Loyola EMS System Entry Study Guide

Radio Reports - 1) Name and vehicle # of provider, destination and ETA Indicate if desired destination is the nearest by travel times and any reason from going to another hospital 2) Patient age, sex and weight 3) LOC and orientation 4) Chief complaint and severity 5) Signs - GCS, Pulse, BP, Respirations, Skin, Pupils, and lung sounds 6) History - SAMPLE 7) Clinical findings - pertinent negatives and positives, Cincinnati prehospital stroke scale if applicable Patient Assessment - 1) Scene safety/BSI/PPE 2) Initial assessment: Airway and C spine established and maintained, Breathing assessed and assisted if needed (lung sounds) Circulation (pulse and hemorrhage), Disability AVPU 3) History and Physical Exams: SAMPLE (signs and symptoms, allergies, medications, past oral intake, last oral intake/last menstrual period, and events leading up to condition), Vital signs, Rate pain on scale 1-10 4) Detailed physical exam 5) Ongoing assessment - reassess ABCDs Respiratory Assessment - Target oxygen saturation = 94-98%, 92% if COPD in cases of adequate rate depth/minimal distress/mild hypoxia/SpO2 92-94% -- Low FiO2 in cases of adequate rate/depth, moderate/severe distress and SpO2 of less than 92%, -- High FiO2 In cases of inadequate rate/depth with moderate/severe distress or instability -- High FiO2 by BVM ventilation Pain Management - BLS/ALS = zofran out 4 mg tab or 4 mg slow IV 1 dose only Outline for streamlined communication for BLS Calls - 1. Name and vehicle number of provider 2. patient age and gender 3. Chief complaint/ MOI 4. SOP being followed 5. Any deviation from SOP/unusual circumstances 6. ETA Load and Go situations - applies if circumstances demand hospital care for patient stability - some procedures in SOPs may be omitted or abbreviated Power of Attorney for Healthcare - POLST/DNR only valid if WRITTEN and signed by patients attending practitioner Living Will/Srrogates - Living wills may NOT be honored by EMS providers - begin or continue treatment No situations in which surrogate can directly give instructions to EMS providers - begin or continue treatment