User contributions for Cgabryszek
From CRS EMS Guidelines
- 16:17, 7 May 2025 diff hist +2,491 N 5-12 DETERMINATION OF CAPACITY Created page with "Notes: * This protocol addresses determining whether an individual has the capacity to refuse care and/or transport in the prehospital setting. * Determining if a patient has capacity to refuse care should be done systematically and carefully to ensure patient safety and protection of the crew. * For patients < 18 years old, contact medical control for management recommendations. {| class="wikitable" |'''EMR/EMT/AEMT/Intermediate/Paramedic''' |} A patient can ref..." current Tag: Visual edit
- 16:14, 7 May 2025 diff hist +36 5 - Procedures current Tag: Visual edit
- 16:13, 7 May 2025 diff hist +2,181 N 2-23 ESOPHAGEAL FOOD BOLUS IMPACTION Created page with "Objective: * To attempt to resolve a Food Bolus Impaction via esophageal smooth muscle relaxation. * If glucagon administration is not successful at dislodging the Food Bolus, it will still expedite patient care by exhausting non-invasive management options. Notes: * This protocol should only be used for FOOD bolus impactions – DO NOT use for potentially rigid or sharp esophageal foreign bodies. * An esophageal food bolus impaction is a bolus of food/non-liquid that..." current Tag: Visual edit
- 16:11, 7 May 2025 diff hist +42 2 - Adult Medical current Tag: Visual edit
- 16:09, 7 May 2025 diff hist +213 5-6 NEUROMUSCULAR BLOCKADE AS ADJUNCT TO ORAL INTUBATION: RAPID SEQUENCE INTUBATION (RSI) current Tag: Visual edit
- 14:37, 29 May 2024 diff hist +37 3-11 CRUSH INJURY current Tag: Visual edit
- 14:36, 29 May 2024 diff hist +2,014 N 3-11 CRUSH INJURY 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..." Tag: Visual edit
- 14:35, 29 May 2024 diff hist +23 3 - Adult Trauma current Tag: Visual edit
- 09:53, 30 April 2024 diff hist −48 4-2 PEDIATRIC ALTERED MENTAL STATUS-HYPOGLYCEMIA current Tag: Visual edit
- 09:51, 30 April 2024 diff hist −42 2-16 ADULT HYPOGLYCEMIA current Tag: Visual edit
- 13:53, 3 October 2023 diff hist +77 5 - Procedures Tag: Visual edit
- 13:31, 3 October 2023 diff hist +1,242 N 5-11 CANCELLATION POLICY Created page with "'''Purpose:''' This policy is to provide a guideline for the management of situations where 911 EMS services are requested and the patient (or legal patient representative) either declines or refuses EMS evaluation, treatment, and/or transportation to a hospital OR when there is no patient found nor a need for EMS. Cancelled or Disregarded: the responding ambulance unit can be cancelled by dispatch for any reason prior to the responding unit arriving on scene or any of..." current Tag: Visual edit
- 13:30, 3 October 2023 diff hist +4 5 - Procedures Tag: Visual edit
- 13:30, 3 October 2023 diff hist +26 5 - Procedures add 5-11 Tag: Visual edit
- 13:28, 3 October 2023 diff hist −827 5-6 NEUROMUSCULAR BLOCKADE AS ADJUNCT TO ORAL INTUBATION: RAPID SEQUENCE INTUBATION (RSI) 2023 updates Tag: Visual edit
- 13:43, 18 November 2022 diff hist +4,079 N 5-10 TERMINATION OF RESUSCITATION Created page with "Notes: * This protocol addresses discontinuation of field resuscitation. * If the patient does not meet Presumed Dead On Arrival criteria, they will receive full resuscitation efforts based on current guidelines. * Studies have shown that rapid transport to a hospital after unsuccessful pre-hospital ACLS resuscitation attempt rarely results in survival to hospital discharge. * Patients that do not respond to pre-hospital efforts will generally not be transported to the..." current Tag: Visual edit
- 13:42, 18 November 2022 diff hist +39 5 - Procedures Tag: Visual edit
- 14:51, 4 April 2022 diff hist +69 4 - Pediatrics current Tag: Visual edit
- 14:48, 4 April 2022 diff hist +30 4 - Pediatrics Tag: Visual edit
- 00:08, 4 April 2022 diff hist +173 MediaWiki:Sidebar current
