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- 22:51, 3 April 2022 NITROGLYCERIN (hist | edit) [1,799 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Vasodilator '''Pharmacology and Actions''' # Cardiovascular effects include: ## Reduced venous tone, causes blood pooling in peripheral veins, decreasing venous return to the heart. ## Decreased peripheral resistance ## Dilatation of coronary arteries (if not already at maximum) and relief of coronary artery spasm. # Generalized smooth muscle relaxation '''Indications''' # Angina # Chest, arm, or neck pain caused by coronary ischemia # Patients with 12-l...") Tag: Visual edit
- 22:49, 3 April 2022 NARCAN (NALOXONE) (hist | edit) [2,116 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Narcotic antagonist '''Pharmacology and Actions''' # Narcan is a narcotic antagonist which completely binds to narcotic receptor sites, but which exhibits almost no pharmacological activity of its own. Duration of action: 1-4 hours. '''Indications''' # Reversal of narcotic effects, particularly respiratory depression, due to narcotic drugs ingested, injected, or administered in the course of treatment. Narcotic drugs include morphine, fentanyl, meperidin...") Tag: Visual edit
- 22:48, 3 April 2022 VERSED (MIDAZOLAM) (hist | edit) [1,377 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Benzodiazepine, Sedative and Hypnotic '''Pharmacology and Actions''' # CNS depressant leading to sedation and amnesia # Versed is 3 to 4 times more potent than Diazepam # Like other benzodiazepines, it has no effect on pain '''Indications''' # Sedation for cardioversion or transcutaneous pacing (TCP) # Used with succinylcholine for rapid sequence intubation (RSI) # Continued sedation of the intubated patient '''Contraindications''' # Patients with a hi...") Tag: Visual edit
- 22:46, 3 April 2022 MAGNESIUM SULFATE (hist | edit) [1,437 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Anticonvulsant / Antiarrhythmic '''Pharmacology and Actions''' # Cardiac: stabilizes potassium pump, correcting repolarization. Shortens the QT interval in the presence of ventricular arrhythmias due to drug toxicity or electrolyte imbalance. # Obstetrics: controls seizures by blocking neuromuscular transmission. Also lowers blood pressure and decreases cerebral vasospasm. '''Indications''' # Cardiac: ## Recommended for use in cardiac arrest only if tors...") Tag: Visual edit
- 22:44, 3 April 2022 LIDOCAINE (XYLOCAINE) (hist | edit) [1,903 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Antiarrhythmic '''Pharmacology and Actions''' # Cardiovascular ## Increased ventricular fibrillation threshold ## Decreased conduction rate and myocontractility (at toxic levels) # CNS ## Stimulation ## Decreased cough reflex '''Indications''' # Pediatric cardiac arrest from VT/VF # Sustained VT with a pulse # Prior to intubation in head trauma (suspected increased intracranial pressure) '''Contraindications''' # Known hypersensitivity to lidocaine ''...") Tag: Visual edit
- 22:41, 3 April 2022 KETAMINE (hist | edit) [2,147 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' A rapid-acting general anesthetic, normal pharyngeal-laryngeal reflexes, normal or slightly enhanced skeletal muscle tone, cardiovascular and respiratory stimulation, and occasionally a transient and minimal respiratory depression. '''Pharmacology and Actions''' # Produces an anesthetic state characterized by profound analgesia # Normal or slightly enhanced skeletal muscle tone # Cardiovascular and respiratory stimulation # Occasionally a transient and m...") Tag: Visual edit
- 22:38, 3 April 2022 GLUCAGON (hist | edit) [1,094 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Hormone (antihypoglycemic agent) '''Pharmacology and Actions''' # Increases blood sugar concentration by converting liver glycogen to glucose. # Relaxes smooth muscle of the GI tract. # Increases heart rate and cardiac contractility. '''Indications''' # Symptomatic hypoglycemia when IV access is unsuccessful. # Hypotensiion from beta-blocker or calcium channel blocker overdose unresponsive to normal saline bolus. # Suspected symptomatic esophageal foreig...") Tag: Visual edit
