protocols Flashcards
(19 cards)
what are the three levels of autonomy of practice
1 - under remote supervision
2 - under remote supervision and authorization
3 - under direct supervision
what are signs/symptoms of a severe asthma attack
-Use of accessory muscles of respiration.
- inability to lie supine
- cyanosis
- altered LOC/agitation
- SpO2 <90%
- fragmented speech
“protocol 2.2 SOB suggestive of asthma”
what are signs/symptoms of a mild/moderate asthma attack
- speaking in sentences
- tachypnea
- tachycardia
- wheezing
- prefer sitting to laying down
- SPO2 between 90-95%
AED indications
indications: no carotid pulse and unconscious and not breathing
Precautions with the use of an AED
Severe hypothermia - AED less likely to be effective below 30 degrees. focus on CPR and rapid transport and rewarm.
Asphyxiation - arrest is due to hypoxia, emphasis should be on oxygenation and CPR before AED. (Hanging, drowning, smoke inhalation)
Traumatic arrest - low probability of survival, Resuscitation based on available resources
post cardiac arrest stabilization what are some precautions to consider
(protocol 1.3)
Constant pulse monitoring is critical within first 10 minutes
Supplemental O2 to maintain SPO2 > 92%
Advanced airway if RR<12
What is the normal core body temperature
36.6 celsius
“protocol 1.4 discontinue resuscitation”
when can you discontinue BLS (non combat)
No pulse after 30 minutes and NORMAL core body temperature
“protocol 1.3 post cardiac arrest stabilization”
what should you do if bp <90 mmHg? (you want to raise bp)
IV NS 500ml fluid bolus
(caution with Patients with pulmonary edema)
Difference between KIA and VSA patients?
KIA (killed in action) patient is found dead on the battle field (no pulse, no resp or other vital signs) and resuscitation should not be attempted.
VSA is a patient who upon first contact had vital signs and after a period of time lost them and dies. protocol 1.5 VSA will apply.
two things to consider when handling human remains?
visibility to other troops and morale impacts
COPD refers to a group of diseases that includes: (2)
chronic bronchitis
emphysema
narcotic overdose indications
-Decreased LOC in an adult with a history suggestive of narcotic overdose and a response rate less than 10
-pinpoint pupils
what is convulsive status epilepticus
continuous convulsive seizures lasting 5 minutes or longer
two or more seizures within a 5 min period without a return of normal mental status in between
break down unconscious NYD protocol 4.6 into the three protocols you may have to refer to
first obtain blood glucose, if < 4 initiate hypoglycaemic protocol 4.5
if greater than 4 initiate narcotic overdose protocol 4.1
if BP is less than 90mmHg initiate hemorrhagic shock protocol 3.3
mild hypothermia temp and symptoms
32-35 degrees celcius
shivering, normal HR and RR, vasoconstriction, apathy, slurred speech, ataxia, impaired judgement
moderate hypothermia temp range and symptoms
28-32 degrees
Altered LOC, decreased HR and RR, dilated pupils, no shivering
severe hypothermia temp range and symptoms
<28 degrees celsius
coma, apnea, asystole, nonreactive pupils
hyperthermia indication/ symptoms
core body temp >40 or symptoms consistent with hyperthermia in an appropriate environmental setting
nausea, headache, thirst, irritability, dizziness, fatigue, muscle cramps, weakness, feeling faint, hot sweaty or dry skin
