BLS ROUTINE MEDICAL CARE
|
|
- Noel Curtis
- 5 years ago
- Views:
Transcription
1 BLS ROUTINE MEDICAL CARE Scene safety # Assure scene safety prior to patient contact C-spine # Perform manual cervical spine stabilization if indicated (Follow the cervical spine protocol.) ABCs # Assess airway, breathing, and circulation (ABCs) # ABCs NOT OK # Begin CPR, Early Defibrillation (if authorized) or Airway obstruction maneuvers as indicated # Control significant external bleeding # ABCs OK # Administer oxygen (follow the Airway Oxygen protocol) # Check vital signs (repeat every 5 minutes) # Obtain # chief complaint # history of current event # past medical history # medications # allergies # Perform secondary-full patient exam BLS-1
2 BLS CERVICAL SPINE STABILIZATION Indications # Obvious head trauma # Obvious spinal trauma # Complaints of neck pain, spinal pain, or numbness in the extremities # Blunt or multisystem trauma # Falls with possible head, neck or spine trauma # Any decelerating mechanism of injury # Penetrating injuries to the neck # Unconscious patients with unknown injuries # Impaired patient at risk for spinal injury Manual stabilization and Cervical Collar # If indication, apply manual stabilization and cervical collar # Where a cervical collar is difficult or impossible to apply, manual stabilization alone may be used # A cervical collar alone does not provide acceptable cervical-spine stabilization # Maintain manual stabilization during and after patient movement until the patient has been fully immobilized on a backboard. BLS-2
3 BLS AIRWAY/OXYGEN Treatment # Routine Medical Care # Assess respiratory rate Respirations <10/minute # Clear airway as necessary. This may include placing the patient on his/her side (coma position) and suctioning # Consider inserting an airway adjunct. # Nasopharyngeal airway for patients with gag reflex # Oropharyngeal airway for patients without gag reflex Respirations >10/minute # Place on high-flow oxygen (10-15 liters/minute by non-rebreather mask) if ANY of the following: # trauma # unconscious/altered mental status # chest pain # shortness of breath # burns # pregnancy with complications # shock # smoke/toxic inhalations # Place on low-flow oxygen (2-6 liters/minute by nasal cannula) only if NONE of the above and ALL of the following criteria are met: # skin pink/warm/dry # blood pressure >100 systolic in adults # pulse /minute # respirations 12-20/minute and unlabored # alert & fully oriented Consider # Maintaining low flow oxygen (2 liters by cannula) in COPD patients who are oxygen dependent and/or known CO 2 retainers BLS-3
4 BLS SHORTNESS OF BREATH/CHEST PAIN Treatment # Routine Medical Care # Position of Comfort. (Never force a patient with shortness of breath to lie down.) # If pregnant, Do not place patient on back # Administer high-flow oxygen (10-15 liters/minute by non-rebreather mask.) Be prepared to assist ventilations with bag/valve/mask and 100% oxygen. # Provide supportive care # EMTs and First Responders must not administer medications to patients # EMTs and First Responders may assist patients in locating or retrieving medications at the patient's request. # Patients who want to take their own medications must do so on their own. Consider # Maintaining low flow oxygen (2 liters by cannula) in COPD patients who are oxygen dependent and/or known CO 2 retainers BLS-4
5 CPR Treatment # Routine Medical Care # Place patient supine on a hard surface, with legs elevated approximately twelve inches if possible. # Open airway with head-tilt/chin lift method. If trauma or cervical-spine injuries are present or suspected, use jaw-thrust method only. Apneic patient # Ventilate X2 # If unable to ventilate, reposition head and attempt to ventilate again. # If still unable to ventilate, go to the appropriate Airway Obstruction protocol. # Consider inserting oral or nasal airway. Pulseless patient # Begin CPR. If patient weighs more than 90 pounds, initiate Early Defibrillation immediately if authorized. # Chest compression -to-ventilation ratios: # one rescuer: 15 to 2 # two rescuer: 5 to 1 # Compression rates: # child and adult: /minute # infant 100/minute # Compression depths: # adult: 1 ½ to 2 inches # child: 1 to 1 ½ inches # infant: ½ to 1 inch # Assess the efficiency of chest compressions by feeling for a carotid pulse while compressions are being performed. If no pulse is felt, reassess the depth and location of compressions. Reassess # Reassess for the return of pulses/breathing after 1 minute and every 3 minutes thereafter. If pulses return, discontinue chest compressions and continue to ventilate the patient at a rate of 20/minute (every 3 seconds) BLS-5
6 ALTERED MENTAL STATUS Treatment # Routine Medical Care Suspicion of Poisoning or Overdose # Maintain airway and coma position # Attempt to determine cause Observed seizure # If still seizing, protect from injury # During and after seizure, maintain airway and coma position Trauma Mechanism # Maintain Cervical Spine precautions and airway Known or suspected Diabetic Unknown cause and/or history # If awake, able to hold head upright, and gag reflex present, assist patient to selfadminister glucose paste or solution. Patient MUST be able to swallow without difficulty. # If not awake, not able to swallow or hold head upright, or if non gag reflex, maintain airway and coma position # Maintain airway and coma position. BLS-6
