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From CRS EMS Guidelines

Combined display of all available logs of CRS EMS Guidelines. You can narrow down the view by selecting a log type, the username (case-sensitive), or the affected page (also case-sensitive).

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  • 22:41, 3 April 2022 Cgabryszek talk contribs created page KETAMINE (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 Cgabryszek talk contribs created page GLUCAGON (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 Cgabryszek talk contribs created page FENTANYL (SUBLIMAZE) (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 Cgabryszek talk contribs created page EPINEPHRINE (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 Cgabryszek talk contribs created page DOPAMINE (INTROPIN) (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 Cgabryszek talk contribs created page DIPHENHYDRAMINE (BENADRYL) (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 Cgabryszek talk contribs created page DEXTROSE 50% (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 Cgabryszek talk contribs created page CALCIUM CHLORIDE (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 Cgabryszek talk contribs created page ATROVENT (IPRATROPIUM) (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 Cgabryszek talk contribs created page ATROPINE (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 Cgabryszek talk contribs created page ASPIRIN (ASA) (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 Cgabryszek talk contribs created page AMIODARONE (CORDARONE) (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 Cgabryszek talk contribs created page ALBUTEROL (PROVENTIL, VENTOLIN) (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 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 22:13, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 22:10, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 22:06, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 22:04, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:57, 3 April 2022 Cgabryszek talk contribs created page 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
  • 21:52, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:49, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:46, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:45, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:42, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:37, 3 April 2022 Cgabryszek talk contribs created page 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
  • 21:34, 3 April 2022 Cgabryszek talk contribs created page 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
  • 21:32, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:29, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:26, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:18, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:16, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:13, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:11, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:09, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:05, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:03, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 21:01, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 20:58, 3 April 2022 Cgabryszek talk contribs created page 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
  • 20:56, 3 April 2022 Cgabryszek talk contribs created page 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:...") Tag: Visual edit
  • 20:54, 3 April 2022 Cgabryszek talk contribs created page 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
  • 20:50, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 20:43, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 20:39, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 20:36, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 20:09, 3 April 2022 Cgabryszek talk contribs created page 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
  • 20:05, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 20:03, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 20:01, 3 April 2022 Cgabryszek talk contribs created page 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....") Tag: Visual edit
  • 19:59, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
  • 19:56, 3 April 2022 Cgabryszek talk contribs created page 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...") Tag: Visual edit
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