPR for 2min in no CPR PTA eval rhythm every 2 min
FC NS 300cc NS may Rpt Epi 1mg IV/IO after every rhythm eval Atropine 1mg after second CPR cycle may Rpt X 2 to max of 3mg Consider Termination of efforts if PEA < 60, asystole, or other agonal rhythm with successful intubation and medication administration D50 25gms IV/IO Narcan 2mg IV/IO/IM NG/OG BHC Dopamine 5-20mcg/kg/min |
|
|
11080 ALOC
|
ABC VOMIT SPO2
D50 25gms IV may Rpt X 1 Glucagon 1mg IM/SC Versed 5-10mg IM or 2.5-5mg IV may Rpt for extended transport Narcan 2mg IV/IM q 2-3 min as needed BHC |
|
|
11090 Non-Traumatic Shock
|
ABC VOMIT SPO2
B/P <90 Adult 500cc NS may Rpt X 1 Peds 20cc/kg may Rpt X 1 B/P >90 Adult 150cc/hr Peds maintain IV TKO BHC 2nd Large Bore IV Dopamine 5-20mcg/kg/min |
|
|
11100 Adult Burns
|
15 years and older
ABC VOMIT SPO2 B/P<90 IV NS 250cc may Rpt up to 1000cc B/P>90 500cc/hr MS 5mg IV q 5min to 20mg max with B/P >90 MS 10mg IM Albuterol 2.5mg with Atrovent 0.5mg may Rpt X 2 BHC |
|
|
11020 Adult Airway Obstructions
|
ABC VOMIT SPO2
Responsive = Abd Thrusts Unresponsive = CPR Attempt Magill Forceps Consider Needle Cric |
|
|
11030 Non-Traumatic Hypertensive Crisis
|
ABC VOMIT SPO2
Monitor and Transport |
|
|
12010 Determination of Death Criteria
|
Decomposition
Rigor Mortis Lividity Decapitation Incineration Massive Crush Injury/Penetrating Trauma with eviceration of the heart, and/or brain Gross dismemberment of the trunk |
|
|
13010 Poisonings
|
ABC VOMIT SPO2
IV NS 500cc to maintain B/P>90 or 20cc/kg in peds to maintain B/P>80 Charcoal 50gms PO or 1gm/kg PO for Peds Atropine 2mg IV rpt as needed BHC Benadryl 25mg IV or 50mg IM for Phenothiazine OD Sodium Bicarb 1mEq/kg for TCA OD Calcium Chloride 1gm IV for CCB OD Glucagon 1mg IV for BB OD |
|
|
13020 Heat Related Injury
|
ABC VOMIT SPO2
IV NS 300cc May Rpt or 20cc/kg in Peds BHC |
|
|
14010 Pediatric Respiratory Emergencies
|
ABC VOMIT SPO2
Albuterol 2.5mg with Atrovent 0.5mg may Rpt X 2 Pts < 1 Year Atrovent 0.25mg Epi 1:1000 0.01mg/kg max 0.3mg Consider Allergic Reaction Protocol BHC |
|
|
14020 Pediatric Airway Obstruction
|
ABC VOMIT SPO2
Responsive Abd Thrusts/Back Blows Unresponsive CPR Magills Pts > 2 years Needle Cric BHC |
|
|
14030 Pediatric Airway Obstruction
|
ABC VOMIT SPO2
Albuterol 2.5mg with Atrovent 0.5mg may Rpt X 2 Pts < 1 Year Atrovent 0.25mg Epi 1:1000 0.01mg/kg max 0.3mg IV NS 20cc/kg to 300cc max Rpt as needed Benadryl 1mg/kg IV or 2mg/kg IM to 25mg IV max or 50mg IM max Epi 1:10,000 0.01mg/kg IV not to exceed 0.1mg dose Rpt to max of 0.5mg BHC |
|
|
14040 Pediatric Cardiac Arrest
|
CPR for 2 min if no CPR PTA
Advanced airway VF/VT Defib at 2j/kg after each 2min cycle of CPR Epi 1:10,000 q 2 min cycle of CPR 1day to 8 years 0.01mg/kg 9 to 14 1mg Lidocaine after 2nd cycle at 1mg/kg may Rpt at 0.5mg/kg to 3mg/kg max Aystole/PEA 1day to 8 years 20cc/kg 9-14 300cc Epi 1:10,000 q 2 min cycle of CPR 1day to 8 years 0.01mg/kg 9 to 14 1mg Pts 9-14 Atropine 1mg Rpt as needed to 3mg max Consider D50/Narcan NG/OG 1day to 8 years Epi 1:10,000 0.005mg/kg q 10 min 9-14 Dopamine 5-20mcg/kg/min BHC |
|
|
14050 Pediatric ALOC
|
ABC VOMIT SPO2
IV NS 20cc/kg to 300cc max Pts <10kg BGL<60 D25 0.5gm/kg Pts >10kg <25kg BGL <60 D50 1:1 0.5gm/kg Pts >25kg BGL<80 D50 1:1 0.5gm/kg Glucagon 0.025mg/kg to 1mg max may Rpt X 1 after 20 min Narcan 0.1mg/kg to 2mg max BHC |
|
|
14070 Pediatric Burns
|
ABC VOMIT SPO2
