GUARANTEE A+
✔✔Nitroglycerin Admin - ✔✔Used for angina -- heart pain after exercise due to lack of
O2
Verify that it is their prescription and not expired
Check BP is at least 100
Tell patient to place tablet under their tongue until it fully dissolves
Wait 5 min and if doesn't go away administer another
DO NOT do more than 3
Check BP between doses
✔✔Aspirin Admin - ✔✔MI - 4 chewable baby aspirin
✔✔blood pressure - ✔✔Scene safety and precautions
Permission to treat
Cuff snugly to upper arm align with artery
Palpate brachial artery
Place stethoscope diaphragm on the artery
Grasp bag valve -- turn clockwise to close
160 -- 200 +20 until pulses not heard
Note systolic when you first here and diastolic when you last hear
✔✔Cardiac Arrhythmia - ✔✔abnormal heart rhythm
ineffective ventricular contraction can lead to cardiogenic shock or arrest
✔✔Asystole - ✔✔Complete absence of heartbeat- no electric pulse
✔✔Commotio Cordis - ✔✔blunt trauma to the chest effects electric activity of the heart,
but no other observable outer thoracic or cardiac damage
✔✔Traumatic Asphyxia - ✔✔external pressure prevents proper expansion for breathing,
think avalanche
purplish face
✔✔LAP - ✔✔look, auscultate, palpate
look- chest, flail chest, impaled object, open sucking chest wound
auscultate- listen for present, equal sounds
palpate- front and back for tenderness
✔✔Calling the Helicopter - ✔✔Life threatening condition requiring save 20 mins
transportation or more advanced drugs in the copter.
, ✔✔Call for 02 - ✔✔Respiration difficulties
Shock
Significant MOI
more
✔✔Call for Backboard - ✔✔Femur
Pelvis
Super damaged patient
✔✔Call for Burrito - ✔✔Spinal issue that means we need to immobilize the head in the
backboard
✔✔Call for Toboggan - ✔✔Victim cannot ski back down the mountain by themselves. Or
like with a concussion or AMS, it's just a good cautionary measure.
✔✔Call for Extra Patrollers - ✔✔Do it
✔✔Anterior/Posterior - ✔✔Front of the body/ Back of the body
✔✔Superior/ Inferior - ✔✔Higher up on the body/ Lower on the body
✔✔Medial/ Lateral - ✔✔Closer to the midline of the body/ farther away from the midline
of the body
✔✔Proximal/ Distal - ✔✔Close to the core of the body/ farther away (like axial vs.
appendages)
✔✔Superficial/ Deep - ✔✔Near the surface/ deep into the surface
✔✔Internal/ External - ✔✔Inside/ Outside of the body (ex. liver vs. skin)
✔✔Semi- Fowler Position - ✔✔Trunk is at a 45 to 60 degree angle with straight legs
✔✔High-Fowler Position - ✔✔Trunk is at a 90 degree angle with straight legs
✔✔Trendelenburg Position - ✔✔Legs elevated above the body, patient flat on his back.
Not something we use in real lyfe.
✔✔Blood Components - ✔✔Red Blood Cells- hemoglobin, oxyen-rich
White Blood Cells- fight disease
Platelets- clots
Plasma- the liquid in which the cells flow
✔✔Spinal Sections - ✔✔Cervical, Thoracic, Lumbar, Sacral, Coccygeal