Shock treatment
- Maintain airway
- control bleeding
- administer O2
- lay down patient
- elevate legs
- keep warm
- give nothing by mouth
what do you do for a patient having a seizure
- Off O2
- Notify Topside
- protect patient from hurting himself
what kind of IV’s can you use?
What should you avoid?
USE:
- Lactated ringers
- Normal saline
Avoid:
-Dextrose if brain or spinal cord injury is present
Barotrauma
damage to body tissues caused by a difference in pressure between
a gas space inside, or in contact with the body, and the surrounding gas or fluid.
what causes shock
Shock is caused by a loss of blood flow, resulting in a drop of blood pressure and decreased circulation.
symptoms of type 1 DCS
P-Pain
M-Marbling
S- Swelling of the lymph nodes
When could an individual start to feel the symptoms pulmonary oxygen toxicity?
- Whenever the oxygen partial pressure exceeds 0.5 ata.
- A 12 hour exposure to a partial pressure of 1 ata will produce mild symptoms and measurable decreases in lung function.
- The same effect will occur with a 4 hour exposure at a partial pressure of 2 ata.
Tension Pneumothorax
- Insert mid-clavical line between 2nd and 3rd intercostal space on affected side.
- 14 gage, 3.25 in long
Vital sign ranges for BP, Breaths per min, Pulse oximetry, Temp, heart rate
BP-120/80 normal Breaths- 12-20 Pulse Ox- 96-100 Temp- 98.6 Heart rate- 60-80 bpm
What is systolic and diastolic blood pressure?
- Systolic: pressure created in the arteries when the heart pumps blood into circulation
- Diastolic: pressure remaining in the arteries when the heart is relaxed
- Systolic pressure is always reported first and then the diastolic
symptoms of mediastinal emphysema
- Substernal chest pain
- tightness or dull ache in chest
- pain radiating to shoulder or upper back
- pain swallowing
- coughing
When giving artificial ventilation, what should the rate of ventilation be?
-10 to 12 breaths per minute or one every 5 seconds
what do you do for a near drowning?
- ABCs
- 100% O2
- recovery position on left side because right lung with three lobes is relieved of pressure / in case of vomit
- keep warm
- monitor for need of CPR
- Get to hospital
Mediastinal Emphysema
occurs when gas is forced into the loose mediastinal tissues
- middle of the chest surrounding the heart
- trachea
- major blood vessels
At what ppO2 do individuals become hypoxic to the point of helplessness? Unconsciousness?
- 0.11 (helplessness)
- 0.10 (Unconsciousness)
What are techniques of artificial ventilation?
- Mouth to mouth
- Mouth to nose
- Mouth to stoma (windpipe)
- Mouth to mask
Hyperthermia Treatment
-reduce core temperature
mild to moderate:
- remove clothing
- spray with a mist/ fan
- pack neck, pits, groin, with ice
Severe:
- transport to medical
- give IV during transport
symptoms of Pneumothorax
- sudden sharp chest pain
- shortness of breath
- weak pulse
- increase heart rate
- labored breathing
What will not be read by an AED and requires ACLS?
Asystole (ay-sis-toll-lee)
Pulseless electrical acticity
Chamber temperatures
over 104
95-104
85-94
under 85
over 104- no treatments
95-104- 5,9 for 2 hours
85-94- 5, 6, 6a, 1a, 9 for 6 hours
under 84- all treatments
Pulmonary O2 poisoning when PP exceeds what ATA
0.5 ATA
OPA/NPA
- measure from tip of nose to tip of ear lobe
- lube NPA with water soliable lube
- insert NPA right nostril with bevel towards the septum
-if you have to insert left nostril face the bevel towards the septum and half way through rotate 180 to resume alignment.
IV flow rate
75 to 100 cc/hour
Chamber temp 95-104 what TT and how long can you do them
- 5
- 9
2 HOURS
