EMT Emergency Medical Technician
AEMT Advanced Emergency Medical Technician
contraindications-ED drugs, low blood pressure
administer 0.4 mg only 3 times or less
High glucose leads to increased ATP production, K+ channels close (more K+ inside the cell), depolarization of the cell will then open Ca2+ channels, Ca2+ enters the cell and insulin is secreted.
one infant or child dose is 0.15mg
Side effects-increased heart rate, pallor, dizziness, chest pain, anxiety
s/s: irritability, anxiety, insomnia, tremors, sweating, mild tachycardia
2. Usual adult dose: 25 – 50 grams.
3. Usual pediatric dose: 12.5 – 25 grams.
Mix with soda for easier consumption
Severe abdominal pain, poorly localized, frequently radiates to back
excruciating, tearing pain sudden onset, last hours to days
pain unrelated to anything
BP Lower in left arm
Parietal pain A localized, intense pain that arises from the parietal peritoneum, the lining of the abdominal cavity.
– increases blood viscosity
– encourages blood coagulation
– stimulates vasoconstriction
– to overcome, the hypothalamic center stimulates shivering to increase heat production
– muscular processes become sluggish
Identify yourself and your role
Complete primary assessment
Perform as much of a detailed examination as possible
Gather a thorough patient history
Septic: due to massive infection
Vasogenic, Neurogenic: patients that suffer head or spinal trauma resulting in a failure of arterial resistance
Cardiogenic: resulting from cardiac failure
Allergic or anaphylaxis: results from being injected with a foreign protein, bee stings, iodinated contrast media
Venous-steady; slow flow dark red
Capillary-slow even flow
pale, cool and clammy skin
Nausea and vomiting
Vital sign change
Decompensatory – failing blood pressure & perfusion.
Irreversible – Death from organ, tissue & cell failure.
* Motor-vehicle or motorcycle crashes
* Auto Pedestrian collisions
* Blast Injuries
Strains-Tearing or overstretching of a muscle. Tendons attach muscles to bone.
each arm-9 (total f&b)
each leg-18 (total f&b)
chest-36 (total f&b)
Ligaments-connect bone to bone
Indirect force-a force that causes injury some distance away from the point of impact
Pelvic fracture-3-4 pints
Epiphyseal; children-growth section, growth abnormalities. Comminuted;broken in more than 2 fragments.
Pathological; weakened or diseased bone.
Oblique; across the bone, angled.
Transverse; across bone from direct blow or running.
Spiral; twisting force.
Incomplete; partial crack.
Score = (E+M+V)
Max score = 15 and lowest score = 3.
A score of ≤ 8 signifies coma or severe brain injury
Helmet is improperly fitted
interferes with immobilization
cardiac arrest patient
Do not remove-fits snugly, allowing little to no movement
nothing blocking airway, airway patent
removal would cause further damage
side effects: nausea, vomiting, heartburn, bleeding, if allergic wheezing and bronchospams