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10 Cards in this Set
- Front
- Back
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Pediatric Respiratory Compromise |
BSI / Scene Safe # / location General impression(Age,Sex,Race,Color,Position) / Rapid Scan- life threat (bleeding, respiratory, Cspine, shock open chest wound) NOI / MOI Additional Resources / LOC / C-Spine ( manual stabilization, c-collar, backboard(pms)) chest down then crown. ABC/CAB(look in airway with penlight(secretions, foreign body, audible sounds). Rate Rhythm and quality of breathing, SPO2, upper lobe breath sounds & Chest wall patency. Pulse Rate Rhythm and Quality, Skin color, temp, cap refill, moisture) Select proper delivery device and provide oxygen blow by or non rebreather. First vitals (BP, BGL, Pupils, full breath sounds, ETCO2) Place supine and pad shoulders in sniffing position. Manually opens airway, select proper size OPA and insert. Assist breathing with BVM with oxygen attached 12-15LPM. Observe for skin signs, capnography, pulse ox, and chest rise for adequate ventilation. Immediate Transport
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Supraglottic Airway Device |
BSI / Scene Safe Open airway manually, measure and insert airway adjunct. Ventilate with BVM, then attach oxygen at 12-15 LPM Check(inflate to make sure no leaks) and prepare Combitube, lubricate end of device (verbalized), position head and perform tongue jaw lift, insert device to proper depth, properly secure per manufactures directions, ventilate and confirm proper placement with lung and Epi gastric sounds, adjust if needed, advise verify proper placement with capnography, detector device, mist in tube, chest rise and fall. Secure device or advice still secured and advise monitor skin, capnography, pulse ox to determine adequate ventilation. |
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IV Therapy |
BSI/Scene Safe Checks selected Fluid ( Proper fluid, clarity, Expiration date) Select appropriate catheter, administration set and cuts tape to secure. Connects and prepares IV tubing to IV bag and extension to flush. Applies tourniquet, palpates for suitable vein, clean site, insert catheter, note flashback, advances catheter, occuludes vein, remove needle and put in sharps, release tourniquet, and attach IV tubing. Run IV to ensure patent, secure Catheter, and adjust flow rate as appropriate. |
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Physical Assessment |
BSI / scene safety # / location General impression(Age,Sex,Race,Color,Position) / Rapid #/ location/ MOI or NOI, Scan- life threat (bleeding, respiratory, Cspine, shock open chest wound) ALS / LOC / C-Spine ( manual stabilization, c-collar, backboard(pms)) chest down then crown. ABC/CAB(look in airway with penlight. Quality of breathing,SPO2, upper lobe breath sounds & Chest wall patency. Pulse Rate, Skin color, temp, moisture) Make Transport decision. First vitals By partner: Pulse, BP, Respiratory Rate & Quality, LOC, BGL, Pupils, full breath sounds, Skin) Secondary Assessment-reassess loc, abc/ History (OPQRST-SAMPLE) (vitals, head to toe, focused pupils, bgl) dcap Interventions: meds, IV, ect Reassess- transport decision, 1,2,VIP ( primary, secondary, vitals, interventions, procedures) I do vitals. |
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Backboarding |
BSI / Scene Safe Pms before Backboard six inches above head Count of three lift Check back/buttocks Count of three down Slide zigzag up count of three down count of three Pack the void spaces Buckle deep breath Chest down then crown Pms |
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Bleeding |
BSI / Scene Safe Direct pressure with glove hand Stop? No Bandages Stop? No Tourniquet splinting (Treat for shock - oxygen, warmth, immediate transport) |
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Splinting / Bone Breaks |
BSI/ Scene Safe Manual Stabilization Check pms Try to re set if not Splint Entire injured extremity and bandage (bone and/or joint above and below the injury site) Make sure hand or foot in the position of function. Check PMS |
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IV Bolus Medication |
BSI / Scene Safe Ask patient if any known allergies Select correct medication, with correct concentration. Assemble prefilled syringe and dispels air. Clean closest port to patient, confirms medication and dose. Stop the IV flow (pinch the line) and administer at proper rate ( cardiac fast push). Disposes of syringe and/or needle in proper container Turns IV on and adjusts drip rate to TKO and observe patient for any adverse reactions. |
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Pediatric Intraosseous Infusion |
BSI/ Scene Safety Check Fluid ( proper fluid, clarity, expiration date) Select equipment: IO needle, syringe, saline, extension set or three way stopcock, proper administration set and cut tape. Connect and prepare IV administration set and syringe with extension or stopcock. Identify proper anatomical site: Medial aspect of the tibial plateau to the medial malleolus. Cleans site, stabilize leg(don’t put hand under leg), insert needle at proper angle and depth, remove stylette and place in sharps bin. Attach syringe, aspirate, injects saline to confirm placement. Adjust flow rate and secure needle with bulky dressing. |
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CPR |
BSI / Scene Safe Questions Bystanders Checks patient responsiveness Breathing- look listen feel show head tilt chin lift Pulse- look listen feel Begin chest compressions Request additional EMS units Perform 2 minutes CPR Turn on AED, follow prompts, stop cpr during analysis, resume CPR while charging, clear patient for shock, resume CPR after shock. |
