Aultman Protocol

NCFD protocol study guide

Who developed one dose?

Hinckley Medical

What is the adequate range for diastolic blood pressure?

64-83mmHg

What is the adequate range for systolic blood pressure?

110-131

Signs and symtoms of heat exhaustion:

-muscle cramping

-general weakness

-diaphoresis

-febrile

-confusion

-drymouth/thirst

-tachycardia

-BP normal/orthostatic hypotension

Signs and symtoms of heat stroke:

-confusion

-bizarre behavior

-hot dry skin

-febrile

-tachycardia/hypotension

-seizure

-coma

when do we discontinue icebath cooling measures dispite shivering?

-Return of mental status

-core body temperature returns to normal

Alternative method of ice bath cooling in a heat stroke:

Ice filled body bag

Icepack locations include

groin, armpit, back of neck

In a heat emergency, what should you be alert for?

cardiac dysrhythmias

If contact was established after prior no contact for a medical alarm, what should you do?

Continue to the scene for a report

Transport position for complicated delivery:

Transport mother with hips elevated and knees to chest

Nuchal cord: (cord is around the babies neck)

Attempt to slip cord over babies neck, then clamp in two places for cut if unsuccessfull.

Footling Breech

one or both feet delivered first

Frank Breech

Buttocks first presentation

Excessive bleeing pre delivery - delivery is not imminent

Position mother in recovery position on her left side and initiate shock protocol

what % of births reveal with shoulder dystocia?

1%

Transverse lie

fetus is on his/her side with possible arm or leg presenting

What medication should not be administered with a possible AAA or aortic dissection?

Aspirin

Criteria for an adult Patient assessment:

Any MEDICAL patient 18 years or older, any TRAUMA patient 16 years of older

Esophageal Obstruction

position of comfort, suction as needed, treat pain

Mandatory procedure for intubation:

Capnography

Meneuver for difficult intubations:

Sellicks Meneuver

Ketamine as a sedation for intubation:

-high risk in pregnant patients

-prefferred in asthmatic patients (direct bronchodialation)