Unstable IV NS 20cc/kg Stable >5 years 150cc/hr >5 years 250cc/hr MS 0.1mg/kg IV to 5mg dose max Rpt as needed to 20mg max MS 0.2mg/kg IM to 10mg max Albuterol 2.5mg with Atrovent 0.5mg may Rpt X 2 Pts<1 year Atrovent 0.25mg BHC |
|
|
14080 Obstetrical Emergencies
|
ABC VOMIT SPO2
IV NS 500cc Rpt as needed, if stable IV NS 150cc/hr Consider 2nd Large bore IV Mag 4gms in 20cc over 3-4min Versed 2.5-5mg IV or 5mg IM may Rpt to max dose of 10mg BHC Dopamine 5-20mcg/kg/min Mag Infusion of 2gms in 100cc at 30cc/hr Rpt Versed |
|
|
14090 Newborn Care
|
ABC VOMIT SPO2
HR<100 BVM HR<60 Chest Compressions IV/IO Epi 0.01mg/kg if HR<60 after 1 min Place OG tube if BVM for more than 2min BGL<40 d25 0.5gms/kg BHC 20cc/kg IV NS Epi 1:10,000 0.005mg/kg q 10 min |
|
|
9020 Physician on Scene
|
Inform Base of Physician on Scene
Proper ID Sign written statement assuming responsibility Stay with Pt During Transport Maintain BHC |
|
|
15010 Adult Trauma >15 Years
|
ABC VOMIT SPO2 C-Spine
Blunt Trauma Unstable: IV NS open until stable to 2000cc max Stable: TKO Penetrating Trauma Unstable: IV NS 500cc X1 Only Stable: TKO Closed Head Injury Unstable: IV NS 250cc may Rpt X 1 Stable: TKO Chest Trauma Consider Needle Thor Isolated Extremity MS 5mg IVP q 5 min to 20mg max with B/P>90 or 10mg IM Head/Neck Trauma Lido 1.5mg/kg Prior to ET or NT BHC for NT if facial trauma is present |
|
|
15020 Pediatric Trauma <15 Years
|
ABC VOMIT SPO2 C-Spine
IV NS 20cc/kg may Rpt X 1 or TKO if stable Go to LLUMC if less than 20 min difference to the closest Consider needle thor for blunt chest trauma MS 0.1mg/kg IV/IO may Rpt q 5min to 20 mg max or 5mg inc max MS 0.2mg/kg IM to 10mg max Lido 1.5mg/kg prior to ET/NT |
|
|
10010 Adult King Airway >15 Years
|
Unresponsive/apenic
No Gag Above 4ft Tall 4-5 ft size 3 yellow 60cc 5-6ft size 4 red 70cc 6ft + size 5 purple 80cc Contraindications Gag Caustic substances FBAO Facial and or esophageal trauma Esophageal disease |
|
|
10020 Pediatric King Airway <15 Years
|
Unresponsive/apenic
No Gag 35-45" or 12-25kg size 2 green 25-30cc 41-51" or 25-35k size 2.5 orange 30-40cc Contraindications Gag Caustic substances FBAO Facial and or esophageal trauma Esophageal disease |
|
|
10050 Nasotracheal Intubation
|
C-spine injury or clenched jaw
inaccessible for direct laryngoscopy severe respiratory distress nare able to accomodate 7.0, 7.5, or 8.0 et tube BHC for significant facial trauma or possible basilar skull fx or pts on anticoagulant therapy Lido 1.5mg/kg Neo 1 metered dose 0.5mg |
|
|
10060 Needle Thoracostomy
|
Increased agitation
Progressively worsening dyspnea Diminished breath sounds Hypotension JVD Tracheal deviation >50kg 14-16g 2-2.5" Needle <50kg 18g 1-1.25" Needle |
|
|
10070 Needle Cricothyrotomy
|
FBAO
Contraindicated in Pts less than 2 years of age Adult 10-15g needle Peds 12-15g needle TLJV 1 sec on 3 sec off |
|
|
10080 OG/NG
|
Contraindications
Esophaageal strictures/varices Caustic ingestion Significant facial/head trauma Bleeding disorders Adults 16-18fr Adolescents 12-14fr Children 8-10fr Infants 5-6fr |
|
|
10110 TCP
|
must be 8 years or older
start at rate of 60 and ma of 0 can titrate rate to max of 100 for witnessed asystole set to max ma Versed 1-2mg for conscious pt MS 1-2mg inc to max of 10 for pain with adequet perfusion |
|
|
10120 Sync Cardioversion
|
Versed 1-2mg for conscious pt
MS 1-2mg inc to max of 10 for pain with adequet perfusion |
