Paramedicine Bits and Bobs

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Last updated 1:39 AM on 6/1/26
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11 Terms

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Neuro Assessment Steps

  1. GCS

  2. Pupils

  3. Motor/sensory function

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Respiratory Assessment

  1. Rate

  2. Rhythm

  3. Effort

  4. Skin

  5. Sounds

  6. Speech

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Cardiovascular Assessment

  1. Pulse

  2. BP

  3. ECG

  4. BGL

  5. SpO2

  6. Temperature

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5 Rights of Drug Administration

  1. Right Drug

  2. Right Dose

  3. Right Route

  4. Right Time

  5. Right Patient

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NEXUS Criteria

  1. ALOC

  2. Focal Neurological Deficit

  3. Distracting Injury

  4. Cervical Midline Tenderness

  5. Suspected Intoxication

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Chest Pain Differentials

  1. ACS (myocardial infarction or unstable angina)

  2. Aortic dissection

  3. Paricarditis/myocarditis

  4. Cardiac tamponade

  5. Pulmonary embolism

  6. Pneumothorax

  7. Pneumonia

  8. Pleurisy/pleuritic pain

  9. Costochondritis

  10. Musculoskeletal pain

  11. Cholelithiasis (gall stones) or Cholecysitis (inflammation)

  12. GERD

  13. Peptic ulcers

  14. Anxiety

  15. Many more

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Perfusion Status

  1. Blood pressure

  2. Pulse rate

  3. Conscious state

  4. Skin

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Anaphylaxis

Any acute onset illness with typical skin features PLUS involvement of respiratory and/or cardiovascular and/or severe gastrointestinal symptoms

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Syncope Red Flags (8)

  1. History of cardiac disease

  2. New shortness of breath

  3. Syncope during exertion

  4. Signs of cardiac failure

  5. History of anemia

  6. Family history if sudden cardiac death

  7. Patient over 50 years old

  8. ECG abnormalities

These patients MUST BE TRANSPORTED!

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Hypoglycaemia Mandatory Transport Criteria (14)

  1. Newly diagnoses diabetes

  2. No previous history of diabetes

  3. Pregnant

  4. Recovered but no adult to monitor for 4 hours/cannot self care

  5. Not returned to normal state w/in 10 min of IV glucose

  6. Intentional O.D.

  7. Severe hypoglycaemia in previous 48 hours

  8. Risk of prolonged or recurrent hypoglycaemia

    1. Unwitnessed onset or prolonged episode

    2. long acting oral hypoglycaemic agents that caused hypo

    3. unable or unwilling to eat complex carbs

  9. Seizure

  10. Suspected hypo due to illness requiring further investigation

  11. Injury sustained from hypo requiring further investigation