Operations Flashcards
(25 cards)
What airway skills can Oregon emts do?
EVERYTHING except intubate, cric, needle decompress
Can emts give IM Epi?
Yes
Can emts give nitro?
Only assist
Can emts give duonebs?
Only duonebs, but not ipratropium
Can emts do IVs
Nope
When to withhold cpr in GENERAL
DNR
Decap
Decomp
Dependent lividity
Rigor (warm environment)
Resources (MCI)
DEADERR than dead
Trauma pt is found pulseless & apneic. Do you work them?
victim of trauma = no. Especially if opening airway no improves.
Medical cause/event involved = follow medical arrest protocol
Trauma pt codes during transport. What now?
CPR & hospital radio update
Initial rhythm on medical arrest = asystole/agonal. Can you call it?
Only the PIC can if…
Pt is on 6 lead
Pic justifies CPR not beneficial
When you can you terminate CPR on a medical arrest?
Persistent asystole after airway and all asystole protocol finished
Etco2 <10, PEA, 20+ min CPR
Pt is in PEA with ETCO2 > 10 after 20min CPR. Can you call it?
Only with OLMC
All pts in VF must be…
Treated & transported
When to call cops for a death in the field?
Everytime except hospice or SNF
What to do for DOA?
One person confirms death
Preserve scene & document what you altered
When can you leave the scene of a death in the field?
LE handover or med examiner release
You terminate CPR and call a death. What to do with body?
Cover with emergency blanket or non-cloth sheet (only if necessary)
Circle all IVs or marks/trauma you made
Preserve the scene and document!
What to document on a death in the field?
Anything you altered on scene
Location/body position found
Name/title of ME(if limited investigation) and LE
Strange/sus things (ex bystander comments or bruises/marks)
What info to have ready for OLMC when calling for CPR termination?
Pt hx, vitals, initial/current rhythm, last seen normal, CPR duration, all interventions
What to do if staff/family inform you or has a POLST but not on their person?
Call the MRH for polst registry
How to confirm POLST validity
Pt name, date signed, health care professional signature.
Pt signature is optional
What to do if pt is commuting suicide under death with dignity act?
Confirm DNR or documentation verifying death dignity actions
Call OLMC
Can you take orders from a hospice nurse?
No but can follow with approval from OLMC
Hospice pt is dying. What to do?
Contact hospice, find POLST & DNR
You want to give a drug that requires OLMC but can’t get a hold of them. What now
Give the drug per protocol. Try contact again enroute and after. Send med director or MD supervisor written report