7 TRAUMA MANAGEMENT Treatment # Routine Medical Care. In multiple-casualty incidents where resources are overwhelmed, use "START" triage # Institute Cervical Spine precautions as necessary # EXPEDITE TRANSPORT # Remove or cut away the patient's clothing to expose injuries # Control significant external bleeding as follows (tourniquets should not be used) # Direct pressure # Elevation- Use caution if suspect possible fracture # Pressure points # Treat suspected shock. Shock should be suspected when there is a mechanism of injury or the skin is pale, cool and diaphoretic. Vital signs alone are an unreliable indicator of shock. # Elevate legs only if shock is suspected. # Administer high-flow oxygen. # Keep the patient warm. # Stabilize fractures in the position found or the patient's position of comfort. # Pulses distal to the fracture should be checked within 2 minutes of completing the primary survey and every 5 minutes thereafter. # Distal pulses and capillary refill should also be checked before and after any movement of a suspected fracture. BLS-7
8 BURNS Treatment # Extinguish burning or smoldering clothing. # Flush chemical burns with copious amounts of water # Routine Medical Care Airway # Assess airway for burns. Airway burns should be suspected when the patient: # is burned or exposed to smoke in an enclosed space # has been exposed to toxic fumes # has burns to the face and/or the upper airway # has redness/blisters/soot in the mouth or nose, or singed nasal hair # has carbaceous sputum Treatment con t # Assess for other injuries and treat as indicated # Maintain airway and administer high-flow oxygen (see Airway/Oxygen protocol) # Treat burns appropriately # Use saline-moistened sterile dressings to stop the burning process. # Burns <10% total body surface area may be kept wet with salinemoistened (sterile preferred) dressings. # For burns >10% total body surface area, wet dressings must be removed once the burning process has stopped. # The wet dressings should be replaced with clean (sterile preferred) dressings. # The patient should then be covered with a sterile burn sheet and blanket to prevent loss of body heat. BLS-8
9 AIRWAY OBSTRUCTION DEFINITION CONSCIOUS PATIENT-ABLE TO SPEAK CONSCIOUS PATIENT- UNABLE TO SPEAK OR COUGH ADULT PATIENT AND CHILD > 1 YEAR OLD WHO IS OR BECOMES UNCONSCIOUS INFANTS WITH COMPLETE OBSTRUCTION Mechanical upper airway obstruction with history of food aspiration (especially if elderly), alcohol abuse, child playing with small toys # Offer reassurance, do not intervene, encourage coughing # Offer oxygen via cannula # Frequent gentle suctioning in needed to control secretions # Confirm airway obstruction # Administer abdominal thrust if adult, back blows for infant, until the foreign body is expelled or the patient becomes unconscious # After obstruction is relieved, reassess airway, lung sounds, skin color and vital signs # Oxygen therapy as indicated by clinical condition # Roll patient supine; open airway (tongue-jaw lift); perform finger sweep. In children, avoid finger sweeps unless foreign body can be seen and removed from mouth with fingers. # Attempt bag-valve-mask ventilations; if unable to ventilate, perform five (5) additional abdominal thrust # Perform finger sweep and attempt to ventilate # In infants < 1 year old, begin with five (5) back blows with the infant straddled over the arm in the prone position, head lower than trunk # Administer back blows by resting the free elbow on rescuer's thigh and delivering blows with heel of the hand # Turn infant over and deliver five (5) chest compressions in a manner similar to CPR (but slower). Finger sweeps are to be avoided unless the foreign body can be seen and removed (with fingers) from mouth # If still obstructed, repeat above sequence BLS-9
10 ENVIRONMENTAL EMERGENCIES Treatment # Routine Medical Care HEAT # Protect Patient from further exposure to heat. # Move patient to cool environment # Remove heavy or constricting clothing # Apply moist dressing and fan patient. COLD # Protect patient from further exposure to cold # Move patient to warm environment # Remove wet clothing # Do not actively rewarm patient or insert oral airway. # Prevent unnecessary movement. # Cover patient with a blanket. BITES or STINGS # Remove stinger if still present. # Administer 100% oxygen and ventilate as needed # Assess for signs and symptoms of shock and airway obstruction. Treat appropriately. SMOKE INHALATION # Administer 100% oxygen and ventilate as needed. # Examine nose and mouth for soot and other signs of airway burns. HAZARDOUS MATERIALS # ASSURE PERSONNEL AND SCENE SAFETY FIRST # Do not approach patient # Isolate and deny access to hazard area. # Initiate HAZ-MAT response # Establish safe treatment area uphill and upwind of the hazard area. Receive patient from rescue personnel. # Routine Medical Care BLS-10
