User contributions for Cgabryszek
From CRS EMS Guidelines
- 21:15, 3 April 2022 diff hist +2,063 N ADENOSINE (ADENOCARD) 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..." current Tag: Visual edit
- 21:13, 3 April 2022 diff hist +543 N 6 - Drug Formulary 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..." current Tag: Visual edit
- 21:10, 3 April 2022 diff hist +2,538 N 5-9 PUSH DOSE EPINEPHRINE (PARAMEDIC ONLY) 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..." current Tag: Visual edit
- 21:06, 3 April 2022 diff hist +1,293 N 5-8 TRANSCUTANEOUS PACING (PARAMEDIC ONLY) 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..." current Tag: Visual edit
- 21:04, 3 April 2022 diff hist +5,656 N 5-7 BROWN COUNTY EMS GUIDELINE-WEAPONS 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..." current Tag: Visual edit
- 21:01, 3 April 2022 diff hist +4,714 5-6 NEUROMUSCULAR BLOCKADE AS ADJUNCT TO ORAL INTUBATION: RAPID SEQUENCE INTUBATION (RSI) Tag: Visual edit
- 20:57, 3 April 2022 diff hist +4,058 N 5-6 NEUROMUSCULAR BLOCKADE AS ADJUNCT TO ORAL INTUBATION: RAPID SEQUENCE INTUBATION (RSI) 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
- 20:52, 3 April 2022 diff hist +2,353 N 5-5 USE OF A NON-VISUALIZED AIRWAY (COMBITUBE) 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..." current Tag: Visual edit
- 20:49, 3 April 2022 diff hist +2,458 N 5-4 INTRAOSSEOUS INFUSION 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..." current Tag: Visual edit
- 20:46, 3 April 2022 diff hist +2,216 N 5-3 INTRANASAL MEDICATION ADMINISTRATION 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..." current Tag: Visual edit
- 20:45, 3 April 2022 diff hist +3,007 N 5-2 CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) 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..." current Tag: Visual edit
- 20:42, 3 April 2022 diff hist +3,907 N 5-1 SEMI-AUTOMATED EXTERNAL DEFIBRILLATOR USE 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..." current Tag: Visual edit
- 20:37, 3 April 2022 diff hist +467 N 5 - Procedures 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
- 20:34, 3 April 2022 diff hist +4 4-14 PEDIATRIC BURNS current Tag: Visual edit
- 20:34, 3 April 2022 diff hist +3,836 N 4-14 PEDIATRIC BURNS 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
- 20:32, 3 April 2022 diff hist +4,243 N 4-13 PEDIATRIC TRAUMA 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..." current Tag: Visual edit
- 20:29, 3 April 2022 diff hist +3,912 N 4-12 PEDIATRIC TOXIC EXPOSURE 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..." current Tag: Visual edit
- 20:26, 3 April 2022 diff hist +7,268 N 4-11 PEDIATRIC TACHYCARDIA 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..." current Tag: Visual edit
- 20:18, 3 April 2022 diff hist +3,000 N 4-10 PEDIATRIC SEIZURES 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..." current Tag: Visual edit
- 20:16, 3 April 2022 diff hist +4,210 N 4-9 PEDIATRIC RESPIRATORY DISTRESS 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..." current Tag: Visual edit
- 20:13, 3 April 2022 diff hist +3,151 N 4-8 PEDIATRIC PAIN MANAGEMENT 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..." current Tag: Visual edit
- 20:11, 3 April 2022 diff hist +2,402 N 4-7 PEDIATRIC NON-TRAUMATIC HYPOPERFUSION 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..." current Tag: Visual edit
- 20:09, 3 April 2022 diff hist +4,059 N 4-6 PEDIATRIC NON-TRAUMATIC CARDIAC ARREST 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..." current Tag: Visual edit
- 20:05, 3 April 2022 diff hist +2,887 N 4-5 PEDIATRIC NEAR DROWNING 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..." current Tag: Visual edit
- 20:03, 3 April 2022 diff hist +3,868 N 4-4 PEDIATRIC BRADYCARDIA 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..." current Tag: Visual edit
- 20:01, 3 April 2022 diff hist +4,365 N 4-3 PEDIATRIC ANAPHYLACTIC-ALLERGIC REACTION 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..." current Tag: Visual edit
- 19:58, 3 April 2022 diff hist +3,295 N 4-2 PEDIATRIC ALTERED MENTAL STATUS-HYPOGLYCEMIA 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
- 19:56, 3 April 2022 diff hist +2,120 N 4-1 PEDIATRIC FOREIGN BODY-AIRWAY OBSTRUCTION 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:..." current Tag: Visual edit
