Flight Paramedic Study guide for FP-C/ CCP-C 2022

Treatment for Pregnancy Induced Hypertension - Hydralazine (apresoline) - Labetalol - Mag Time of Useful Consciousness (TUC) @30,000ft @41,000ft - 30k: 90s - 41k: 14s 00:04 01:14 coarctation of the aorta narrowing of the descending portion of the aorta, resulting in a limited flow of blood to the lower part of the body presents w/. Bounding pulses in UE and threads pulse in lower Target PaO2 for 1. ICP 2. Herniation 1. 35-40mmHg 2. 30-35mmHg Capacitance formula C=VF C = capacitance, or compliance (mL/mm Hg) V = voltage F = Farad Blind Emergency percutaneous Pericardiocentesis Needle below Xiphoid process and point towards the shoulder and aspirate. If blood clotts you were in heart chamber and need to pull back blood doesn't clot in pericardial cavity due to lack of fibrinogen Ventilator settings for: Airway Protection Keep in normal physiology PEEP: 5cmH2 Resp: 14-16 Vt: 6-8cc/kg (IBW) Mallampati concerns Mouth opening less than 4cm is not good M1: easy MIV: difficult What drug do you avoid with head trauma? Morphine morphine causes respiratory depression and CO2 retention as well as vasodilation of cerebral arteries which increase cerebrospinal fluid pressure Ideal Body Weight (IBW) formula Men: 50 + 2.3kg(height-60) Women: 45.5kg + 2.3kg(height-60) Narcan complication Pulmonary Edema pulmonary ultra sound will show B-lines and can show pleural effusion and lung hepatization in pneumonia. TX: PPV or ETT Tetralogy of Fallot congenital malformation involving four distinct heart defects P- pulmonary stenosis R- right ventricular Hypertrophy O- overriding the aorta V- ventricular septal defect (VSD) Murphy's Sign Presents with RUQ pain with inspiration (gallbladder) Gay-Lussac's Law the pressure of a gas is directly proportional to the Kelvin temperature if the volume is constant -Temp increase, Pressure increase and opposite ex: O2 tank has 2200psi in afternoo and 1800psi in evening Federal Aviation Regulation (FAR) FAA rules established for the airlines to guard against potential safety hazards Par 91: no passengers par 135: passengers (14hr max for pilots) Post survival sequence Shelter Fire water Food Normal Body Temp 98.6 F (37 C) Central Cord Syndrome loss of function in upper extremities more so than lower. caused by injury to the middle portion of the spinal cord Anterior cord syndrome - caused by flexion injuries - occurs when 2/3 of the anterior cord is lost - motor function, pain, and temperature sensation lost bilaterally below the lesion (flaccidity below the lesion) Brown-Sequard Syndrome Hemi-section of the cord - ipsilateral (same side) spastic paralysis and loss of position sense - contralateral (opposite side) loss of pain and thermal sense Autonomic Dysreflexia Urinary retention and HTN (potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure) TX: Foley Kerning's Test instruct pt. to flex hip and knee to 90 deg (ok for Dr. to support leg) then instruct pt. to extend knee (bilat., unaffected side first) Dx: possible bacterial Meningitis pos: inability to straighten leg or pain while straightening Ind: meningeal irritation, meningitis, or nerve root involvement, disc, tumor, radicular pain in pt. with lumbar radiculopathy Tube depth for neonate Weight(kg) + 6 PEDS weight formula 2(Age) + 8 Most common side effect of prostaglandin Apnea and Hypotension HELLP syndrome Hemolysis: RBC fragmentation Elevated Liver enzymes: can be over 4,000 Low Platelets under 100K (form of severe preeclampsia) Manifested by: RUQ pain, N/V, malaise, headache, visual changes, proteinuria, HTN Causes of low CVP hypovolemia, vasodilation MAP formula SBP+2(DBP)/3 What closes PDA? Keeps it open? Closes~Indomethacin or continual oxygen Open~PGE2 Max distance UHF can travel 30-40 miles peds fluid rescusitation = ? 4-2-1 4ml/kg/hr ——1st 10 kilo 2ml/kg/hr——-2nd 10 kilo 1ml/kg/hr——-20kilo +