- 00:06, 4 April 2022 diff hist +11 MediaWiki:Sidebar
- 00:05, 4 April 2022 diff hist +16 MediaWiki:Sidebar
- 00:02, 4 April 2022 diff hist −12 MediaWiki:Sidebar
- 00:01, 4 April 2022 diff hist +77 N MediaWiki:Sidebar Created page with " * navigation ** mainpage|mainpage-description * SEARCH * TOOLBOX * LANGUAGES"
- 23:58, 3 April 2022 diff hist +576 MediaWiki:Timeless.css current
- 23:54, 3 April 2022 diff hist −1 MediaWiki:Lastmodifiedat Blanked the page current Tag: Blanking
- 23:54, 3 April 2022 diff hist +1 N MediaWiki:Lastmodifiedat Created page with "-"
- 23:53, 3 April 2022 diff hist +1 N MediaWiki:Disclaimers Created page with "-" current
- 23:52, 3 April 2022 diff hist +1 N MediaWiki:Aboutsite Created page with "-" current
- 23:51, 3 April 2022 diff hist +1 N MediaWiki:Privacy Created page with "-" current
- 23:39, 3 April 2022 diff hist +538 N MediaWiki:Timeless.css Created page with "→All CSS here will be loaded for users of the Timeless skin: →Top bar font modernization: #mw-header *, #mw-site-navigation *, #mw-related-navigation * { font-family: 'Segoe UI','Segoe UI Emoji','Segoe UI Symbol','Lato','Liberation Sans','Noto Sans','Helvetica Neue','Helvetica',sans-serif } →Avoid cutting off letters with descenders: g,j,p,q,y: #personal h2 span { height: 1.5em; position:relative; bottom:0.1em } →Triangle position patch: #..."
- 23:33, 3 April 2022 diff hist +175 N MediaWiki:Common.css Created page with "→CSS placed here will be applied to all skins: #ca-talk { display: none !important; } #ca-history { display: none !important;} #ca-viewsource { display: none !important; }" current
- 23:00, 3 April 2022 diff hist −573 Main Page current Tag: Visual edit
- 22:59, 3 April 2022 diff hist +2,458 N SUCCINYLCHOLINE (ANECTINE) Created page with "'''Class''' Short duration, depolarizing neuromuscular blocker '''Pharmacology and Actions''' # Succinylcholine is a short-acting, depolarizing skeletal muscle relaxant. ## Like acetylcholine, it combines with cholinergic receptors in the motor nerves to cause depolarization. ## Neuromuscular transmission is thus inhibited, which renders the muscles unable to be stimulated by acetylcholine. # Following IV/IO injection, complete paralysis is obtained within 60-90 secon..." current Tag: Visual edit
- 22:56, 3 April 2022 diff hist +2,225 N SODIUM BICARBONATE Created page with "'''Class''' Alkalinizing agent '''Pharmacology and Actions''' # Sodium bicarbonate is an alkalotic solution, which neutralizes acids found in the body. Acids are increased when body tissues become hypoxic due to cardiac or respiratory arrest. '''Indications''' # Tricyclic overdose with arrhythmias, widened QRS complex, hypotension, and seizures. # Consider in patients with prolonged cardiac arrest. # Consider in dialysis patients with cardiac arrest (presumed second..." current Tag: Visual edit
- 22:54, 3 April 2022 diff hist +1,179 N ROCURONIUM (ZEMURON) Created page with "'''Class''' Skeletal muscle relaxant, neuromuscular blocking agent '''Pharmacology and Actions''' # Non-depolarizing neuromuscular blocking agent with intermediate to rapid onset # Acts by competitive inhibition of cholinergic receptors at the motor end-plate # Higher doses produce a longer duration of action '''Indications for Use:''' # Facilitate endotracheal intubation # Provide skeletal muscle relaxation for mechanical ventilation '''Contraindications''' # Kno..." current Tag: Visual edit
- 22:53, 3 April 2022 diff hist +683 N ONDANSETRON (ZOFRAN) Created page with "'''Class''' Antiemetic Selective antagonist of the serotonin receptor subtype '''Pharmacology and Actions''' # Very effective antiemetic # Action is not known, probably due to the selective antagonist receptors on neurons located in either the peripheral or central nervous systems or both '''Indications''' # Nausea and vomiting '''Contraindications''' # Known sensitivity to the drug. '''Precautions''' # Not effective in preventing motion-induced nausea and vomi..." current Tag: Visual edit
