Ambulince

Ambulince:special-

care-contains-manyequiment-used-inemergency-case-firstaid-by-the-paramidiceteam.

Ambulince-contains-manyequibment-fore:
I.

Airway-as(aropharyngeal,nasopharyngeal,t rachealintubation,larngeoscope,suctiontube-needlecriothyratomy,o2mask(simpleface-mask),naseal-canula,nonrebreathing-maske)

orophrangeal
INDICATION

Relieve upper airway obstruction from tongue in the unconscious

We measure the distance between the

angle of the mouth (incisors)and the ear lobe (jaw angle)to choose the correct size of the oropharyngeal airway

nasopharangeal
Relieve upper airway obstruction from tongue in the- semiconscious patient (nasopharengeal)
In nasopharyngeal airway we measure

the distance between the nares and the ear lobe

Alternative airway devices LMA

INDICATIONS
Rescue device for cant intubate situations.

CONTRAINDICATIONS
Significant oropharyngeal pathology, trauma, or bleeding

COMPLICATIONS
Aspiration Limited utility in patients who require high pressures to ventilate (eg, obese, severe asthma)

Tracheal intubation

Tracheal intubation

INDICATIONS Spontaneously breathing patient with an anticipated difficult airway CONTRAINDICATIONS Pediatric patient <10 years old Midface trauma or basilar skull fracture intracranial pressure CONTRAINDICATIONS Pediatric patient <10 years old Midface trauma or basilar skull fracture intracranial-pressure

Needle cricothyrotomy

INDICATIONS Rescue device for oxygenation in failed airway CONTRAINDICATION Cricoid or laryngeal damage COMPLICATIONS Common : Subcutaneous emphysema,, coughing if patient is conscious

BREATHING AND VENTILATION

Nasal canula

Non-rebreather mask

Ventori-maske

Non-rebreather mask

circulation
IV-line,canula,IV-fluid. Moniter-system-as: ECG,puls-ox,glucocheek,d/c-

shoc,sphengmonometer,centralline, and,Intraosseous Infusion.

AED

sphegmanometer

thermometer

URETHRAL CATHETERIZATION (URINARY OR FOLEYS CATHETER)

Folys-catheter

Indication :
Collect urine for urine analysis Monitor urine output Relieve obstruction

Contraindications:
Suspected urethral trauma Perineal hematoma Complication : Infection

NGT

Indication :
Gastric distention/aspiration of gastric contents Recurrent vomiting Gastrointestinal bleeding

Contraindication :
Cribriform plate injury/other facial or basilar skull

fractures
Sever coagulopathy