- 22:37, 3 April 2022 FENTANYL (SUBLIMAZE) (hist | edit) [1,916 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Narcotic analgesic '''Pharmacology and Actions''' # Potent synthetic narcotic analgesic with actions similar to those of morphine, but action is more prompt and less prolonged # The emetic effect is less than morphine. '''Indications''' # Adult and pediatric pain management # Chest pain # STEMI '''Precautions''' # Contraindicated in patients taking MOA inhibitors # Myasthenia gravis # Use with caution with head injuries, ICP, elderly, COPD, liver and k...") Tag: Visual edit
- 22:35, 3 April 2022 EPINEPHRINE (hist | edit) [3,305 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Sympathomimetic '''Pharmacology and Actions''' # Catecholamine with alpha and beta effects # Cardiovascular: Increased heart rate, increased blood pressure, arterial vasoconstriction, increased myocardial contractile force, increased myocardial oxygen consumption, and increased myocardial automaticity and irritability # Pulmonary: Potent bronchodilator '''Indications''' # Medical cardiac arrest, including: ## Ventricular fibrillation and pulseless ventri...") Tag: Visual edit
- 22:30, 3 April 2022 DOPAMINE (INTROPIN) (hist | edit) [2,235 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Sympathetic Agonist '''Pharmacology and Actions''' # Dopamine is a chemical precursor of epinephrine. It occurs naturally in humans. # Dopamine has the following dose-related effects: ## 2-10 mcg/kg/min: beta effects on heart, usually increases cardiac output without increasing heart rate or blood pressure. ## 10-20 mcg/kg/min: alpha peripheral effects cause peripheral vasoconstriction and increased blood pressure. '''Indications''' # Symptomatic hypoten...") Tag: Visual edit
- 22:29, 3 April 2022 DIPHENHYDRAMINE (BENADRYL) (hist | edit) [1,501 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Antihistamine '''Pharmacology and Actions''' # An antihistamine that blocks action of histamine released from the cells during an allergic reaction. # Direct CNS effects, which may be a stimulant or, more commonly, a depressant, depending on individual variation. # Anticholinergic, antiparkinsonian effect, which is used to treat acute dystonic reactions to antipsychotic drugs (Haldol, Thorazine, Compazine, etc.). These reactions include oculogyric crisis...") Tag: Visual edit
- 22:27, 3 April 2022 DEXTROSE 50% (hist | edit) [2,062 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Carbohydrate '''Pharmacology and Actions''' # Glucose is the body's basic fuel and is required for cellular metabolism. A sudden drop in blood sugar levels will result in disturbances of normal metabolism, manifested clinically as a decrease in mental status, sweating, and tachycardia. Further decreases in blood sugar may result in coma, seizures, and cardiac arrhythmias. Serum glucose is regulated by insulin, which stimulates storage of excess glucose for...") Tag: Visual edit
- 22:25, 3 April 2022 CALCIUM CHLORIDE (hist | edit) [1,606 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Calcium Replacement '''Pharmacology and Actions''' # Ca++ is an essential component for proper functioning nervous, muscular, skeletal and endocrine systems # Positive inotrope & dromotrope '''Indications''' # Hypermagnesemia # Low serum calcium level # Overdose of calcium channel blockers # Hyperkalemic cardiac arrest # Tx of insect bites and stings, particularly black widow spiders and scorpions '''Contraindications''' # Hypersensitivity to the medic...") Tag: Visual edit
