FTO Bridger

sepsis indications and what to do

indications: suspected source of infection and present with at least 2: temp>100.4 F, HR> normal, RR>normal, and hypotension

protocol: place in position of comfort or supine (if hypotension)

sepsis alert

stroke what to do

cincinnati and post-cerebellar then LAMS

call stroke alert, get last known well. LAMS 0-3: any stroke center, LAMS>4: comprehensive stroke center

GCS

eye opening: 4 (spontaneous, verbal, pain, none)

verbal response: 5 (regular, confused words, weird words, weird sounds, none)

motor response: 6 (can follow commands, localizes pain, abnormal flexion, abnormal extension, none)

consult for epi when

asthma with pregnancy or cardiac history

more doses of epi

oxygen indications

cardiopulmonary arrest, trauma

IFT call-ins

call when leave campus, delayed>20 minutes, leave hospital and back in service

C-collar when:

GCS=15

self-ambulatory

no neurological deficits

c-collar and backboard when

GCS<15, neurological deficits, cannot ambulate

forced transport when

not AxO4, AMMS< drugs/alcohol, significant history, strange vitals

what do to when BCFD doesnt take short form

when refusal:

when security canceled BCFD

call them back

when can cancel BCFD

if you have a DO on and refusal sheet is ok