- 22:51, 3 April 2022 diff hist +1,799 N NITROGLYCERIN Created page with "'''Class''' Vasodilator '''Pharmacology and Actions''' # Cardiovascular effects include: ## Reduced venous tone, causes blood pooling in peripheral veins, decreasing venous return to the heart. ## Decreased peripheral resistance ## Dilatation of coronary arteries (if not already at maximum) and relief of coronary artery spasm. # Generalized smooth muscle relaxation '''Indications''' # Angina # Chest, arm, or neck pain caused by coronary ischemia # Patients with 12-l..." current Tag: Visual edit
- 22:49, 3 April 2022 diff hist +2,116 N NARCAN (NALOXONE) Created page with "'''Class''' Narcotic antagonist '''Pharmacology and Actions''' # Narcan is a narcotic antagonist which completely binds to narcotic receptor sites, but which exhibits almost no pharmacological activity of its own. Duration of action: 1-4 hours. '''Indications''' # Reversal of narcotic effects, particularly respiratory depression, due to narcotic drugs ingested, injected, or administered in the course of treatment. Narcotic drugs include morphine, fentanyl, meperidin..." current Tag: Visual edit
- 22:48, 3 April 2022 diff hist +1,377 N VERSED (MIDAZOLAM) Created page with "'''Class''' Benzodiazepine, Sedative and Hypnotic '''Pharmacology and Actions''' # CNS depressant leading to sedation and amnesia # Versed is 3 to 4 times more potent than Diazepam # Like other benzodiazepines, it has no effect on pain '''Indications''' # Sedation for cardioversion or transcutaneous pacing (TCP) # Used with succinylcholine for rapid sequence intubation (RSI) # Continued sedation of the intubated patient '''Contraindications''' # Patients with a hi..." current Tag: Visual edit
- 22:46, 3 April 2022 diff hist +1,437 N MAGNESIUM SULFATE Created page with "'''Class''' Anticonvulsant / Antiarrhythmic '''Pharmacology and Actions''' # Cardiac: stabilizes potassium pump, correcting repolarization. Shortens the QT interval in the presence of ventricular arrhythmias due to drug toxicity or electrolyte imbalance. # Obstetrics: controls seizures by blocking neuromuscular transmission. Also lowers blood pressure and decreases cerebral vasospasm. '''Indications''' # Cardiac: ## Recommended for use in cardiac arrest only if tors..." current Tag: Visual edit
- 22:44, 3 April 2022 diff hist +1,903 N LIDOCAINE (XYLOCAINE) Created page with "'''Class''' Antiarrhythmic '''Pharmacology and Actions''' # Cardiovascular ## Increased ventricular fibrillation threshold ## Decreased conduction rate and myocontractility (at toxic levels) # CNS ## Stimulation ## Decreased cough reflex '''Indications''' # Pediatric cardiac arrest from VT/VF # Sustained VT with a pulse # Prior to intubation in head trauma (suspected increased intracranial pressure) '''Contraindications''' # Known hypersensitivity to lidocaine ''..." current Tag: Visual edit
- 22:41, 3 April 2022 diff hist +2,147 N KETAMINE Created page with "'''Class''' A rapid-acting general anesthetic, normal pharyngeal-laryngeal reflexes, normal or slightly enhanced skeletal muscle tone, cardiovascular and respiratory stimulation, and occasionally a transient and minimal respiratory depression. '''Pharmacology and Actions''' # Produces an anesthetic state characterized by profound analgesia # Normal or slightly enhanced skeletal muscle tone # Cardiovascular and respiratory stimulation # Occasionally a transient and m..." current Tag: Visual edit
