SNHD Procedure Protocols

Question 1

How do you apply a tourniquet?

Answer 1

1. Apply tourniquet proximal to the bleeding site.
2. Absolute contraindication: Bleeding has stopped.
3. If bleeding is not controlled, consider additional tightening or apply a second tourniquet proximal to the first tourniquet.
4. Wound packing does not preclude you from placing a tourniquet.

Question 2

What are the 6 rights?

Answer 2

Right Patient
Right Dose
Right Route
Right Time
Right Drug
Right Documentation

Question 3

What do we use a traction splint for?

Answer 3

On any patient with an isolated midshaft femur fracture.
Contraindications: Pelvic fracture or instability. Knee, Lower Leg, or ankle instability.

Question 4

What are the indications of a Cervical Collar?

Answer 4

Indications: Any patient with potential for spinal injury
A. Midline C-spine tenderness
B. Focal neurologic deficit
C. Altered Mental Status
D. Evidence of drug/alcohol intoxication
E. Any painful, distracting injuries

Question 5

What are the contraindications of Cervical Collar?

Answer 5

A. Penetrating trauma to the head and/or neck and no evidence of spinal injury.
B. Injuries where placement of the collar might compromise patient assessment, airway management, ventilation, and/or hemorrhage control.
C. Patients in cardiac arrest.

Question 6

Dose of acetylic acid (Aspirin)?

Answer 6

324mg, 81mg chewable tablets x 4

Question 7

What is the dose of Oral Glucose?

Answer 7

15g if patient can protect their airway.
Up to 15g for pediatrics.

Question 8

What is the dose of Narcan?

Answer 8

2-4mg IN, repeatable up to 10mg

Question 9

What is the dose of Nitroglycerin?

Answer 9

0.4mg SL, repeat twice every 5 minutes.
Contraindications: Systolic BP less than 100. Taken ED meds in past 48 hours.

Question 10

What is the dose of Oxymetazoline (Afrin)?

Answer 10

2 sprays to each nostril.

Question 11

What is the dose of Phenylephrine (Neo-Synephrine)?

Answer 11

2 sprays to each nostril