Medical Control
- MD that can give any order on the scope of their practice
-May control assist with questions regarding patient care or if there are complex medical conditions
-Can help determine the most appropr
...
Medical Control
- MD that can give any order on the scope of their practice
-May control assist with questions regarding patient care or if there are complex medical conditions
-Can help determine the most appropriate receiving facility
Cardiac Arrest--Adult
- 30 compressions to 2 breaths via BVM (30:2)
-Switch w/ partner every 2 minutes
-Minimize interruptions of CPR
-Use airway adjuncts as indicated
-Apply AED, resume CPR after defibrillating
Cardiac Arrest--Pediatric
30:2 for single rescuer
15:2 for two rescuer
-Adult AED pads can be used if needed
Foreign Body Airway Obstruction (FBAO)--Adults
- Rapid transport
If conscious and can breathe, cough, speak:
-encourage pt. to cough
-transport in position of comfort/sitting
-O2 administration
If conscious and cannot breathe, cough, speak:
-Airway maneuver
-Heimlich
Unconscious:
-Remove airway obstruction if visible
-Perform CPR
FBAO--PEDS
-Rapid transport
If conscious and can breathe, cough, speak:
-encourage pt. to cough
-transport in position of comfort/sitting
-O2 administration
-Consider letting parent hold face mask 6-8in. from the child's face
If conscious and cannot breathe, cough, speak:
-Airway maneuver
-Perform 5 chest thrusts alternating with 5 back blows
Unconscious:
-Remove airway obstruction if visible
-Perform CPR
Signs of Ineffective Breathing
-Cyanosis
-Visible retractions
-Use of Accessory Muscles
-AMS
- RR < 10 bpm
-Signs of Poor Perfusion
Respiratory Arrest/Failure--Adult
-Open airway and remove any visible airway obstruction by hand; insert adjunct if necessary
-Suction if necessary
-PPV with BVM
-Ventilate every 5-6 seconds; each breath given over 1 second
-SPO2 goal: 94% >
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