Questions and Answers
What information should be included in radio communication? (Select all that apply)
How often should you check vitals for unstable patients?
Every 5 minutes
How should you place a patient unless hypotensive?
Upright
What is the first step in the Airway Obstruction Protocol for a conscious patient?
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What should you do first for an unconscious patient with airway obstruction?
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What are the indications for using a King Airway? (Select all that apply)
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What are the contraindications for using an i-gel? (Select all that apply)
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What is the first step in the IM injection protocol?
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Which of the following must be documented after an IM injection? (Select all that apply)
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What should be done if blood is aspirated into the syringe during an IM injection?
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What are indications for intranasal medication administration?
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What are contraindications for intranasal administration? (Select all that apply)
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Study Notes
Radio Communication
- Essential elements include unit ID, destination/ETA, age/sex, chief complaint, initial assessment, vitals, pertinent physical assessment findings, SAMPLE history, and treatment given/pt response.
Vital Sign Monitoring
- Check vitals every 5 minutes for unstable patients.
- Check vitals every 15 minutes for stable patients.
Patient Positioning
- Position patients upright unless hypotensive.
- Conditions warranting caution include BP issues, respiratory distress, altered consciousness, cyanosis, cardiac symptoms, or head injury.
- Administer supplemental oxygen with non-rebreather mask at 15 L/min, ensuring the bag is inflated.
- If NRM isn't tolerated, use nasal cannula at 6 L/min.
- Initiate bag-valve mask ventilation at 12/min with 15 L/min supplemental oxygen if respiratory failure is evident.
Airway Obstruction (Conscious)
- Encourage coughing to clear obstruction.
- If ineffective, perform 5 abdominal or chest thrusts.
- Continuously repeat until obstruction is resolved or patient loses consciousness.
- Provide oxygen at 15 L/min for partial obstructions where the patient can still breathe.
Airway Obstruction (Unconscious)
- Open the airway; attempt ventilation.
- Reposition the head and retry ventilation if needed.
- Perform 30 chest compressions and attempt to remove any visible airway obstruction.
- If obstruction persists, repeat the compression and removal steps.
- Initiate Basic Life Support (BLS) and Intermediate Life Support (ILS) while preparing for Advanced Life Support (ALS).
King Airway
- Indicated for emergency intubation of unconscious or apneic patients without a gag reflex.
- Contraindications include active gag reflex, patients under four feet tall, under 16 years old, ingestion of caustic substances, suspected esophageal diseases, and tracheostomy patients.
i-gel
- Used for emergency intubation of apneic or unconscious patients who don't have a gag reflex.
- Contraindications include active gag reflex, caustic substance ingestion, cautious use in pregnant patients, morbid obesity, and patients with tracheostomies.
Oral-Gastric (OG) Tube and IV Cannulation
- Relevant procedures and indications exist, further details may be needed.
IM Injection Protocol
- Common injection sites are the deltoid and upper outer quadrant of the gluteus.
- Clean the site with alcohol and stretch the skin.
- Expect a "stick" from the patient and insert a 2-inch, 22g needle at a 90-degree angle.
- Aspirate to check for blood; if clear, slowly inject the medication.
- Document the medication details and monitor patient response.
Intranasal (IN) Protocol
- Indicated when IV access is unavailable, especially with agitated patients.
- Contraindications include nasal trauma, epistaxis, nasal congestion, and significant nasal discharge.
- Procedure involves selecting the medication, preparing the dose while accounting for dead space, and attaching a MAD (Mucosal Atomization Device) for administration.
- Position the patient appropriately for effective delivery.
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Description
Test your knowledge of the PAEMS protocol with these flashcards. Each card provides key concepts and definitions essential for effective radio communication and patient assessment in emergency medical services. Perfect for students and professionals looking to reinforce their understanding.
