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Idaho CPAP Training Module Draft Revision

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Robert Cole
Robert Cole

CPAP training developed for my department and in review for possible adoption by the state.

Health & MedicineBusiness
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State of Idaho CPAP training Module DRAFT
Revision Information ,[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Special Thanks ,[object Object],[object Object],[object Object],[object Object]
CPAP - Background ,[object Object],[object Object],[object Object],[object Object]
CPAP - Background ,[object Object],[object Object],[object Object]
History of CPAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Boussignac CPAP? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of CPAP
Boussignac
Oxypeep
Whisperflow Flow Generators
Emergent Products PortO2vent
CAREvent® ALS + CPAP
Physiology of CPAP
Vital Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Airway and Respiratory Anatomy and Physiology ,[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Anatomy ,[object Object]
Airway and Respiratory Anatomy ,[object Object]
Question: So why does oxygen pass into the blood? A: The Pressure Gradient!!!! Airway and Respiratory Physiology
Airway and Respiratory Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Physiology ,[object Object],Picture released into public domain by wikipedia
Airway and Respiratory Physiology FRC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Physiology WOB ,[object Object],[object Object]
Airway and Respiratory Physiology WOB ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Physiology WOB ,[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Pathology
Airway and Respiratory Pathology CHF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Pathology CHF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Asthma? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Infiltration of Interstitial Space ,[object Object],[object Object],[object Object]
Airway and Respiratory Pathology CHF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Pathology Asthma and COPD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Pathology Asthma and COPD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Pathology Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Pathology Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway and Respiratory Pathology Drowning ,[object Object],[object Object]
Other uses of CPAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physiology of CPAP
Physiology of CPAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physiology of CPAP : CPAP Mechanism ,[object Object],[object Object],[object Object],[object Object]
Physiology of CPAP : Redistribution of pulmonary edema with CPAP
Physiology of CPAP: Hypotension ,[object Object],[object Object],[object Object]
Physiology of CPAP : Administration of Medications by CPAP ,[object Object]
Use of CPAP by EMS
Goals of CPAP use in the field ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CPAP vs. Intubation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key Point: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A note on misdiagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contraindications/Exclusion Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cautions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Selling CPAP? ,[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discontinuing of CPAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KEY POINT: CPAP will not cure all patients! Some patients just really want a tube! “ Don’t give up to early but know when to give up”
Documentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Documentation: Modified Borg Scale ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EMS System Implementations and Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CPAP and Intubation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST ,[object Object]
Research Review
Research Review ,[object Object],[object Object],[object Object],[object Object]
Research Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ CPAP is to APE like D50 is to insulin shock” - Russell K. Miller Jr, MD, FACEP
Research Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research Review BiPap vs. CPAP ,[object Object],[object Object]
Research Review: BiPAP vs CPAP ,[object Object],[object Object],[object Object],[object Object]
Research review: Pre-hospital CPAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key Points of CPAP ,[object Object],[object Object],[object Object],[object Object]
Review local protocol or local Medical Director considerations
Questions?
Device specific orientation and skills practice Followed by skills check off and a written test!

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