Cgabryszek at 19:37, 29 May 2024

2024-05-29T19:37:35Z

← Older revision		Revision as of 14:37, 29 May 2024
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	# If pulseless, treat for cardiac arrest as indicated.		# If pulseless, treat for cardiac arrest as indicated.

	EMT- EMERGENCY MEDICAL TECHNICIAN PERFORM/CONFIRM ALL ABOVE INTERVENTIONS		'''EMT- EMERGENCY MEDICAL TECHNICIAN'''

			''PERFORM/CONFIRM ALL ABOVE INTERVENTIONS''

	# Assure ALS intercept is en route.		# Assure ALS intercept is en route.
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	# Absent P-waves		# Absent P-waves

	AEMT – ADVANCED EMERGENCY MEDICINE TECH		'''AEMT – ADVANCED EMERGENCY MEDICINE TECH'''

	PERFORM/CONFIRM ALL ABOVE INTERVENTIONS		''PERFORM/CONFIRM ALL ABOVE INTERVENTIONS''

	# Initiate IV/IO.		# Initiate IV/IO.
	# Administer NS fluid bolus, 1,000 mL wide open (do not delay transport).		# Administer NS fluid bolus, 1,000 mL wide open (do not delay transport).

	INTERMEDIATE/PARAMEDIC PERFORM/CONFIRM ALL ABOVE INTERVENTIONS		'''INTERMEDIATE/PARAMEDIC'''

			''PERFORM/CONFIRM ALL ABOVE INTERVENTIONS''

	# Address pain per Pain Management and/or Trauma-Prolonged Extrication Guidelines.		# Address pain per Pain Management and/or Trauma-Prolonged Extrication Guidelines.
	# For crush injuries lasting GREATER THAN 2 HOURS, and with EKG/monitor evidence for HYPERKALEMIA (Peaked T-waves, Absent P-waves, Widened QRS complex), administer:		# For crush injuries lasting GREATER THAN 2 HOURS, and with EKG/monitor evidence for HYPERKALEMIA (Peaked T-waves, Absent P-waves, Widened QRS complex), administer:
	## Albuterol 5mg in 6ml normal saline via nebulizer		## Albuterol 5mg in 6ml normal saline via nebulizer
	## Sodium Bicarbonate 1mEq/kg IV, delivered over sixty (60) seconds		## Sodium Bicarbonate 1mEq/kg IV, delivered over sixty (60) seconds
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	## NOTE: Flush the IV tubing well between injections when administering Calcium Chloride and Sodium Bicarbonate in sequence. When these drugs are mixed, a milky precipitate (calcium carbonate) may result.		## NOTE: Flush the IV tubing well between injections when administering Calcium Chloride and Sodium Bicarbonate in sequence. When these drugs are mixed, a milky precipitate (calcium carbonate) may result.
	# Special Considerations:		# Special Considerations:
			##Monitor for signs of Compartment Syndrome (severe swelling/tightness of an extremity with loss of pulses/sensation).
			###Usually requires compression for 6+ hours.
			##Tourniquets should only be used for hemorrhage control.

	~~A. Monitor for signs of Compartment Syndrome (severe swelling/tightness of an extremity with~~		'''''Contact Medical Control if a physician is needed at the scene for surgical extrication.'''''

	~~loss of pulses/sensation).~~

	~~1) Usually requires compression for 6+ hours.~~

	~~B. Tourniquets should only be used for hemorrhage control.~~

	Contact Medical Control if a physician is needed at the scene for surgical extrication.

Cgabryszek: Created page with "Notes: • For patients < 18 years old, contact medical control for management recommendations. '''EMR/EMT - EMERGENCY MEDICAL RESPONDER''' # Provide routine medical care as indicated. # Oxygen – High Flow, assist with ventilations as indicated. # Treat for signs and symptoms of shock as indicated. # Control bleeding as indicated. # Spinal Motion Restriction as indicated. # If pulseless, treat for cardiac arrest as indicated. EMT- EMERGENCY MEDICAL TECHNICIAN PERFO..."

2024-05-29T19:36:01Z

Created page with "Notes: • For patients < 18 years old, contact medical control for management recommendations. '''EMR/EMT - EMERGENCY MEDICAL RESPONDER''' # Provide routine medical care as indicated. # Oxygen – High Flow, assist with ventilations as indicated. # Treat for signs and symptoms of shock as indicated. # Control bleeding as indicated. # Spinal Motion Restriction as indicated. # If pulseless, treat for cardiac arrest as indicated. EMT- EMERGENCY MEDICAL TECHNICIAN PERFO..."

New page

Notes:

• For patients < 18 years old, contact medical control for management recommendations.

'''EMR/EMT - EMERGENCY MEDICAL RESPONDER'''

# Provide routine medical care as indicated.
# Oxygen – High Flow, assist with ventilations as indicated.
# Treat for signs and symptoms of shock as indicated.
# Control bleeding as indicated.
# Spinal Motion Restriction as indicated.
# If pulseless, treat for cardiac arrest as indicated.

EMT- EMERGENCY MEDICAL TECHNICIAN PERFORM/CONFIRM ALL ABOVE INTERVENTIONS

# Assure ALS intercept is en route.
# Apply ECG monitor & run strip (if trained, if time allows, and after all other interventions are completed).
# Perform 12-lead ECG (if trained) as indicated.
# Monitor for signs of hyperkalemia:

# Peaked T-waves
# Widened QRS complex
# Lengthening QT interval
# Absent P-waves

AEMT – ADVANCED EMERGENCY MEDICINE TECH

PERFORM/CONFIRM ALL ABOVE INTERVENTIONS

# Initiate IV/IO.
# Administer NS fluid bolus, 1,000 mL wide open (do not delay transport).

INTERMEDIATE/PARAMEDIC PERFORM/CONFIRM ALL ABOVE INTERVENTIONS

# Address pain per Pain Management and/or Trauma-Prolonged Extrication Guidelines.
# For crush injuries lasting GREATER THAN 2 HOURS, and with EKG/monitor evidence for HYPERKALEMIA (Peaked T-waves, Absent P-waves, Widened QRS complex), administer:
## Albuterol 5mg in 6ml normal saline via nebulizer
## Sodium Bicarbonate 1mEq/kg IV, delivered over sixty (60) seconds
## Calcium Chloride 1gm IV
## NOTE: Flush the IV tubing well between injections when administering Calcium Chloride and Sodium Bicarbonate in sequence. When these drugs are mixed, a milky precipitate (calcium carbonate) may result.
# Special Considerations:

A. Monitor for signs of Compartment Syndrome (severe swelling/tightness of an extremity with

loss of pulses/sensation).

1) Usually requires compression for 6+ hours.

B. Tourniquets should only be used for hemorrhage control.

Contact Medical Control if a physician is needed at the scene for surgical extrication.

3-11 CRUSH INJURY - Revision history

Cgabryszek at 19:37, 29 May 2024