cpgs section 1-9 red box

max time for primary survey

one minute

max on scene time for life threatening emergency

< 10 mins

markers identifying acutely unwell

cardiac chest pain

pain >5

how many attempts to remove fbao per cpr cycle

one

max hands off time in cpr

10 seconds

how many ventilations per minute with advanced airway

8 to 10

how are restorations done in cpr with Advanced airway

1 every 6 seconds with unsynchronised cpr

what oxygen titration in abnormal work of breathing

100% unless COPD is present then titrate to oxygen card

what do you do if there is raised etco2 and reduced spo2

consider assisted ventilation

how to titrate if copd is present

follow oxygen cards, if oxygen card is not present commence at 28% and titrate to 92%

if exacerbation of copd persists with oxygen therapy what do you do

administer salbutamol at 5 intervals

what is exacerbation of copd defined as

an event in the natural Course of the disease characterised by a change in the patients baseline dsypnoea, cough and or sputum beyond day to day variability sufficient to warrant a change in management

what range should oxygen be titrated to

94-98%

what is included in symptomatic bradycardia

acute altered mental status, ischemic chest discomfort, scute heart failure, hypotension, signs of shock

in DCI what is important to consider

patients diving buddy

what do you transport with dci patient

diving equipment and dive computer

what oxygen is delivered to sickle cell patient

100% in a non rebreather

what considerations should be made for seizure patient

meningitis, head injury, hypoglycaemia, eclampsia, fever, poison, withdrawal

how many people in saloon of ambulance with behavioural emergency

2

how long should a burn be cooled for

10 minutes beware of hypothermia

what are the vital burn areas

face, hands, feet, flexion point, perineum

who is cautioned with burns

elderly due to thin skin

what type of burns needs to be cautioned

circumferential due to swelling and compartment syndrome, electric as it has an entrance and exit point

how should the harness be removed in suspension trauma

towards force of gravity to avoid further negative hydrostatic force

high risks for spinal trauma

dangerous MOI, fall from greater than 5 steps, axial load to head or base of spine, impaired awareness, over 65 below 2

spinal rule in considerations

significant distracting injury, impaired awareness, immediate onset of spinal pain, hand or foot weakness, altered sensory input, priapism, spinal hx, unable to rotate 45 degrees

what changes are there to post submersion ventilations

higher pressure

what time do you consider rendezvous in triage tool

>45 mins

how long is pulse check in hypothermia

30-45 second

what should hypothermia patients not do

walk

what should not be done in heat related emergencies

over cooling, cool by removing clothes fanning tepid sponging or ice packs