2024 Protocols Flashcards
(26 cards)
How often should vital signs be assessed during transport for most STAT MedEvac patients?
Every 5 minutes from initiation to transfer of care.
Under what condition can vital signs be assessed every 15 minutes instead of 5?
If the patient is being discharged to a residence after acute care admission and has normal vital signs with no anticipated IV therapy or ventilation needs.
When should the Glasgow Coma Score be assessed?
At initiation, transfer of care, during transport, and if there is an acute change in condition.
What should be done if an automated BP cuff is inaccurate after two readings?
Obtain manual BP or use a doppler if necessary.
How often should invasive line readings be documented during transport?
Every 15 minutes if monitored, and at initiation and transfer of care.
What is the recommended action if pulmonary artery catheter is present during transport?
Ensure the balloon is down, locked, and air is removed from the syringe.
Who must administer all medications provided by STAT MedEvac?
A STAT MedEvac medical crew member.
Over what time should sedative or opioid medications be administered in patients without advanced airway or at risk for shock?
Over 2 minutes.
What is the goal skin temperature for infants <44 weeks gestational age during transport?
36.2–37.2°C.
When are wrist restraints required?
On all patients with an advanced airway (except cooperative patients with a chronic tracheostomy).
What should be done if a patient has a POLST, MOLST, DNR, or CMO order and may deteriorate?
Follow the documented order and consult MDOC if there’s any question before transport.
What is the appropriate device for securing pediatric patients ≥4.5 kg and under 8 years old?
Pedi-Mate Plus or pediatric immobilization device.
What must be done if bedside time exceeds 45 minutes?
Consult Medical Command.
What is the expected destination policy for scene burn patients?
Transport to the closest verified burn center within 45 minutes if serious burns are present.
What must be done before changing mode of transport due to clinical concerns?
Consult the MDOC.
What is the initial oxygen therapy for a patient with SpO2 <95% or respiratory distress?
Administer oxygen via nasal cannula at 2–6 LPM to maintain saturation 95–99%.
What should be done if oxygen saturation remains <95% despite nasal cannula?
Apply a non-rebreather face mask with oxygen at 15 LPM.
What oxygen therapy is indicated for suspected carbon monoxide poisoning?
Apply non-rebreather face mask with oxygen at 15 LPM.
What type of IV access is preferred for most patients?
Peripheral or external jugular venous access.
When should an IO be established?
If unable to obtain IV access after 2 attempts and/or patient is in extremis.
When should calcium be administered during transfusion?
If ≥2 units (adult) or ≥20 ml/kg (pediatric) of blood products are administered within 2 hours.
What are signs of a transfusion reaction?
Fever, hypotension, hives, dyspnea, wheezing, tachycardia, rigors, nausea, vomiting, diarrhea.
When should spinal motion restriction be applied?
When patient has spine pain, altered mental status, intoxication, or neurologic deficits after trauma.
Is a long backboard required for interfacility transport with spinal injury?
No, supine positioning with spinal precautions is sufficient if a spinal injury is diagnosed or suspected.