11 ROUTINE OBSTETRIC DELIVERY Treatment # Routine Medical Care for the mother Baby's Head Visible # Assist delivery # Suction airway as soon as possible # Check for cord around baby s neck and gently remove if present # Clamp cord X2 and cut between clamps # Assess, dry, and wrap the baby # Massage fundus if infant is delivered and there is heavy vaginal bleeding # Deliver the placenta if presenting but do not force # See Newborn Care protocol Baby's Head Not Visible # Transport BLS-11
12 NEWBORN CARE Treatment # Routine Medical Care for mother Assess # Assess the baby. A normal newborn: # has a completely pink appearance # has a pulse >100/minute # cries when stimulated # actively moves all extremities # has a good strong cry # A depressed newborn lacks one or more of the above characteristics Normal Newborn # Routine Medical Care, including suctioning # Dry the baby # Cover the head and baby to maintain body heat # Allow mother to hold and breast feed the baby if she wishes. Depressed Newborn # Suction # Apply vigorous stimulation by touch, do not spank newborn # Provide 100% oxygen by pediatric mask, and assist ventilation as necessary. # Check pulse rate # Pulse >60/minute: Expedite Transport # Pulse <60/minute: Start CPR (if pulse <60/minute, perfusion is inadequate. CPR is indicated even though the newborn may have a pulse.) BLS-12
13 OBSTETRIC EMERGENCIES Treatment # Routine Medical Care for mother Cord Around Baby's Neck # Attempt to slip the cord over the baby's head # If unable, insert gloved finger between newborn s neck and cord and rotate around neck in circular fashion in attempt to slide cord over neck # As last resort, consider double clamping cord and cutting between clamps, expediting delivery ASAP # See Newborn Care protocol Prolapsed Cord or Breech Presentation Other Obstetric Emergency (including abnormal vaginal bleeding, abdominal pain that is not labor-related, hypertension or seizures.) # Administer 100% oxygen to the mother # Place mother supine with hips and legs elevated higher that the thorax. # Lift any present part off umbilical cord. # Advise mother not to push. # Administer 100% oxygen to mother # Place mother in left lateral position # Elevate legs if signs or symptoms of shock. Do not lay flat on back. # Advise no pushing # IF SEIZURE: # Maintain airway. Protect mother from injury. Position mother to enable blood return, i.e. left lateral position if possible BLS-13
14 EARLY DEFIBRILLATION Consider Determination of Death in the Prehospital Setting Policy CONFIRM # Unconscious, Non-Breathing and Pulseless # Non-Trauma # Not Hypothermic # Body weight over 90 pounds (41 kg) CPR ANALYZE RHYTHM DEFIBRILLATE Initiate CPR/Set up defibrillator (If alone, do not start chest compressions) # Have machine analyze rhythm (Stop CPR) If machine determines that a shock is necessary; stand clear. Press button to shock patient at 200 joules.** # Immediately have machine analyze rhythm (No CPR). If machine determines that a shock is necessary; stand clear. Press button to shock patient at 200 joules.** # Immediately have machine analyze rhythm (No CPR). If machine determines that a shock is necessary; stand clear. Press button to shock patient at 360 joules.** REASSESS # Reassess for pulselessness and apnea. If indicated, do CPR for one minute. # Have machine analyze rhythm; if indicated, repeat series of three shocks. Again, reassess for pulselessness and apnea. If indicated, do CPR for one minute. Have machine analyze rhythm; if indicated, repeat series of three shocks. TOTAL NUMBER OF SHOCK # A total of 9 shocks may be delivered or until ALS unit arrives and assumes care # of patient. After 9 shocks continue CPR until transport unit arrives. If the patient remains unconscious and pulseless after 1 minute of CPR: Repeat the series of three shocks twice or until a transport unit arrives. NO MORE THAN 9 SHOCKS MAY BE GIVEN PER CALL. RETURN TO PULSELESS STATE IF THE INITIAL RHYTHM IS NOT SHOCKABLE If patient returns to a pulseless state, have machine analyze rhythm. If shockable rhythm has occurred, repeat a series of three shocks. Do CPR for one minute and reevaluate. Check pulse and have machine analyze rhythm. If unshockable rhythm remains, continue CPR until paramedics arrive. If shockable, follow shock series as above. If pulse returns, maintain airway and breathing, check B/P. ** Early Defibrillation Devices using Alternative Technologies may be set to deliver energy levels recommended by the manufacturer BLS-14
Emergency Care Progress Log
Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All
More informationCHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS
CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS PRACTICAL STATIONS CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS 1. CARDIAC ARREST MANAGEMENT 2. AIRWAY & RESPIRATORY MANAGEMENT 3. SPINAL IMMOBILIZATION
More informationAirway Adjuncts and Suction
Airway Adjuncts and Suction Oropharyngeal Airway Selects appropriately sized airway. Measures airway. Inserts airway without pushing the tongue posteriorly. Examiner States: patient is gagging and becoming
More information2017 Northern Mine Rescue Contest Written Exam (First Aid Competition)
2017 Northern Mine Rescue Contest Written Exam (First Aid Competition) 2017 2010 June 5, 2017 Findley Lake, New York 2017 Northern Mine Rescue Contest Written Exam First Aid Competition Directions: Fill
