Intermediate Protocol Review Intermediate Level. Cardiac Arrest—Initial Care NEW PROTOCOL...
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Transcript of Intermediate Protocol Review Intermediate Level. Cardiac Arrest—Initial Care NEW PROTOCOL...
Intermediate Protocol ReviewIntermediate Level
Cardiac Arrest—Initial Care
• NEW PROTOCOL• References rhythm
based protocols• Reinforces BLS– Good CPR– Intubation not required
if ventilation adequate– Consider supraglottic
airway
Post Cardiac Arrest
• Therapeutic Hypothermia interventions for all levels of care.
Pediatric Cardiac Arrest
• General Approach• Intubation is
deemphasized• Understand
Termination Rules
Neonatal Resuscitation
Trauma: Transport Guidelines
Trauma: Aeromedical Utilization
• Must SIGNIFICANTLY reduce transport time
• Signs of life!!!• Don’t wait for the
helicopter • <20 mile transport?• Entrapment
Trauma: Pregnant Patients
• Adult trauma pt > 20 weeks gestation– Not meeting trauma criteria – ER of their choice– Meeting trauma criteria – Adult trauma center!
Trauma: Chest
• Bilateral needle decompression as standing order for Trauma Code with suspected chest injury.
Trauma: Hypoperfusion
• Differing fluid goals for compressible injury
• Reflects current ITLS/ATLS guidelines
Airway Management
• Changes:– CPAP for EMT-I– Must be credentialed– Earlier use of
supraglottic airways• Waveform required
for intubated patients• Recommended for
alternate airways
Airway Management Comparison
Continuous Positive Airway Pressure
• Changes– EMT-I allowed*• *If credentialed
• Remember indications and contraindications
Diabetic Emergencies
• NEW PROTOCOL• Addresses low and high
blood sugar• Intermediates use D10
for hypoglycemia
Diabetic Emergencies Comparison
Pain / Nausea /Sedation
• A fluid bolus makes almost anyone feel better