2009 paramedic assist

1,824 views
1,636 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,824
On SlideShare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
51
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

2009 paramedic assist

  1. 2. Paramedic Assist Presented by Shore Emergency Educators
  2. 3. Objectives <ul><li>Overview of BLS protocols </li></ul><ul><li>BLS►ALS Assistance </li></ul>
  3. 5. BLS Protocols Soon to be updated!!! Yeah!!!!!!!
  4. 6. Protocols <ul><li>General patient care </li></ul><ul><li>Chest pain </li></ul><ul><li>Acute respiratory distress </li></ul><ul><li>Severe allergic reaction </li></ul><ul><li>Diabetics with altered mental status </li></ul><ul><li>Automatic external defibrillator </li></ul><ul><li>Pediatric and adult trauma </li></ul><ul><li>Pulse Oximetry </li></ul><ul><li>Refusal of service </li></ul><ul><li>Guidelines regarding DNR orders </li></ul>
  5. 7. General Patient Care <ul><li>Safety: scene, universal precautions </li></ul><ul><li>ABC’s </li></ul><ul><li>SAMPLE History </li></ul><ul><li>Pertinent physical exam </li></ul><ul><li>Oxygen as appropriate </li></ul><ul><li>Appropriate transportation </li></ul><ul><li>Transfer of care </li></ul>
  6. 8. Chest Pain <ul><li>Non-traumatic </li></ul><ul><li>Possible cardiac origin </li></ul><ul><li>Follow General Patient Care Protocol </li></ul><ul><li>Nitroglycerin Standing Order </li></ul>Assist patient with prescribed nitroglycerin Assure BP > 100 systolic prior to each dose!!! Maximum 3 doses 3 to 5 minutes apart Recheck blood pressure between doses VIAGRA or other ED Drugs
  7. 9. Acute Respiratory Distress <ul><li>Signs and Symptoms of acute exacerbations of asthma, emphysema, reactive airway disease, and allergic reactions include: </li></ul><ul><ul><li>Cough, shortness of breath and air hunger, wheezing, diminished breath sounds, retractions, and tachypnea. </li></ul></ul>
  8. 10. Acute Respiratory Distress <ul><li>Assist/Administer MDI </li></ul><ul><ul><li>Short acting </li></ul></ul><ul><ul><li>Rescue inhaler </li></ul></ul><ul><ul><li>Albuterol, Atrovent, Proventil, Combivent </li></ul></ul>
  9. 11. Acute Respiratory Distress <ul><li>CPAP—Pilot program </li></ul><ul><li>ALS Standard </li></ul><ul><li>Different Equipment </li></ul><ul><li>Need to perform accurate assessment quickly </li></ul>
  10. 12. CPAP
  11. 13. Severe Allergic Reaction <ul><li>Urticaria (hives) with respiratory distress. </li></ul><ul><li>Partial or complete airway obstruction </li></ul><ul><ul><li>(sensation of throat closing) </li></ul></ul><ul><li>Hypotension or evidence of shock. </li></ul><ul><li>Urticaria (hives) alone with a history of life threatening allergic reaction </li></ul><ul><li>Patients with severe asthma may manifest their allergic reaction primarily as an asthma attack. </li></ul>
  12. 14. Diabetics with Altered Mental Status <ul><li>Patient should be a known diabetic suffering from an altered mental status. </li></ul><ul><li>The cause of the altered mental status could be low blood sugar. </li></ul><ul><li>Follow general patient care protocol. </li></ul>
  13. 15. Diabetics with Altered Mental Status <ul><li>Be alert for signs of trauma during the physical examination. Patients with altered mental status due to trauma should not be given anything by mouth in case their condition worsens unexpectedly or they require an operation to repair damage. </li></ul>
  14. 16. ALS Protocols <ul><li>All patient care starts the same no matter ALS or BLS. </li></ul><ul><ul><li>Patient Assessment </li></ul></ul><ul><li>The better BLS assesses the patient if on scene first, the quicker the patient receives care, which is the ultimate goal </li></ul>
  15. 17. Overview of ALS Equipment <ul><li>You are not responsible to know how to operate ALS equipment, but general knowledge is helpful. </li></ul><ul><ul><li>12 Lead EKG Monitor </li></ul></ul><ul><li>Never should you administer/assist in any medication that is outside of your scope of practice (protocols). </li></ul>
  16. 18. ECG Monitor ON/OFF
  17. 19. ECG Monitor 12 Lead Button
  18. 20. ECG Monitor Selector Wheel
  19. 21. ECG Monitor PRINTER DEFIB CABLES
  20. 22. ECG Monitor LEAD AND SIZE NIBP
  21. 23. ECG Monitor SA02/EtCO2
  22. 24. 12 Lead <ul><li>V1-V2- 4 TH </li></ul><ul><li>V3 </li></ul><ul><li>V4-5 th </li></ul><ul><li>V5 </li></ul><ul><li>V6-6th </li></ul>
  23. 25. 12 Lead
  24. 26. 12 Lead
  25. 27. 12 Lead
  26. 28. CPR Devices <ul><li>Keep providers seated </li></ul><ul><li>Don’t “tire” out </li></ul><ul><li>Consistent </li></ul>
  27. 29. CPR Devices
  28. 30. CPR Device
  29. 31. IV Tubing
  30. 32. Trauma Tubing
  31. 33. Trauma Tubing (cont.)
  32. 34. Hypothermia <ul><li>Resuscitated Cardiac Arrest </li></ul><ul><li>Ice Packs </li></ul><ul><li>Cold Fluid </li></ul>
  33. 35. Hypothermia
  34. 36. Hypothermia
  35. 39. That’s all

×