- 19:54, 3 April 2022 diff hist +536 N 4 - Pediatrics 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
- 19:50, 3 April 2022 diff hist +2,740 N 3-10 TRAUMA-PROLONGED EXTRICATION-PAIN 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..." current Tag: Visual edit
- 19:48, 3 April 2022 diff hist −2 3 - Adult Trauma Tag: Visual edit
- 19:43, 3 April 2022 diff hist +2,934 N 3-9 TRAUMA-EYE INJURY 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..." current Tag: Visual edit
- 19:39, 3 April 2022 diff hist +2,204 N 3-8 TRAUMA-EXTREMITY 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..." current Tag: Visual edit
- 19:36, 3 April 2022 diff hist +1,723 N 3-7 TRAUMA-NEAR DROWNING 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..." current Tag: Visual edit
- 19:09, 3 April 2022 diff hist +24 3-6 TRAUMA-BURNS current Tag: Visual edit
- 19:09, 3 April 2022 diff hist +3,410 N 3-6 TRAUMA-BURNS 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
- 19:05, 3 April 2022 diff hist +1,517 N 3-5 TRAUMA-ABDOMINAL PAIN Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform a focused assessment of the abdomen, including: ## Visualization of any obvious injury ### Do Not Remove any impaled objects, stabilize in place ## If the patient has an evisceration: ### Do not attempt to replace abdominal contents in the abdomen ### Cover exposed tissue with moist saline dressing ## Gently palpate the abdomen, noting any tenderness, g..." current Tag: Visual edit
- 19:03, 3 April 2022 diff hist +1,879 N 3-4 TRAUMA-CHEST Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform a focused assessment of the chest, including: ## Visualization of chest movement ### Stabilize flail segment with manual pressure ### Do not remove impaled objects. Stabilize in place. ### Treat sucking chest wound with occlusive dressing taped on 3 sides {| class="wikitable" |'''EMT - Emergency Medical Technician''' ''Perform/Confirm All Above In..." current Tag: Visual edit
- 19:01, 3 April 2022 diff hist +1,841 N 3-3 TRAUMA-CARDIAC ARREST Created page with "Traumatic cardiac arrest is almost universally fatal. However, cardiac arrest in the setting of minor trauma may indicate initial cardiac or medical origin of incident requiring ACLS intervention. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Asses Scene Safety # Assess for indications to withhold CPR. If none, initiate CPR. # Apply AED and shock as advised # Notify responding agency immediately of condition and mechanism of injury (blunt vs...." current Tag: Visual edit
- 18:59, 3 April 2022 diff hist +2,989 N 3-2 SELECTIVE SPINAL PROTECTION Created page with "The following protocol is designed to selectively exclude patients from unnecessary and potentially harmful, spinal precautions when a low index of suspicion of injury and reassuring assessment is present. <u>For patients with a potential spinal injury, perform routine trauma assessment while manually stabilizing the cervical spine.</u> # If any of the following apply to the patient, spinal protection is indicated: ## Significant mechanism of injury? ## Altered level o..." current Tag: Visual edit
- 18:56, 3 April 2022 diff hist +5,445 N 3-1 INITIAL TRAUMA CARE Created page with "Any patient with injuries, which have the potential to cause hypotension/shock, must be treated aggressively regardless of what current vital signs may show. Any patient who is injured and has a persistent resting tachycardia is assumed to be in compensated shock until proven otherwise. '''Goal scene time less than 10 minutes for Major Trauma patients.''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} Assess the scene to determine scene safety and..." current Tag: Visual edit
- 18:50, 3 April 2022 diff hist +299 N 3 - Adult Trauma Created page with "3-1 INITIAL TRAUMA CARE 3-2 SELECTIVE SPINAL PROTECTION 3-3 TRAUMA-CARDIAC ARREST 3-4 TRAUMA-CHEST 3-5 TRAUMA-ABDOMINAL PAIN 3-6 TRAUMA-BURNS 3-7 TRAUMA-NEAR DROWNING 3-8 TRAUMA-EXTREMITY 3-9 TRAUMA-EYE INJURY 3-10 TRAUMA-PROLONGED EXTRICATION / PAIN" Tag: Visual edit
