Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
OVERVIEW
Common Cardiac Problems Emergency Care Automated External Defibrillation Post Resuscitation Care Defibrillator Maintenance Medications
ANGINA PECTORIS
Chest pain No permanent damage Signs and symptoms
Dyspnea Nausea Sweating Weakness Squeezing
CHF
Right sideblood returns from body Left sideblood returns from lungs
QUESTION
O nset P rovocation Q uality R adiation S everity T ime
RHYTHMS
AED evaluates and confirms shockable rhythm High accuracy Dependent on properly charged batteries
INAPPROPRIATE SHOCKS
Human error Mechanical error
SHOCKABLE RHYTHMS
Ventricular fibrillation
Ventricular tachycardia
NOTE
Stop CPR, BVM or any pt contact during analysis or when shocking If you dont stop the fibrillation it will eventually stop on its own. Its called death. Weirdness_ EMT on board must have MD orders- Joe Blow with a public AED does not
AED - CARDIC PT
Take BSI techniques Perform initial assessment Stop CPR -verify pulselessness Resume CPR REMOVE ANY NITRO PATCHES
Turn on power Stop CPR and clear patient Initiate rhythm analysis
analyse
analyse analyse
shock shock
NOTE: Do not touch patient during rhythm analysis or shock delivery Resume CPR after only three shocks if hypothermic
Unconscious, reassess ABCs every 30 seconds If patient becomes pulseless, stop the rig
Cannot analyze while in motion Not safe to defibrillate in moving ambulance
ON GOINGTRANSPORTATION
DEFIBRILLATORS
Regular maintenance is necessary Daily operators shift checklist daily
batteries, cables, patches, operation
MEDICATION ASSISTANCE
FOR ANGINA
Spray Tablet
Patch Paste
INDICATIONS
Exhibits S/S of chest pain BP >100 systolic Physician prescribed to pt Authorization by medical direction
CONTRAINDICATIONS
Hypotension or systolic B/P below 100 mm/Hg Viagra < 24 hours*- females too! Head injury Infants and children Patient has met dose total (call med control)
DOSE
Patients med? Check expiration date One dose Repeat in 3 - 5 minutes Maximum of 3 doses
ADMINISTRATION
Have patient sit or lie down Place tablet sublingually Recheck B/P within 2 minutes Record activity, time and reasses
ACTION and
SIDE EFFECTS
Relaxes blood vessels Decreases workload of the heart