EMT

Cynokit dosage for adults

5 g/200 mL, 250 mL total after mixing over 10 mins

Tylenol for fever adult protocol

15 mg/kg up to 650 mg

Eclampsia

New onset of seizures during pregnancy or up to 6 months PP, hypertension may or may not be present

peds zofran dosage

10-30kg - 2 mg IM

Above 30kg - 4 mg IM

Burn protocol

Thermal - irrigate with saline, cool water immersion if immediately after, Dry the body when the burn area is ≥ 10% BSA to prevent hypothermia.

Electrical - Cover wounds with dressings, 12 lead, Consider:

 Long bone fractures, cardiac

dysrhythmias, and neurological

deficits commonly occur.

 Lightning strikes may cause cardiac arrest,

 Assess for multiple entrance and

exit wounds.

Chemical - figure out substance and call medcom, brush off dry powder, rinse off with water for 20 minutes

Cynokit dosage pediatric

70 mg/kg IV over 15 mins

Indicators of cyanide poisoning

Neurological symptoms as a result of cyanosis (headache, confusion), normal SPO2,

How to use cynokit

Keep in cardboard box, I run upside down and take top off of vial, pierce top of vial using sharp end of transfer spike, put other end of transfer spike into administration port of saline( longer one), fill to line in vial using saline, you should see red color, remove transfer spike from vial once filled, gently rock vial around to disperse powder, get out administration set and insert spike into vial, , prime line by letting some flow through, open vent on tubing (green tab)

Common causes of cyanide poisoning

Combustion of synthetic material (exposure to fire), pest control substance exposure, metal mining, extended use of BP medications

apixaban (Eliquis)

blood thinner, anticoagulant

dabigatran (Pradaxa)

blood thinner, anticoagulant

edoxaban (Savaysa)

blood thinner, anticoagulant

enoxaparin (Lovenox)

blood thinner, anticoagulant

rivaroxaban (Xarelto)

blood thinner, anticoagulant

warfarin (Coumadin)

blood thinner, anticoagulant

aspirin (Bayer, Bufferin, Ecotrin)

blood thinner, antiplatelet

clopidogrel (Plavix)

blood thinner, antiplatelet

prasugrel (Effient)

blood thinner, antiplatelet

ticagrelor (Brilinta)

blood thinner, antiplatelet

heparin, Fondaparinux

anticoagulant

epi dosage for adults in anaphylaxis

0.5 mg IM

Normal OB delivery protocol

Determine timing and duration of contractions and observe for crowning.

If not in active labor, transport on left side, if possible.

If delivery is imminent:  Proceed with delivery prior to transport (if transport already initiated then crew should pull

over to safe location for delivery then resume transport): • Prevent explosive delivery by supporting head and perineum.

• Suction only if there is believed to be an airway obstruction while being cognizant of

bradycardia and hypoxia.

• If cord is around the neck and loose, slip over head out of way. If cord is tight, place two

clamps and cut in between and unwind.

• Hold and support infant during delivery. Attempt to keep the baby level with the placenta

until the cord is clamped.

Breech delivery protocol

Allow spontaneous delivery with support of presenting part at the perineum.

After body has delivered, if the head has not delivered within four (4) minutes, insert a gloved hand into the vagina to form a “V” airway around the infant’s nose and mouth.

APGAR acronym meaning

Activity, Pulse, Grimace, Appearance, Respiration

APGAR Activity

0 no activity/floppy

1 arms and legs flexion

2 normal

APGAR Pulse

0 Absent

1 less than 100

2 100 or more BPM

APGAR Grimace

0 no response to stimulation, floppy

1 minimal response to stimuli

2 prompt response

APGAR Appearance

0 blue, pale

1 blue extremities, normal body

2 Normal

APGAR Respirations

0 Absent

1 slow, weak, or irregular

2 normal, regular, strong cry

When should APGAR be assessed

1 and 5 minute marks

When should umbilical cord be cut

when cord ceases pulsating, clamp at 6 and 8 inches from navel, cut between clamps

Prolapsed cord protocol

Place mother in knee-chest position.

Coach mother to practice controlled breathing during contractions and to not bear down.

Insert gloved hand into vagina to push presenting part of baby off the cord to ensure continued circulation through the cord. Continue until relieved at hospital.

Warm baby up

Dry infants if ≥32 weeks, <32

weeks should be placed in

polyethylene plastic bag with

airway exposed

stimulate, cover with blankets, assess temp every 15 mins, normal is 97