- 16:48, 3 April 2022 diff hist +5,814 N 2-22 CYANIDE EXPOSURE Created page with " '''Any patient requiring ACLS care should have an ALS intercept if logistically possible''' {| class="wikitable" |EMR - Emergency Medical Responder |} # Perform scene size-up and ensure crew safety. In a hazardous materials incident, stage upwind of the incident and do not attempt to treat patients who have not been decontaminated. # Immediately remove patient from continued exposure # Assess vitals # If necessary, provide CPR as outlined in the Adult Cardiac Arre..." current Tag: Visual edit
- 16:44, 3 April 2022 diff hist +2,741 N 2-21 ADULT SEIZURE Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Begin initial medical care. # If still seizing, protect patient from injury ## Do not restrain the patient ## Document closely type of seizure activity and eye deviation # If postictal: ## Maintain airway open by placing a nasopharyngeal airway ## Avoid placing anything in the patient’s mouth ## Place in recovery position if no chance of spinal injury ## Administer supplemental oxygen via any manner t..." current Tag: Visual edit
- 16:42, 3 April 2022 diff hist +3,257 N 2-20 PAIN MANAGEMENT Created page with "'''Purpose:''' To ensure that pain and nausea are appropriately addressed in the field to promote safe and comfortable management and transport of the patient. '''Inclusion Criteria''' without prior Medical Control Authorization: # Musculoskeletal injury # Burns # Chest Pain # Abdominal or flank pain # Age greater than 6 # Systolic BP > 100 mm Hg in an adult # Now known allergies to medications being administered # No known exclusion criteria present '''Inclusion Crit..." current Tag: Visual edit
- 16:38, 3 April 2022 diff hist +5,535 N 2-19 OBSTETRICAL EMERGENCIES & CHILDBIRTH Created page with "{| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Initial Assessment and Care # Obtain a history to include ## Gravida (number of pregnancies, including this one) ## Para (number of previous live births) ## Due Date. A fetus delivered before 20 weeks gestation does not usually survive. ## How far apart are the contractions? ## Length of previous labors ## Has the bag of water ruptured? ## Inquire regarding medication, drug or alcohol use # Administer..." current Tag: Visual edit
- 16:34, 3 April 2022 diff hist +2,325 N 2-18 HYPERTHERMIA Created page with "Heat exhaustion is characterized by systemic symptoms such as weakness, dizziness, nausea, vomiting, muscle cramps and or syncope due to excessive loss of body fluids and salts while in a hot environment. Heat Stroke is a medical emergency signified by very hot, dry skin with associated mental status changes such as decreased level of consciousness, confusion and/or seizures. This condition occurs most frequently in the very young and old {| class="wi..." current Tag: Visual edit
- 16:32, 3 April 2022 diff hist +3,128 N 2-17 HYPOTHERMIA Created page with " Significant hypothermia occurs when a patient’s trunk feels cool to the touch and shivering is absent. This increases the likelihood of fatal dysrhythmias. Hypothermia may occur in relatively warm weather with prolonged exposure. * Mild: Conscious with an intact shivering mechanism, may be confused. Still able to rewarm themselves with shivering. * Moderate/Severe: Depressed LOC or coma, often with some degree of rigidity. Cold skin at the trunk with absence o..." current Tag: Visual edit
- 16:29, 3 April 2022 diff hist +3,157 N 2-16 ADULT HYPOGLYCEMIA Created page with " The true diabetic emergency is that of hypoglycemia (low blood sugar). This can cause seizures and be fatal if not rapidly recognized and treated. In the field, when a known diabetic patient is unresponsive and no means to obtain a blood sugar level is available, assume the patient is hypoglycemic. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Initial assessment ## Last oral intake ## Assess if the patient is on diabetic medications, and if s..." Tag: Visual edit
- 16:27, 3 April 2022 diff hist +1,926 N 2-15 PSYCHIATRIC & BEHAVIORAL EMERGENCIES Created page with "Also consider medical causes of altered mental status, especially hypoglycemia. Enlist Law Enforcement as needed to assist with safe management of the scene and patient. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # '''Scene safety''' is a priority # Additional resources as needed. Law Enforcement if patient resistant or violent. # Initial assessment # Patient interaction ## Be calm and reassuring ## Verbal de-escalation of agitation ## Enlist La..." current Tag: Visual edit