- 22:23, 3 April 2022 ATROVENT (IPRATROPIUM) (hist | edit) [899 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Anticholinergic '''Pharmacology and Actions''' # Bronchodilation # Dries respiratory tract secretions '''Indications''' # Bronchospasm related to asthma, chronic bronchitis, or emphysema '''Contraindications''' # Hypersensitivity to this drug, atropine, soy, or peanuts. '''Precautions''' # Should not be used as the primary agent for treatment of bronchospasm # Use with caution in patients with coronary artery disease # Pulse, blood pressure, and EKG...") Tag: Visual edit
- 22:21, 3 April 2022 ATROPINE (hist | edit) [2,289 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Parasympatholytic (anticholinergic) '''Pharmacology and Actions''' # Increases heart rate (by blocking vagal influences). # Increases conduction through AV node. # Reduces motility and tone of GI tract. # Reduces action and tone of urinary bladder (may cause urinary retention). # Dilates pupils '''Note:''' This drug blocks cholinergic (vagal) influences already present. If there is little cholinergic stimulation present, effects will be minimal. '''Indic...") Tag: Visual edit
- 22:19, 3 April 2022 ASPIRIN (ASA) (hist | edit) [1,584 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Platelet inhibitor/Anti-inflammatory '''Pharmacology and Actions''' # ASA inhibits blood clotting. It inhibits the formation of thromboxane A2, a platelet aggregating, vasoconstricting prostaglandin. ASA in low doses, however, inhibits the production of thromboxane A2 in the platelet more than it does the production of prostacyclin in the endothelial cells. # Platelet aggregation has been implicated in the pathogenesis of atherosclerosis contributing to th...") Tag: Visual edit
- 22:18, 3 April 2022 AMIODARONE (CORDARONE) (hist | edit) [2,119 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Antiarrhythmic agent '''Pharmacology and Actions''' # Suppresses ventricular ectopy and increases ventricular fibrillation threshold. # Noncompetitive blocker of alpha and beta adrenergic receptors which can cause: ## Negative chronotropic effects ## Negative inotropic effects (the effect on cardiac output by the negative inotropic effect is balanced by a decrease in afterload and increase in coronary blood flow, which in turn improves cardiac performance...") Tag: Visual edit
- 22:16, 3 April 2022 ALBUTEROL (PROVENTIL, VENTOLIN) (hist | edit) [1,524 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Sympathomimetic (B<sub>2</sub>Selective) '''Pharmacology and Actions''' # Has selective beta-adrenergic stimulating properties resulting in potent bronchodilation. # Rapid onset of action (under 5 minutes), and duration of action between 2 - 6 hours. '''Indications''' # For relief of bronchospasm in patients with obstructive airway disease (asthma, emphysema, COPD) or allergic reactions. '''Contraindications''' # Symptomatic tachycardia # Known hyperse...") Tag: Visual edit
- 22:15, 3 April 2022 ADENOSINE (ADENOCARD) (hist | edit) [2,063 bytes] Cgabryszek (talk | contribs) (Created page with "'''Class''' Antiarrhythmic '''Pharmacology and Actions''' # Adenosine is an endogenous nucleoside with antiarrhythmic activity. # Because of its short plasma half-life (less than 10 seconds with IV doses), the clinical effects of adenosine occur rapidly and are very brief. # Produces a transient slowing of the sinus rate # Has a depressant effect on the AV node. '''Indications''' # For termination of episodes of acute supraventricular tachycardia involving the AV-no...") Tag: Visual edit
- 22:13, 3 April 2022 6 - Drug Formulary (hist | edit) [543 bytes] Cgabryszek (talk | contribs) (Created page with "ADENOSINE (ADENOCARD) ALBUTEROL (PROVENTIL, VENTOLIN) AMIODARONE (CORDARONE) ASPIRIN (ASA) ATROPINE ATROVENT (IPRATROPIUM) CALCIUM CHLORIDE DEXTROSE 50% DIPHENHYDRAMINE (BENADRYL) DOPAMINE (INTROPIN) EPINEPHRINE FENTANYL (SUBLIMAZE) GLUCAGON KETAMINE LIDOCAINE (XYLOCAINE) MAGNESIUM SULFATE VERSED (MIDAZOLAM) NARCAN (NALOXONE) NITROGLYCERIN ONDANSETRON (ZOFRAN) ROCURONIUM...") Tag: Visual edit
