Ventilatory rates for PED Patients; with & w/out pulse. Pt's w/ICP and/or herniation -
✔️✔️* w/pulse: 1 breath every 3 seconds
* w/out pulse: 1 breath every 6 seconds
* Pt's w/ICP & Herniation: Maintain Etco2 30-35% & SpO2 >90%
What are the 6 rights of drug administration? - ✔️✔️Right: Person, Drug, Dose, Time,
Route & Documentation
Who is PBCFR Chief Medical Director? - ✔️✔️Kenneth A. Scheppke, MD
Who is given the authority to deviate from the ALS protocols as needed? - ✔️✔️EMS
Captains & Trauma Hawk personnel
Patient Assessment:
List the base set of vital signs - ✔️✔️Pulse (rate, rhythm, quality)
Respirations (rate & quality)
Temperature
Pulse Oximetry
Blood Pressure (capillary refill)
EtCO2
BGL
Patient Assessment:
Minimum vitals signs for priority 3 patients - ✔️✔️At least 2 sets of vitals
Patient Assessment:
Minimum vitals signs for priority 2 patients - ✔️✔️vitals every 5 minutes
,Per our protocol Hypotension for Adults is defined as? - ✔️✔️Systolic BP < 90 mmHg
Pediatric Age Classification for :
Neonates:
Infants:
Children: - ✔️✔️Neonates: Birth to 1 Month
Infants: 1 Month to 1 Year
Children: 1 Year to puberty
A BGL shall be documented for Patients with any of the following... - ✔️✔️* Hx of
Diabetes
* AMS
* General Weakness
* Seizure
* Syncope/lightheadedness
* Dizziness
* Poisoning
* Stroke
* Cardiac Arrest
Per PBCFR protocol what is the proper airway positioning for a TRAUMA patient? -
✔️✔️Modified Jaw Thrust
Per PBCFR protocol what is the proper airway positioning for a MEDICAL patient? -
✔️✔️External Auditory Meatus (a.k.a. "The Earhole")
Note: Towel behind shoulders in line w/ears
O2 Administration:
What is the proper Spo2 levels for all Pt's?
What are the EXCEPTIONS? - ✔️✔️Maintain 95% for all Pt's
Except COPD & Asthma Pt's then 90%
O2 Administration:
We administer ______ LPM via NRB regardless of Spo2 levels for Pt's that..... -
✔️✔️15LPM for
* All 3rd trimester pregnancy w/trauma
* All head injury Pt's
* Decompression Sickness
* Carbon Monoxide exposure
* Cyanide exposure
EtCO2 Monitoring shall be utilized for what sort of patients? - ✔️✔️* requiring
ventilatory support
* in respiratory distress
, * w/Altered Mental Status
* have been sedated
* received pain medication
* seizure patients
Ventilatory rates for ADULT Patients; with & w/out pulse. Pt's w/ICP and/or herniation -
✔️✔️* w/pulse: 1 breath every 6 seconds
* w/out pulse: 1 breath every 10 seconds
* Pt's w/ICP & Herniation: Maintain Etco2 30-35% & SpO2 >90%
Priority 1 Patients are: - ✔️✔️In Cardiac or Respiratory Arrest
It is expected that the ________________________ will be in the patient care
compartment during transport for all priority 1 and 2 patients. - ✔️✔️Lieutenant
Transport criteria for Priority 1 patients:
Primary/Cardiac Arrest - ✔️✔️(less) < 20 min. transport to nearest STEMI Facility
(greater) > 20 min. transport to closest ED (excluding free standing ED)
Transport criteria for Priority 1 patients:
Secondary/Respiratory Arrest - ✔️✔️Transport to closest ED (excluding free standing
ED)
Transport criteria for Priority 2 patients: - ✔️✔️Shall be transported to the closest
appropriate ED
Transport criteria for Trauma Alert (Priority 2) - ✔️✔️Shall be transported to the closest
Trauma center.
On-scene time for Trauma Alert Patients should be... - ✔️✔️(less) < 10 min. on scene.
What must you do if your on-scene time for a trauma alert is (greater) > 10 min... -
✔️✔️Document the delay in your ePCR report
Trauma Alert (Priority 2):
If ground transport is >______ min you must transport by _______ . - ✔️✔️(greater)
>25 min transport by AIR
Pregnant Trauma Alert (Priority 2):
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