More informationFIRST AID WRITTEN EXAM. Team Name: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. a. TRUE b. FALSE
2015 NEW IBERIA MINE RESCUE CONTEST FIRST AID WRITTEN EXAM Name: Date: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. 2. The use of accessory muscles in the chest, abdomen
More informationPEPP Course: PEPP BLS Pretest
PEPP Course: PEPP BLS Pretest 1. What is the best way to administer oxygen to a child in moderate respiratory distress? Nasal cannula Simple mask Nonrebreathing mask Bag-valve-mask device 2. A 2-year-old
More informationCompetency Log Professional Responder Courses
Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the
More informationAirway and Ventilation. Emergency Medical Response
Airway and Ventilation Lesson 14: Airway and Ventilation You Are the Emergency Medical Responder Your medical emergency response team has been called to the fitness center by building security on a report
More informationMedical First Responder Program Protocols
Medical Scene Safety Protocol Verify Scene Safety with Police or Dispatch UNKWN Scene Safe? Enter Continue to Appropriate Protocol Possible to Make Safe Make Safe Then Continue Exit Area and Stage Outside
More informationMASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management
Basic EMT Practical Examination 6.0 - Cardiac Arrest Management Station 1 RESUSCITATION & DEFIBRILLATION No Point WHILE FUNCTIONING AS FIRST RESCUER: Point 1. Verbalizes or takes body substance isolation
More informationBasic Assessment and Treatment of Trauma
Basic Assessment and Treatment of Trauma Final Exam Version 1 1. In which of the following scenarios would the potential for serious injury or death be the GREATEST? A. 77-kg (170-lb) man who falls 1.2
More informationBASIC LIFE SUPPORT (BLS)
ADULT Suspected Foreign Body Airway Obstruction (FBAO) 1 If conscious, ask, "Are you choking?" 2 If patient is unable to speak and/or shakes head yes, give abdominal thrusts, (chest thrusts if pregnant
More informationAirway and Breathing
Airway and Breathing ETAT Module 2 Adapted from Emergency Triage Assessment and Treatment (ETAT): Manual for Participants, World Health Organization, 2005 Learning Objectives Accurately determine whether
More informationTrauma Life Support Pre-Hospital (TLS-P) Preparatory Materials
Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials 1 1. A high-risk bodily fluid for spreading infection is blood. 2. Items that can reduce the spread of infection include masks, gloves, and
More informationyregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management
yregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management Overview: Managing a patient s airway may be necessitated due to upper or lower airway obstruction, inadequate
More informationAviation Rescue Swimmer Course
Aviation Rescue Swimmer Course Primary Survey LT 5.4 December 2003 1 Objectives List the procedures used in a primary survey. Demonstrate primary survey procedures used in a mock trauma (moulage) scenario
More informationOUTLINE SHEET 5.4 PRIMARY SURVEY
ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.
More informationADMINISTRATIVE REQUIREMENT MANUAL EFFECTIVE DATE
PURPOSE: I. To establish the minimum requirements for a first responder training course in first aid, which all first responders must take, in order to meet the requirements of M.G.L. c. 111, 201 and 105
More informationIRECA BLS Challenge 2015 Scenario 1
Scenario 1 Team Name Team Number Captain Name Judge 1 # Judge 2 # JUDGE S SHEET Overview: This scenario challenges the competitors to use basic triage techniques and then to do the most good for the most
More informationSan Benito County EMS Agency Section 700: Patient Care Procedures
Purpose: To outline the steps EMTs & paramedics will take to manage possible life threats in any child or adult patient they encounter. This policy is in effect for all treatment protocols & is to be referred
More informationPatient Assessment. Chapter 8
Patient Assessment Chapter 8 Patient Assessment Scene size-up Initial assessment Focused history and physical exam Vital signs History Detailed physical exam Ongoing assessment Patient Assessment Process
More informationSEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION
The following individual has completed the Seminole County EMS Provisional EMT Skills Verification check in the following areas: Oxygen, Airway and Ventilation Skills ALS Assistance Trauma Management Medical
More informationNew York State Department of Health Bureau of Emergency Medical Services
New York State Department of Health Bureau of Emergency Medical Services Statewide Basic Life Support Adult & Pediatric Treatment Protocols EMT-B and AEMT 2003 Version III = Table of Contents GENERAL APPROACH
More informationSkill Evaluation Sheets
Skill Evaluation Sheets Skill Drill 2-: How to Remove Gloves Skill Drill 4-: Primary Check: RAP-CAB Skill Drill 4-2: Perform a Secondary Check Skill Drill 5-: Adult CPR Skill Drill 5-2: Child CPR Skill
More informationNOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen.
ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.