- 22:10, 3 April 2022 5-9 PUSH DOSE EPINEPHRINE (PARAMEDIC ONLY) (hist | edit) [2,538 bytes] Cgabryszek (talk | contribs) (Created page with "'''MECHANISM OF ACTION:''' Stimulates both Alpha– and Beta– Adrenergic receptors; causing bronchodilation, cardiac stimulation, and peripheral vasoconstriction. '''INDICATIONS:''' # Persistent hypotension with symptoms of hypo-perfusion, not responsive to IV fluids. # Severe anaphylaxis or asthma. '''CONTRAINDICATIONS:''' # None during cardiac arrest profound anaphylaxis or profound hypotension '''PRECAUTIONS:''' # May precipitate with sodium bicarbonate if...") Tag: Visual edit
- 22:06, 3 April 2022 5-8 TRANSCUTANEOUS PACING (PARAMEDIC ONLY) (hist | edit) [1,293 bytes] Cgabryszek (talk | contribs) (Created page with "'''Clinical Indications:''' # Monitored heart rate less than 60 per minute with signs and symptoms of inadequate cerebral or cardiac perfusion such as: ## Severe chest pain ## Hypotension ## Pulmonary edema ## ALOC, disorientation, confusion, etc. # PEA, where the underlying rhythm is bradycardic and reversible causes have been treated. {| class="wikitable" |'''Paramedic -''' ''Perform/Confirm All Above Interventions'' |} # Attach standard four-lead monitor. # Apply d...") Tag: Visual edit
- 22:04, 3 April 2022 5-7 BROWN COUNTY EMS GUIDELINE-WEAPONS (hist | edit) [5,656 bytes] Cgabryszek (talk | contribs) (Created page with "The purpose of this guideline is to outline common procedures for handling patients and/or family who under law may be carrying a concealed weapon. The intent is to reduce potential risk of injury to emergency responders, healthcare workers, and the public while respecting the rights of the individual and preserving the property of the individual during patient care. '''Definition:''' Under the concealed carry law a '''weapon''' is described as a knife, firearm, or e...") Tag: Visual edit
- 21:57, 3 April 2022 5-6 NEUROMUSCULAR BLOCKADE AS ADJUNCT TO ORAL INTUBATION: RAPID SEQUENCE INTUBATION (RSI) (hist | edit) [7,945 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To facilitate airway management in patients with respiratory insufficiency when attempts without paralysis are not successful and other means of adequately managing the airway are not available. This is not meant as a substitute for other appropriate therapeutic measures per standing operating procedures. Remember that difficult intubations due to anatomic difficulties are an absolute contra-indication to RSI! '''Appropriate Personnel''': EMT Paramedics i...") Tag: Visual edit
- 21:52, 3 April 2022 5-5 USE OF A NON-VISUALIZED AIRWAY (COMBITUBE) (hist | edit) [2,353 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To provide an adequate airway for patients with respiratory or ventilatory insufficiency. This procedure may be performed by any appropriately trained and certified First Responder or licensed EMT operating under the Brown County EMS Protocols. '''Indications:''' # Cardiac arrest from any cause # Respiratory arrest with no gag reflex # Unconscious patient with inadequate respiration and no gag reflex '''Contraindications:''' # Patient has an active gag...") Tag: Visual edit
- 21:49, 3 April 2022 5-4 INTRAOSSEOUS INFUSION (hist | edit) [2,458 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To provide a route of access for administration of fluids and medications in life threatening situations where venous access using peripheral veins is unavailable or has been unsuccessful. '''Indications''': Patient must meet '''all''' of the following criteria # Unstable, life threatening situation, including cardiac arrest # Inability to establish peripheral venous access in a timely manner '''Contraindications:''' Do not use if the patient has any of...") Tag: Visual edit
- 21:46, 3 April 2022 5-3 INTRANASAL MEDICATION ADMINISTRATION (hist | edit) [2,216 bytes] Cgabryszek (talk | contribs) (Created page with "'''General Information:''' * The Mucosal Atomization Device (MAD) can be used for the administration of Fentanyl, Midazolam, and Nalaxone in the event an IV has not or cannot be initiated. * Prior to using the intranasal route of administration, inspect the patient’s nostrils for significant amounts of blood or mucous discharge. The presence of these will limit the medication absorption. Suctioning the nasal passage prior to delivery and/or alternative delivery o...") Tag: Visual edit
