Methods / AIR METHODS CC Paramedic
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1. Vent: A/C - ANSWER Assist control - vent delivers full breath when patient
attempts to breathe
2. Vent: SIMV - ANSWER When patient breathes, vent only gives what they
try to take (not full amount)
3. BIPAP - ANSWER 2 different pressures
- ventilates patient with COPD to get rid of increased CO2 and also oxygenate
- Emphysema, Chronic bronchitis are also indicated for this
3. LEMON - ANSWER Used to determine difficult airways
L-Look externally
E-Evaluate 332
M-Mallampati
O-Obstruction/obesity
N-Next mobility
,5. MOANS - ANSWER Used to determine bag compliance
M-Mask seal good?
O-obstruction/obesity
A-Age over 50
N-No teeth
S-Stiff lungs
6. RODS - ANSWER Difficult IGel Airway
R-Restricted mouth opening
O-Obstruction/obesity
D-Distorted airway
S-Stiff lungs
7. SMART - ANSWER Difficult cric airway
S-Stiff neck
M-Mass
A-Access/anatomy
R-Radiation
T-Tumor
8. Surgical Airway Contraindications - ANSWER Under 10 years
Cannot identify landmarks
,Tumor
Severely damaged trachea
Coagulapathy
Lack of experience
9. Size tube for Cric - ANSWER Shiley #6, or 6.0 ETT
10. What are S/S of ICP? - ANSWER Cushing's Triad - Bradycardia, Widening
Pulse Pressure (increased Systolic and decreased Diastolic), Cheyenne Stoke's
Resp.
Seizures
AMS
Posturing
11. Hypovolemic Shock - ANSWER Loss of blood or volume
Causes:
blood loss, 3rd degree burns, excessive V/D, acute pancreatitis, DKA
S/S: Decreased CO, Increased SVR, cyanosis and hypoxia
12. Hypovolemic Shock TX - ANSWER Fluid replacement - LR or blood
Albumin
Keep warm
, 13. Cardiogenic Shock - ANSWER Pump problem
Causes:
Myocarditis, MI TX, Congenital heart defects, arrhythmias, valve issues
S/S: Low BP, Low CO, High SVR, tachy
14. Cardiogenic Shock TX - ANSWER Treat underlying cause
02
Small amounts of fluid
Vasopressors
15. Obstructive Shock - ANSWER Caused by tension pneumothorax,
pericardial tamponade, PE
S/S: Hypotension, hypoxia
16. Obstructive Shock TX - ANSWER 02, Vasopressors, fluids
17. Distributive Shock / Septic - ANSWER Permeability problem
S/S: decreased BP, fever, hypoxia
TX: IV antibiotics, LR fluids and vasopressors
18. Distributive Shock / Neuro - ANSWER Acute spinal cord injury