Flashcards in Skills Deck (17)
Assist with intubation
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%
Non-verbal patients with poor head/neck tone may be too obtunded for CPAP
BP <90 mmHg Vomiting
Unable to maintain airway
Apnea or ineffective respirations for unconscious adult patient or decreasing LOC.
?Opioid OD prior to Narcan
Able to adequately ventilate the pediatric patient via BVM
Infants and pediatric patients
Magill Forceps indications
Airway obstruction from foreign body with decreasing LOC/unconscious
Magill Forceps contraindications
Nasogastric / Orogastric tube indications
Gastric distention interfering w/ ventilations
Nasogastric / Orogastric tube contraindications
Severe facial trauma Known esophageal disease
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)
Needle Thoracostomy contraindications
Removal of Impaled Object indication
Compromised ventilation of patient with impaled object in face/cheek or neck.
Removal of Impaled Object contraindication
Intraosseous IO indication
Fluid/medication administration in acute status patient when needed for definitive therapy and unable to establish venous access.
Pediatric patient: unconscious.
Intraosseous IO contraindication
Vascular Disruption Prior attempt to place in target bone
Local infection at insertion site
Intubation: Perilaryngeal airway adjunct
(ETAD/Combitube. Laryngeal-Tracheal/King Airway) indications
Apnea or ineffective respirations for unconscious patient or decreasing LOC.