- 21:45, 3 April 2022 5-2 CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) (hist | edit) [3,007 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To rapidly improve vital signs, gas exchange, reduce the work of breathing, decrease the sense of dyspnea, and decrease the need for endotracheal intubation in patients who suffer from shortness of breath from asthma, COPD, pulmonary edema, CHF, and pneumonia. In patients with CHF, CPAP improves hemodynamics by reducing left ventricular preload and afterload. '''Appropriate Personnel''': EMT Basics, EMT IV Tech, EMT Intermediate and EMT Paramedic '''Incl...") Tag: Visual edit
- 21:42, 3 April 2022 5-1 SEMI-AUTOMATED EXTERNAL DEFIBRILLATOR USE (hist | edit) [3,907 bytes] Cgabryszek (talk | contribs) (Created page with "'''General Considerations''' * Take body substance isolation precautions en route to the scene. * Initiate immediate ALS backup as appropriate * Preparation for transport of patient should begin immediately as staffing allows. * The patient should be transported when one of the following has occurred: * The patient regains a pulse * Two (2) shocks have been delivered by EMS staff * Per medical control recommendation * All contact with the patient must be avoided during...") Tag: Visual edit
- 21:37, 3 April 2022 5 - Procedures (hist | edit) [613 bytes] Cgabryszek (talk | contribs) (Created page with "5-1 SEMI-AUTOMATED EXTERNAL DEFIBRILLATOR USE 5-2 CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) 5-3 INTRANASAL MEDICATION ADMINISTRATION 5-4 INTRAOSSEOUS INFUSION 5-5 USE OF A NON-VISUALIZED AIRWAY (COMBITUBE) 5-6 NEUROMUSCULAR BLOCKADE AS ADJUNCT TO ORAL INTUBATION: RAPID SEQUENCE INTUBATION (RSI) 5-7 BROWN COUNTY EMS GUIDELINE-WEAPONS 5-8 TRANSCUTANEOUS PACING (PARAMEDIC ONLY) 5-9 PUSH DOSE EPINEPHRINE (PARAMEDIC ONLY)") Tag: Visual edit
- 21:34, 3 April 2022 4-14 PEDIATRIC BURNS (hist | edit) [3,840 bytes] Cgabryszek (talk | contribs) (Created page with "Consider the need to stop the burning process prior to initiation of other interventions if necessary to ensure patient and provider safety. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. # If cervical spine trauma suspected, and trained to do so, manually stabilize the spine. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airwa...") Tag: Visual edit
- 21:32, 3 April 2022 4-13 PEDIATRIC TRAUMA (hist | edit) [4,243 bytes] Cgabryszek (talk | contribs) (Created page with "'''Pediatric patients under age 5 with major trauma should be transported to St. Vincent Hospital''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. # If cervical spine trauma suspected, and trained to do so, manually stabilize the spine. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as...") Tag: Visual edit
- 21:29, 3 April 2022 4-12 PEDIATRIC TOXIC EXPOSURE (hist | edit) [3,912 bytes] Cgabryszek (talk | contribs) (Created page with "Utilize appropriate personal protective equipment and consider the need to decontaminate the patient prior to continuing care if necessary for the safety of the patient and providers based on nature of the toxic exposure. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruc...") Tag: Visual edit
- 21:26, 3 April 2022 4-11 PEDIATRIC TACHYCARDIA (hist | edit) [7,268 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. If cervical spine trauma is suspected, manually stabilize the spine. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction protocol. # Open the airway via chin lift or modified jaw thrust. # Suction as necessary # Consider...") Tag: Visual edit
