EMS Interventions (RI Protocols) Flashcards

Acetaminophen

• Acetaminophen, also known as APAP or Tylenol, is used by EMTs for pediatric seizures and to alleviate discomfort from severe injuries and fevers.
• Pediatric dosage: 15 mg/kg.
• Adult dosage (for patients ≥ 2 years): 10 mg/kg or 650 mg.
• Administered as a rectal suppository for pediatric patients.
• Medical control status for acetaminophen is noted as a standing order.

Oxygen

• Oxygen is utilized by EMTs for airway management and respiratory support, having no contraindications in prehospital settings.
• Administer at 15 liters per minute (lpm) for both adult and pediatric patients using non-rebreather or bag valve mask.
• For nasal cannula, oxygen flow rate ranges from 1-6 lpm.
• Medical control status for oxygen is established as a standing order.

Epinephrine

• Epinephrine is indicated for conditions such as anaphylaxis, asthma, dyspnea, and burns; it requires medical control for patients with cardiac history or those over 50 years old.
• Adult intramuscular dosage: 0.3 mL of 1:1000 solution.
• Pediatric dosing varies:
  • For children over 20 kg: 0.3 mL of 1:1000.
  • For children 10-20 kg: 0.2 mL of 1:1000.
  • For children under 10 kg: 0.1 mL of 1:1000.
• Epinephrine can also be administered intranasally and via nebulization (5 mL of 1:1000 solution) with medical control contact required in RI.

Oral Glucose

• Oral glucose is indicated for patients with impaired consciousness, seizures/postictal states, or signs/symptoms of hypoglycemia (blood glucose < 60).
• Contraindications involve airway concerns, nausea/vomiting, or absence of gag reflex.
• Dosage for both adults and pediatric patients: 15 g.
• Medical control for oral glucose administration is established as a standing order.

Glucagon

• Glucagon is indicated for patients with impaired consciousness, seizures, or hypoglycemia, and has no contraindications in emergencies.
• Route of administration is intramuscular.
• Adult dosage: 1 mg if blood glucose is < 60 or unknown.
• Pediatric dosage: 0.1 mg/kg, up to a maximum of 1 mg.
• Requires contact with medical control.

Naloxone

• Naloxone, known as Narcan, is indicated for cases of impaired consciousness or seizures; caution is advised for known addicts.
• Dosage in suspected opioid overdose: 2 mg, repeat until level of consciousness improves or maximum 10 mg.
• If overdose is not suspected, dosage: 0.4 mg, repeat every minute until level of consciousness improves or maximum of 2 mg.
• Medical control must be contacted when administered intramuscularly or for suspected overdose, or if more than 0.4 mg is required.
• Standing order exists for intranasal administration, limited to an initial 0.4 mg dose.

Test your knowledge on EMS interventions and protocols related to acetaminophen usage. This quiz covers dosages for both pediatric and adult patients, helping EMTs refine their understanding of essential medication administration. Perfect for EMT training and review.