More informationMcCann Technical School 70 Hodges Cross Road North Adams, MA Medical Assisting Program
MA 104 MEDICAL SOCIAL SCIENCE 4 Credits Fall Semester Part IV FIRST RESPONDER Syllabus McCann Technical School 70 Hodges Cross Road North Adams, MA 01247 Medical Assisting Program INSTRUCTORS: Laurie Tuper,
More informationFrontline First Aid First Responder Session Quizzes
Session 1 1. One of the 4 parts of the Patient Assessment Model is: a. Injury Survey b. Patient Survey c. Critical Survey d. Ongoing Survey 2. One of the Secondary responsibilities of the First Responder
More informationPediatric Emergencies. Lesson Goal. Lesson Objectives 9/10/2012
Pediatric Emergencies Lesson Goal Explain special characteristics of infants and children to become both comfortable & efficient in treating pediatric emergencies Lesson Objectives Identify physical &
More informationPediatric Cardiac Arrest General
Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on
More informationIntroduction to Emergency Medical Care 1
Introduction to Emergency Medical Care 1 OBJECTIVES 8.1 Define key terms introduced in this chapter. Slides 12 15, 21, 24, 31-34, 39, 40, 54 8.2 Describe the anatomy and physiology of the upper and lower
More informationModule 2: Facilitator instructions for Airway & Breathing Skills Station
Module 2: Facilitator instructions for Airway & Breathing Skills Station 1. Preparation a. Assemble equipment beforehand. b. Make sure that you have what you need and that it is functioning properly. 2.
More informationSTAYTON FIRE DISTRICT PROTOCOL QUIZ
STAYTON FIRE DISTRICT PROTOCOL QUIZ Name 1. Please list the appropriate EMS Level for each of the Scope of Practice items below EMR Emergency Medical Responder B Basic Conduct primary and secondary patient
More informationAppendix (i) The ABCDE approach to the sick patient
Appendix (i) The ABCDE approach to the sick patient This appendix and the one following provide guidance on the initial approach and management of common medical emergencies which may arise in general
More informationOld protocol is top bullet and italicized. Revised protocol is subsequent bullets and color coded:
Old protocol is top bullet and italicized Revised protocol is subsequent bullets and color coded: RED is a State Change Blue is unique to Suffolk County VI. If patient has not taken aspirin and has no
More informationTopics. Seattle/King County EMT-B Class. Pediatric Emergencies: Chapter 31. Pediatric Assessment: Chapter Pediatric SICK/NOT SICK
Seattle/King County EMT-B Class Topics Pediatric Emergencies: Chapter 3 Pediatric Assessment: Chapter 3 3 Pediatric SICK/NOT SICK Pediatric Emergencies Airway Differences Larger tongue relative to the
More informationMEDICAL KIT - ALGORITHMS
MEDICAL KIT - ALGORITHMS Page 2 : BRONCHOSPASM / ASTHMA Page 3 : TENSION PNEUMOTHORAX Page 4 : Page 5 : Page 6 : CONGESTIVE HEART FAILURE/ PULMONARY EDEMA ANAPHYLACTIC SHOCK / ALLERGIC REACTION ANGINA
More informationRestore adequate respiratory and circulatory conditions. Reduce pain
Pre-hospital management of the trauma patient is best performed by an integrated team focused on minimizing the time from injury to definitive care at an appropriate trauma center. Dispatchers, first responders,
More informationEmergency First Response (EFR) Skills Assessment Sheets V4 June 2017
Emergency First Response () Skills Assessment Sheets V4 June 2017 Airway management & ventilation Airway management & ventilation Trauma jaw thrust 1 Hand positions 2 Perform jaw thrust / mouth open 3
More informationPEDIATRIC INITIAL ASSESSMENT - ALS
PEDIATRIC INITIAL ASSESSMENT - ALS I. SCENE SIZE-UP A. Protect from body substance through isolation (glasses, gloves, gown and mask). B. Assess the scene for safety and take appropriate steps. C. Determine
More informationITLS Pediatric Provider Course Advanced Pre-Test
ITLS Pediatric Provider Course Advanced Pre-Test 1. You arrive at the scene of a motor vehicle crash and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child
More informationBasic Pre-Hospital Emergency Medical Care for Firefighters. Chapter Test. Directions: Write the correct letter on the blank before each question.
Chapter 21 Test Name: Date: Directions: Write the correct letter on the blank before each question. Objective 1: Discuss the importance of body substance isolation (BSI). 1. Which body fluids must be considered
More informationAPPLY FIRST AID ONLINE WORKBOOK
APPLY FIRST AID ONLINE WORKBOOK STUDENT NAME: ADDRESS: PHONE CONTACT: DATE OF COURSE: Welcome to CYNERGEX GROUP pre-learning package for the APPLY FIRST AID course. This workbook is to be completed in
More informationEMT. Chapter 8 Review
EMT Chapter 8 Review 1. During the scene size-up, you should routinely determine all of the following, EXCEPT: A. the mechanism of injury or nature of illness. B. the ratio of pediatric patients to adult
More informationChapter 10. Objectives. Objectives 01/09/2013. Airway Management, Artificial Ventilation, and Oxygenation
Chapter 10 Airway Management, Artificial Ventilation, and Oxygenation Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights
More informationEmergency First Response (EFR) Assessment Sheets September 2011
Emergency First Response () Assessment Sheets September 2011 Airway Management & Ventilation Current Version: Version 2 (Sep 2011) Airway Management & Ventilation TRAUMA JAW THRUST 1 Hand position 2 Perform
More informationModule Summaries: The emergency plan is a crucial part of the total sports program.
