Stridor or hoarseness Causing the airway to close may need to be
Airway obstruction: intubated
Backboard: Check PMSC's before moving and recheck after back boarding
10 mcg/ML - 1 ml every 1-5min to obtain a blood pressure of 90
EPI PUSH DOSE systolic
500ml-2liters bolus titrated to achieve a systolic blood pressure of
Fluid replacement 80-90mm Hg
, BSI/PPE/PENMAN
General impression: Hold c-pine look for any life threats
A: Open airway+ jaw thrust place+ airway adjunct
B: Irregular respirations= Start ventilating with 100% O2 1 breath
every 3 seconds
C: Pulse Low widening pulse pressure
D: Check pupils
E look for other injuries Check the neck and place C collar
Head injury = Cushing’s reflex Place on back board
Transport!!
Treatment: Bilateral IV for the hospital keep ventilating 20 bpm,
Capno 30-35
Head injury showing signs of 1 breath ever 3 seconds and keep a capno of 30-35
Cushing’s triad:
Blood loss: <750ml
Pulse rate <100
Blood pressure: Normal
Pulse pressure: Normal or Increased
Ventilatory rate: 14-20
Hemorrhagic shock Class 1 Mental status: Slightly anxious
Fluid replacement: Crystalloid