- 21:18, 3 April 2022 4-10 PEDIATRIC SEIZURES (hist | edit) [3,000 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. If cervical spine trauma is suspected, manually stabilize the spine. Protect the patient from injury during involuntary muscular movements by ensuring scene safety. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction prot...") Tag: Visual edit
- 21:16, 3 April 2022 4-9 PEDIATRIC RESPIRATORY DISTRESS (hist | edit) [4,210 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. If cervical spine trauma is suspected, manually stabilize the spine. # Assess the patient’s airway for patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction protocol. # Open the airway via chin lift or modified jaw thrust. # Suction as necessary # Consider...") Tag: Visual edit
- 21:13, 3 April 2022 4-8 PEDIATRIC PAIN MANAGEMENT (hist | edit) [3,151 bytes] Cgabryszek (talk | contribs) (Created page with "Note that this protocol assumes that the patient’s primary condition is being assessed and treated according to the appropriate protocol and is intended for use only as an adjunct to other care. '''Inclusion Criteria''' without prior Medical Control Authorization: # Age greater than 6 year # Isolated hip or extremity injury # Burns # No known allergies to medications being administered # No known exclusion criteria present '''Inclusion Criteria''' that require '''Me...") Tag: Visual edit
- 21:11, 3 April 2022 4-7 PEDIATRIC NON-TRAUMATIC HYPOPERFUSION (hist | edit) [2,402 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. # Assess the patient’s airway for patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction protocol. # Open the airway via chin lift or modified jaw thrust. # Suction as necessary # Consider placing an oropharyngeal or nasopharyngeal airway adjunct if the air...") Tag: Visual edit
- 21:09, 3 April 2022 4-6 PEDIATRIC NON-TRAUMATIC CARDIAC ARREST (hist | edit) [4,059 bytes] Cgabryszek (talk | contribs) (Created page with "Note: If Pediatric Cardiac Arrest under age 5, transport to St. Vincent Hospital is preferred due to availability of a Pediatric Intensive Care Unit. '''Note ** Epi Doses are in mL/kg not mg/kg **''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. If cervical spine trauma is suspected, manually stabilize the spine. # Confirm apnea and provide assisted ventilation, using a bag-valve-mask device if available, with high...") Tag: Visual edit
- 21:05, 3 April 2022 4-5 PEDIATRIC NEAR DROWNING (hist | edit) [2,887 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. # If cervical spine trauma suspected, and trained to do so, manually stabilize the spine. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction protocol. # Open the airway via chin lift or modified jaw thrust. # Suction as...") Tag: Visual edit
- 21:03, 3 April 2022 4-4 PEDIATRIC BRADYCARDIA (hist | edit) [3,868 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. If cervical spine trauma is suspected, manually stabilize the spine. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction protocol. # Open the airway via chin lift or modified jaw thrust. # Suction as necessary # Consider...") Tag: Visual edit
- 21:01, 3 April 2022 4-3 PEDIATRIC ANAPHYLACTIC-ALLERGIC REACTION (hist | edit) [4,365 bytes] Cgabryszek (talk | contribs) (Created page with "'''Note ** Intravenous Epinephrine Doses are in mL/kg not mg/kg **''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. If cervical spine trauma is suspected, manually stabilize the spine. # Assess the patient’s airway for patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction protocol. # Open the airway...") Tag: Visual edit
- 20:58, 3 April 2022 4-2 PEDIATRIC ALTERED MENTAL STATUS-HYPOGLYCEMIA (hist | edit) [3,247 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish patient responsiveness. If cervical spine trauma is suspected, manually stabilize the spine. # Assess the patient’s airway of patency, protective reflexes and the possible need for advanced airway management. Look for signs of airway obstruction and if present proceed as per airway obstruction protocol. # Open the airway via chin lift or modified jaw thrust. # Suction as necessary # Consider...") Tag: Visual edit
