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12 Cards in this Set
- Front
- Back
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S-120 Abdominal Discomfort / GI/GU (Nontraumatic) BLS
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Ensure Patent Airway, O2 and Ventilate prn, NPO, Anticipate Vomitting
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S-121 Airway Obstruction (Foreign Body) BLS
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O2 prn, Reassure/Encourage coughing, Abdominal Thrust or Chest Thrust, CPR if Pt found or becomes unconscious, look in mouth for obstruction before breaths, Once Removed high flow O2 ventilate
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S-122 Allergic Reaction / Anaphylaxis BLS
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O2 Ventilate prn, Ensure patent airway, Remove Stinger/Injection mechanism, May assist Pt to self medicate own MDI or EpiPen One Time, BH contact for repeat dose
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S-120 Abdominal Discomfort / GI/GU (Nontraumatic) ALS
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Monitor EKG, IV SO, O2 Sat, 500ml Bolus BP<90 SO, Zofran 4mg Slow Nausea/Vomitting via IVP/PO/ODTBHO, Admin. IV slow >30sec, Treat with Pain Management (S-141)
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S-121 Airway Obstruction (Foreign Body) ALS
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Direct laryngoscopy and magill forceps SO MR prn if Pt becomes unconscious of has decreasing LOC, Once removed: Monitor EKG, IV SO, O2 Sat
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S-122 Allergic Reaction/ Anaphylaxis ALS
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Monitor EKG, O2 Sat, IV SO, Benadryl 50mg slow IVP/IM SO, Any Respiratory distress with bronchospasm: Albuterol 6ml 0.083% via nebulizer SO MR SO, If no known cardiac history and <65yo: Epinephrine 1:1000 0.3mg IM SO MR x2 q10" SO, If known cardiac history and/or >65yo: Epinephrine 1:1000 0.3mg IM SO MR x2 q10" BHO, Anaphylaxis (shock or cyanosis): Epinephrine 1:1000 0.3mg IM SO MR x2 q10" SO, 500ml fluid bolus IV/IO for systolic BP<90 SO MR to maintain BP >90 SO, Epinephrine 1:10,000 0.1mgIVP/IO BHO MR x2 q3-5" BHO or Dopamine 400mg/250ml @ 10-40mcg/kg/min IV/IO drip; Titrate systolic BP >90 BHO, For moderate to severe reaction give Epi 1st then Bena
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S-123 Altered Neurological Function (Nontraumatic) BLS
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Ensure patent airway, secretion control, O2 ventilate prn, Do not allow Pt to walk, Restrain prn, Spinal Stabilization prn, Hypoglycemia suspected or BS < 75mg: Give 3 oral glucose tabs or paste (15gm), CVA/Stroke: For suspected CVA with major deficit w/in onset of <3 hrs in duration expidite Tx, Make initial notification early to confirm destination, Use stroke scale, Seizures: Protect airway and protect from injury and treat associated injuries
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S-123 Altered Neurological Function (Nontraumatic) ALS
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Monitor EKG, O2 Sat, IV SO, Monitor blood glucose levels prn SO, Symptomatic ? opiod OD (excluding opiod depedent pain management Pts) w/ RR <12: Narcan 2mg IN/IM/IVP SO titrate IV dose to effect, if Pt refuses Tx, give additional Narcan 2mg IM SO, Symptomatic ? opiod OD in opiod depedent pain management Pts w/ RR <12:Narcan IVP titrate dose in 0.1mg increments, up to 2mg IVP, Narcan 1-2mg IN/IM SO MR BHO, Hypoglycemia Symptomatic Pt w/ ALOC or unresponsive: D50Gm IVP if BS <75mg/dL, Suspected CVA/Stroke: use supplemental O2 only for saturation <92%, Seizures: For: A. Ongoing generalized seizures lasting >5" SO, B. Focal seizure w/ respiratory comprimise SO, C. Recurrent seizures w/out lucid interval SO, D. Eclamptic seizure of any duration SO (Give A-D): Versed 0.1mg/kg slow IVP SO to max 5mg (d/c if seizures stops) SO: MR x1 in 10" SO, If no IV: Versed 0.2mg/kg IM SO to max 10mg MRx1 in 10" SO or Versed 0.2mg/kg IN SO to max 5mg (d/c if seizure stops) SO MRx1 in 10" SO
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S-124 Burns BLS
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Move to safe environment, Break contact w/ causative agent, Ensure patent airway, O2 and ventilate prn, Burns of < 10% BSA: stop burning with non-chilled water or saline, Burns >10% BSA: cover with dry sterile dresseing and keep warm and do not allow Pt to become hypothermic, Chemical burns: brush off dry chemical and flush with copious amounts of water, Tar burns: cool with water, Tx , do not remover tar
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S-124 Burns ALS
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Monitor EKG, O2 Sat, IV SO, Treat as Pain Management (S-141), for Pt w/ 20% 2nd & 3rd degree burns and >15 yo: IV 500ml fluid bolus then TKO SO, In the presence of respiratory distress with bronchospasm: Albuterol 6ml 0.083% via nebulizer SO MR SO
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S-124 Burns (Burn Center Criteria)
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Pts w/ burns involving: 20% 2nd or 3rd degree BSA, Suspected respiratory involvement of significant smoke inhalation in a confined space, significant injury of the face, hands, feet or perineum, or circumferential, significant electrical injury due to high voltage (greater than 110 Volts), Consider Hyperbaric chamber for suspected CO poisoning
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S-127 Dysrhthmias BLS
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O2 and Ventilate prn, Ensure patent airway, AED if available, CPR
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