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Paramedic San Diego Protocols > Skills > Flashcards

Flashcards in Skills Deck (17)
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1

Bougie indication

Assist with intubation

2

CPAP Indication

Age >15 years
Respiratory Distress: CHF, COPD, asthma, pneumonia or drowning. Moderate to severe respiratory distress. Retractions/accessory muscle use AND
• RR >25/min OR
• SpO2 <94%

3

CPAP Contraindication

Unconscious
Non-verbal patients with poor head/neck tone may be too obtunded for CPAP
CPR
BP <90 mmHg Vomiting
Age <15
Possible pneumothorax
Facial trauma
Unable to maintain airway

4

Intubation Indication

Apnea or ineffective respirations for unconscious adult patient or decreasing LOC.

5

Intubation contraindications

?Opioid OD prior to Narcan
Able to adequately ventilate the pediatric patient via BVM
Gag reflex
Infants and pediatric patients

6

Magill Forceps indications

Airway obstruction from foreign body with decreasing LOC/unconscious

7

Magill Forceps contraindications

None

8

Nasogastric / Orogastric tube indications

Gastric distention interfering w/ ventilations

9

Nasogastric / Orogastric tube contraindications

Severe facial trauma Known esophageal disease

10

Needle Thoracostomy indication

Severe respiratory distress with unilateral, diminished breath sounds and systolic BP <90
Pediatric: severe respiratory distress with unilateral diminished breath sounds AND BP <70 + (2x age)

11

Needle Thoracostomy contraindications

None

12

Removal of Impaled Object indication

Compromised ventilation of patient with impaled object in face/cheek or neck.

13

Removal of Impaled Object contraindication

None

14

Intraosseous IO indication

Fluid/medication administration in acute status patient when needed for definitive therapy and unable to establish venous access.
Pediatric patient: unconscious.

15

Intraosseous IO contraindication

Tibial fracture
Vascular Disruption Prior attempt to place in target bone
Humeral fracture
Local infection at insertion site

16

Intubation: Perilaryngeal airway adjunct
(ETAD/Combitube. Laryngeal-Tracheal/King Airway) indications

Apnea or ineffective respirations for unconscious patient or decreasing LOC.

17

Intubation: Perilaryngeal airway adjunct
(ETAD/Combitube. Laryngeal-Tracheal/King Airway) contraindications

Gag reflex present Patient <4’ tall ?Opioid OD prior to Narcan
Ingestion of caustic substances
Hx esophageal disease Laryngectomy/Stoma
Infants and pediatric patients