- 22:38, 3 April 2022 diff hist +1,094 N GLUCAGON Created page with "'''Class''' Hormone (antihypoglycemic agent) '''Pharmacology and Actions''' # Increases blood sugar concentration by converting liver glycogen to glucose. # Relaxes smooth muscle of the GI tract. # Increases heart rate and cardiac contractility. '''Indications''' # Symptomatic hypoglycemia when IV access is unsuccessful. # Hypotensiion from beta-blocker or calcium channel blocker overdose unresponsive to normal saline bolus. # Suspected symptomatic esophageal foreig..." current Tag: Visual edit
- 22:37, 3 April 2022 diff hist +1,916 N FENTANYL (SUBLIMAZE) Created page with "'''Class''' Narcotic analgesic '''Pharmacology and Actions''' # Potent synthetic narcotic analgesic with actions similar to those of morphine, but action is more prompt and less prolonged # The emetic effect is less than morphine. '''Indications''' # Adult and pediatric pain management # Chest pain # STEMI '''Precautions''' # Contraindicated in patients taking MOA inhibitors # Myasthenia gravis # Use with caution with head injuries, ICP, elderly, COPD, liver and k..." current Tag: Visual edit
- 22:35, 3 April 2022 diff hist +3,305 N EPINEPHRINE Created page with "'''Class''' Sympathomimetic '''Pharmacology and Actions''' # Catecholamine with alpha and beta effects # Cardiovascular: Increased heart rate, increased blood pressure, arterial vasoconstriction, increased myocardial contractile force, increased myocardial oxygen consumption, and increased myocardial automaticity and irritability # Pulmonary: Potent bronchodilator '''Indications''' # Medical cardiac arrest, including: ## Ventricular fibrillation and pulseless ventri..." current Tag: Visual edit
- 22:30, 3 April 2022 diff hist +2,235 N DOPAMINE (INTROPIN) Created page with "'''Class''' Sympathetic Agonist '''Pharmacology and Actions''' # Dopamine is a chemical precursor of epinephrine. It occurs naturally in humans. # Dopamine has the following dose-related effects: ## 2-10 mcg/kg/min: beta effects on heart, usually increases cardiac output without increasing heart rate or blood pressure. ## 10-20 mcg/kg/min: alpha peripheral effects cause peripheral vasoconstriction and increased blood pressure. '''Indications''' # Symptomatic hypoten..." current Tag: Visual edit
- 22:29, 3 April 2022 diff hist +1,501 N DIPHENHYDRAMINE (BENADRYL) Created page with "'''Class''' Antihistamine '''Pharmacology and Actions''' # An antihistamine that blocks action of histamine released from the cells during an allergic reaction. # Direct CNS effects, which may be a stimulant or, more commonly, a depressant, depending on individual variation. # Anticholinergic, antiparkinsonian effect, which is used to treat acute dystonic reactions to antipsychotic drugs (Haldol, Thorazine, Compazine, etc.). These reactions include oculogyric crisis..." current Tag: Visual edit
- 22:27, 3 April 2022 diff hist +2,062 N DEXTROSE 50% Created page with "'''Class''' Carbohydrate '''Pharmacology and Actions''' # Glucose is the body's basic fuel and is required for cellular metabolism. A sudden drop in blood sugar levels will result in disturbances of normal metabolism, manifested clinically as a decrease in mental status, sweating, and tachycardia. Further decreases in blood sugar may result in coma, seizures, and cardiac arrhythmias. Serum glucose is regulated by insulin, which stimulates storage of excess glucose for..." current Tag: Visual edit
- 22:25, 3 April 2022 diff hist +1,606 N CALCIUM CHLORIDE Created page with "'''Class''' Calcium Replacement '''Pharmacology and Actions''' # Ca++ is an essential component for proper functioning nervous, muscular, skeletal and endocrine systems # Positive inotrope & dromotrope '''Indications''' # Hypermagnesemia # Low serum calcium level # Overdose of calcium channel blockers # Hyperkalemic cardiac arrest # Tx of insect bites and stings, particularly black widow spiders and scorpions '''Contraindications''' # Hypersensitivity to the medic..." current Tag: Visual edit