- 20:56, 3 April 2022 4-1 PEDIATRIC FOREIGN BODY-AIRWAY OBSTRUCTION (hist | edit) [2,120 bytes] Cgabryszek (talk | contribs) (Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # All patients will be assessed immediately as to patency of the airway and adequacy of respirations. # Aggressive airway management is indicated if any of the following exist: ## Cardiac or respiratory arrest ## Obstructed airway ## Unconscious patient ## Respiratory distress with labored, shallow, or rapid respiration # When aggressive management is indicated, the following sequence should be initiated:...") Tag: Visual edit
- 20:54, 3 April 2022 4 - Pediatrics (hist | edit) [635 bytes] Cgabryszek (talk | contribs) (Created page with "4-1 PEDIATRIC FOREIGN BODY-AIRWAY OBSTRUCTION 4-2 PEDIATRIC ALTERED MENTAL STATUS-HYPOGLYCEMIA 4-3 PEDIATRIC ANAPHYLACTIC-ALLERGIC REACTION 4-4 PEDIATRIC BRADYCARDIA 4-5 PEDIATRIC NEAR DROWNING 4-6 PEDIATRIC NON-TRAUMATIC CARDIAC ARREST 4-7 PEDIATRIC NON-TRAUMATIC HYPOPERFUSION 4-8 PEDIATRIC PAIN MANAGEMENT 4-9 PEDIATRIC RESPIRATORY DISTRESS 4-10 PEDIATRIC SEIZURES 4-11 PEDIATRIC TACHYCARDIA 4-12 PEDIATRIC TOXIC EX...") Tag: Visual edit
- 20:50, 3 April 2022 3-10 TRAUMA-PROLONGED EXTRICATION-PAIN (hist | edit) [2,740 bytes] Cgabryszek (talk | contribs) (Created page with "'''Purpose:''' To ensure that pain and nausea are appropriately addressed in the field to promote safe and comfortable extrication, management, and transport of the patient. Under this guideline, there is recognition that the dissociative effects of Ketamine may be of greater benefit than the analgesic effects of opioids in order to maximize patient comfort and facilitate difficult manipulation of patients that will require prolonged and painful extrication from a trap...") Tag: Visual edit
- 20:43, 3 April 2022 3-9 TRAUMA-EYE INJURY (hist | edit) [2,934 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Do not allow eye injury to distract you from the basics of trauma care. # If patient and time permit, examine the globe briefly for gross injury as the lid may be swollen tightly shut later. # '''TRAUMATIC INJURY:''' ## Penetrating: ### Do not remove any foreign body imbedded in the eye or orbit. Stabilize any large protruding foreign bodies. ### Cover both ey...") Tag: Visual edit
- 20:39, 3 April 2022 3-8 TRAUMA-EXTREMITY (hist | edit) [2,204 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per Guidelines. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Assess and maintain Scene Safety # Control bleeding: ## Direct pressure, elevation and splinting ## Use pressure points as necessary ## Do not apply a tourniquet unless all other measures to control bleeding fail # Do not utilize injured extremity for BP measurement # Focused assessment of injury: ## Deformity ## Swelling, discoloration ## Distal pulses ## Gr...") Tag: Visual edit
- 20:36, 3 April 2022 3-7 TRAUMA-NEAR DROWNING (hist | edit) [1,723 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # '''Assess and Maintain Scene Safety''' ## Removal from water should be performed by a trained rescuer with appropriate equipment # Assess for indications to withhold CPR. If none, initiate CPR # Assess, secure and maintain an adequate airway via the airway management protocol. ## Apply appropriate C-spine stabilization for all diving or fall mechanisms, espec...") Tag: Visual edit
- 20:09, 3 April 2022 3-6 TRAUMA-BURNS (hist | edit) [3,434 bytes] Cgabryszek (talk | contribs) (Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Assess and Maintain Scene Safety # Remove patient from the source and stop the burning process. Remove involved clothing. ## Thermal Burn: Apply water to stop the burning process. If > 10% of BSA involved, limit water exposure to 2 minutes to avoid hypothermia. ## Chemical Burn: Brush off visible dry chemical before flushing vigorously with water for 15 minut...") Tag: Visual edit