Module Summaries: Summary - The Emergency Plan The emergency plan is a crucial part of the total sports program. Prior to each season and game, those individuals responsible for the program and athletes
More informationIMMEDIATE EMERGENCY BURN CARE » THERMAL BURNS » ELECTRICAL BURNS » CHEMICAL BURNS FIRST AID FOR THE THREE MAJOR CATEGORIES
IMMEDIATE EMERGENCY BURN CARE 1. Treat according to BLS or ACLS Protocol 2. Use airway and C-Spine precautions. 3. Stop the burning process. FIRST AID FOR THE THREE MAJOR CATEGORIES» THERMAL BURNS + Stop
More informationIntroduction. Topics. Seattle/King County EMT-B Class. EMS Online. Class schedule Message board Lecture presentations
Seattle/King County EMT-B Class Introduction EMS Online http://www.emsonline.net/emtb Class schedule Message board Lecture presentations Topics Airway Management: Chapter 7 Patient Assessment: Chapter
More informationChapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION
Chapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION Major Concepts. Proper planning of an emergency response is essential for appropriate first aid management of an injury. Anything that can be done
More informationLesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED
Lesson 4-3: Cardiac Emergencies CARDIAC EMERGENCIES Angina, AMI, CHF and AED THREE FAMILIAR CARDIAC CONDITIONS Angina Pectoris Acute Myocardial Infarction Congestive Heart Failure ANGINA PECTORIS Chest
More informationFace and Throat Injuries. Chapter 26
Face and Throat Injuries Chapter 26 Anatomy of the Head Landmarks of the Neck Injuries to the Face Injuries around the face can lead to upper airway obstructions. Bleeding from the face can be profuse.
More informationChapter 32. Objectives. Objectives 01/09/2013. Spinal Column and Spinal Cord Trauma
Chapter 32 Spinal Column and Spinal Cord Trauma Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1.
More informationoriented evaluation of your patient and establishing priorities of care based on existing and
1 Chapter 12: Patient Assessment in the Field 2 Patient assessment means conducting a - oriented evaluation of your patient and establishing priorities of care based on existing and potential threats to
More informationChapter 24 Soft Tissue Injuries Presentation Notes
Names: Chapter 24 Soft Tissue Injuries Presentation Notes Anatomy of the Skin - Function of the Skin control Soft-Tissue Injuries injuries Soft-tissue damage the skin injuries Break in the of the skin
More informationFrontline First Aid 2012 Emergency Care Manual Treatments
Heart Attack/Angina (p. 132) 1. Recognize signals of a heart attack 2. Assist with Nitroglycerin 3. Assist with ASA 4. Rest and Comfort 6. More advanced medical care Breathing Emergencies (p. 105) Anaphylaxis
More information1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to
1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to introduce the EMT-B student to these procedures only. In
More informationB. high blood pressure. D. hearing impairment. 2. Of the following, the LEAST likely reason for an EMS unit to be called
CHAPTER 36 Geriatrics HANDOUT 36-2: Evaluating Content Mastery Student s Name EVALUATION CHAPTER 36 QUIZ Write the letter of the best answer in the space provided. 1. Among patients over age 65, almost
More informationLevel 5 Paramedic Primary Skills
Title: Paramedic Primary Assessment Sheets V-4 Page: 1 of 15 Owner: LD Approved by: Examination Quality Group Approval date: March 2017 PHECC National Qualification in Emergency Medical Technology (NQEMT)
More informationChapter 40 Advanced Airway Management
1 2 3 4 5 Chapter 40 Advanced Airway Management Advanced Airway Management The advanced airway management techniques discussed in this chapter are to introduce the EMT-B student to these procedures only.
More informationPediatric Advanced E.M.T. Treatment Protocol
Pediatric Advanced E.M.T. Treatment Protocol Important: Use Broselow tape for all pediatric and neonatal drug dosages and for equipment sizes. 06/12 Code 50 Emergency Childbirth Labor and Delivery Obtain
More informationAirway Management From Brady s First Responder (8th Edition) 82 Questions
Airway Management From Brady s First Responder (8th Edition) 82 Questions 1. What color will cyanotic skin be? p. 119 *A.) Blue B.) Red C.) Yellow D.) Green 2. Which is the primary path for air to enter
More informationCETEP PRE-TEST For questions 1 through 3, consider the following scenario:
CETEP PRE-TEST For questions 1 through 3, consider the following scenario: A two and half month infant comes to the health centre looking very lethargic. Her mother reports that the infant has felt very
More informationBLS Guideline 1 AIRWAY MANAGEMENT
Australian Resuscitation Advisory Network BLS Guideline 1 AIRWAY MANAGEMENT Scope Who does this guideline apply to? This guideline applies to all persons who need airway management. Airway management is
More informationAirway management. Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department
Airway management Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department Airway management Airway management is the medical process of ensuring there is an open pathway between a patient
More informationHomework Assignment Complete and Place in Binder
Homework Assignment Complete and Place in Binder Chapter # 34/35: Pediatric & Geriatric Emergencies 1. The first month of life after birth is referred to as the: A) neonatal period. B) toddler period.
