2014 protocols aemt. airway management needle decompression of tension ptx not just for trauma
TRANSCRIPT
2014 ProtocolsAEMT
Airway Management
• Needle decompression of tension PTX
• Not just for trauma
Airway Management Comparison
Asthma/COPD
• May administer up to three doses of albuterol via nebulizer
Asthma Comparison
Suspected Smoke Inhalation
• Changes:– Up to three doses of
nebulized albuterol may be given as needed
Suspected Smoke Inhalation Comparison
Allergic Reaction/Anaphylaxis
• Changes:– May administer albuterol
if patient is wheezing
Allergic Reaction Comparison
Diabetic Emergencies
• IV Dextrose (D50) 25g can be given (D25 for peds)
• If no IV access, consider IM glucagon 1mg (0.5mg in peds < 20kg)
• Magic number is BG < 80
Diabetic Emergencies Comparison
Overdose or Toxic Exposure
• Naloxone (Narcan) may be given IV, SQ, IM, IO or IN for opioid overdose
• Dose is 0.4mg for IV, 2mg for other routes
• Max is always 2mg
Overdose
Chest Pain
• Nitroglycerin may be given if SBP > 100
• Give 0.4mg SL every five minutes up to three doses total
Cardiac Arrest - Adult
• IV/IO epi 1:10,000 1mg every 3-5 minutes
Chest Trauma
• Needle decompression if s/s of tension ptx
• Patient does NOT need to be in cardiac arrest
• Fluids if needed
Head Trauma
• D50 or glucagon if BG < 60
• Different BG threshold than for diabetic emergencies