More informationBLS Practical Skills Examination
New York State Department of Health BLS Practical Skills Examination ertified First Responder and Emergency Medical Technician 2017 REQUIRED TESTING S EMT - The following skills are identified as being
More informationITLS Pediatric Provider Course Basic Pre-Test
ITLS Pediatric Provider Course Basic Pre-Test 1. You arrive at the scene of a motor vehicle collision and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child
More informationPediatric Emergencies. September, 2018
Pediatric Emergencies September, 2018 Introduction Children s bodies respond to significant injury and shock differently than adults. These differences may be subtle and difficult to recognize EMS providers
More informationHeartCode PALS. PALS Actions Overview > Legend. Contents
HeartCode PALS PALS Actions Overview > Legend Action buttons (round buttons) Clicking a round button initiates an action. Clicking this button, for example, checks the child s carotid pulse. Menu buttons
More informationPLEASE PRINT CLEARLY!
Indiana Emergency Medical Services Commission EMT-B Practical Examination Report Form PLEASE PRINT CLEARLY! Course Number: Course Completion Date: Name Last Name First Name Middle Initial SSN Address Street
More informationDisaster Medical Operations Part 2. CERT Basic Training Unit 4
Disaster Medical Operations Part 2 Unit 4 Unit 3 Review 3 Killers Airway obstruction Excessive bleeding Shock 4-1 CERT Sizeup 1. Gather Facts 2. Assess Damage 3. Consider Probabilities 4. Assess Your Situation
More informationMODULE VII. Delivery and Immediate Neonatal Care
MODULE VII Delivery and Immediate Neonatal Care NEONATAL ASPHYXIA About one million deaths per year In Latin America 12% of newborns suffer some degree of asphyxia Main cause of perinatal and neonatal
More informationPediatric Advanced Life Support
Pediatric Advanced Life Support Pediatric Chain of Survival Berg M D et al. Circulation 2010;122:S862-S875 Prevention Early cardiopulmonary resuscitation (CPR) Prompt access to the emergency response system
More informationStudent Guide Module 4: Pediatric Trauma
Student Guide Module 4: Pediatric Trauma Problem based learning exercise objectives Understand how to manage traumatic injuries in mass casualty events. Discuss the features and the approach to pediatric
More informationPortage County EMS Annual Skills Labs
Portage County EMS Annual Skills Labs Scope: Provide skills labs for all Emergency Medical Responders and First Response EMTs to assure proficiency of skills and satisfy the Wisconsin State approved Operational
More informationSkin Anatomy and Physiology
Skin Anatomy and Physiology Body s largest organ Three layers: Epidermis Dermis Subcutaneous tissue 1 2 Skin Anatomy and Physiology Complex system, variety of functions Sensation Control of water loss
More informationEmergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013
Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013 DEFINITIONS General Impression - EMT develops a plan of action from the
More informationPatient Assessment From Brady s First Responder (8th Edition) 83 Questions
Patient Assessment From Brady s First Responder (8th Edition) 83 Questions 1. Which question is important if your patient may be a candidate for surgery? p. 183 *A.) When did you last eat? B.) What is
More informationCore Subject Part 4. Identify the principles of approaching the sick patient.
The Role of The Dental Care Professional During a Medical Emergency: General Dental Council Standards and The Management of The Collapsed Patient Using the ABCDE Approach Aims: Core Subject Part 4 To provide
More informationAdvanced Assessment and Treatment of Trauma
Advanced Assessment and Treatment of Trauma Final Exam Version 1 1. In which of the following scenarios would the potential for serious injury or death be the GREATEST? A. 77-kg (170-lb) man who falls
More informationPEDIATRIC TREATMENT GUIDELINES - CARDIAC VENTRICULAR FIBRILLATION - PULSELESS VENTRICULAR TACHYCARDIA (SJ-PO1) effective 05/01/02
PEDIATRIC TREATMENT GUIDELINES - CARDIAC VENTRICULAR FIBRILLATION - PULSELESS VENTRICULAR TACHYCARDIA (SJ-PO1) effective 05/01/02 Revision #5 04/19/02 Identify Dysrhythmia DEFIBRILLATE: 2 J/kg, 4 J/kg,
More informationCOALINGA STATE HOSPITAL. Effective Date: August 31, 2006 SUBJECT: MANAGEMENT OF FOREIGN-BODY AIRWAY OBSTRUCTION (CHOKING VICTIM)
COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Emergency Procedures POLICY NUMBER: 701 Effective Date: August 31, 2006 SUBJECT: MANAGEMENT OF FOREIGN-BODY AIRWAY OBSTRUCTION (CHOKING
More informationREGION 1 EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic, EMT Intermediate, EMT Paramedic. SMO: Pediatric Assessment Guidelines
REGION 1 EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic, EMT Intermediate, EMT Paramedic SMO: Pediatric Assessment Guidelines Overview: Pediatric patients account for about 10% or less of
More informationHatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, Page 1
Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, 2014 Page 1 PROBLEM Billy is a maintenance person that has been conducting clean-up and service duties on the number one conveyor belt
More informationChapter 32. Injuries to the Spine by Pearson Education, Inc. Upper Saddle River, New Jersey
Chapter Injuries to the Spine Topics Anatomy and physiology of the spine Spinal injuries Guidelines for immobilization Special considerations Enrichment Introduction Injuries to the spine are among the
More informationCardiovascular Emergencies. Chapter 12
Cardiovascular Emergencies Chapter 12 Cardiovascular Emergencies Cardiovascular disease (CVD) claimed 931,108 lives in the US during 2001. 2,551 per day Almost two people per minute! CVD accounts for 38.5%
More informationBLS Guideline 1 AIRWAY MANAGEMENT
Australian Resuscitation Advisory Network BLS Guideline 1 AIRWAY MANAGEMENT Scope Who does this guideline apply to? This guideline applies to all persons who need airway management. Airway management is
More information1 Chapter 13 Respiratory Emergencies 2 Respiratory Distress Patients often complain about. Shortness of breath Symptom of many different Cause can be
1 Chapter 13 Respiratory Emergencies 2 Respiratory Distress Patients often complain about. Shortness of breath Symptom of many different Cause can be difficult to determine. Even for physician in hospital
More informationWaitin In The Wings. Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider
Waitin In The Wings Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider 1 CombiTube Kit General Description The CombiTube is A double-lumen tube with
More informationRespiratory Emergencies. Chapter 11
Respiratory Emergencies Chapter 11 Respiratory System Anatomy and Function of the Lung Characteristics of Adequate Breathing Normal rate and depth Regular breathing pattern Good breath sounds on both sides
More informationOverview. Overview. Chapter 30. Injuries to the Head and Spine 9/11/2012. Review of the Nervous and Skeletal Systems. Devices for Immobilization
Chapter 30 Injuries to the Head and Spine Slide 1 Overview Review of the Nervous and Skeletal Systems The Nervous System The Skeletal System Devices for Immobilization Cervical Spine Short Backboards Long
More informationChapter 11 - The Primary Assessment
Introduction to Emergency Medical Care 1 OBJECTIVES 11.1 Define key terms introduced in this chapter. Slides 11 12, 14, 19 21, 28 11.2 Explain the purpose of the primary assessment. Slides 11 13 OBJECTIVES
More informationInfants and Children From Bradys Emergency Care 10 th Edition. 2. Why should moist dressings be used sparingly in a pediatric burn patient?
Infants and Children From Bradys Emergency Care 10 th Edition 1. Which is the most frequent sign of head injury in a child? A.) Nausea B.) Vomiting C.) Altered mental status D.) Shock 2. Why should moist
More informationNeonatal Life Support Provider (NLSP) Certification Preparatory Materials
Neonatal Life Support Provider (NLSP) Certification Preparatory Materials NEONATAL LIFE SUPPORT PROVIDER (NRP) CERTIFICATION TABLE OF CONTENTS NEONATAL FLOW ALGORITHM.2 INTRODUCTION 3 ANTICIPATION OF RESUSCITATION
More information68W COMBAT MEDIC POCKET GUIDE
GTA 08-05-058 68W COMBAT MEDIC POCKET GUIDE PART I: TRAUMA TREATMENT This publication contains technical information that is for official Government use only. Distribution is limited to U.S. Government
More informationMIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description:
Common Course Number: HSC 2400 MIAMI-DADE COLLEGE Course Title: Basic Emergency Care Course Catalog Description: Designed to provide opportunities to develop, practice, and display skills concerning emergency
More informationCPR & First Aid Resources
CPR & First Aid Resources A resource guide to assist the Trainer in locating CPR/FA classes in Clare, Isabella, Mecosta, Osceola, Gladwin, and Midland Counties. This guide also contains: CPR Chart, Heart
More informationSPINAL IMMOBILIZATION
Spinal Immobilization Decision Assessment Recent studies have shown an increase in mortality for patients with isolated penetrating trauma who are spinally immobilized. Therefore spinal immobilization
More informationLESSON ASSIGNMENT. After completing this lesson, you should be able to:
LESSON ASSIGNMENT LESSON 3 Cricothyroidotomy LESSON ASSIGNMENT Paragraphs 3-1 through 3-7. LESSON OBJECTIVES After completing this lesson, you should be able to: 3-1. Define cricothyroidotomy. 3-2. Identify
More informationUEMSA Field Protocols. September Medical Oversight Provided by
UEMSA Field Protocols September 2017 Medical Oversight Provided by Stephen Poff 09/23/2017 Stephen Poff M.D. Medical Director Date Page 1 of 8 Table of Contents Airway Maintenance 3-5 Diabetic Problems.5-7
More information