Emergency and Critical Care
3 types of ventilation techniques •Endotracheal tube
•Tight fitting mask
•Mouth to snout
ABCDs airway/ alertness
breathing
circulation
disability
active cooling when temp > 105.8
stop when temp reaches 103.5
active warming when temp < 94
warm fluids before external warming
additional tests rads
U/S
bloodwork
Urinalysis
, Emergency and Critical Care
advanced life support (ALS) •Initiate monitoring, By end of first round of compressions, ECG,
•IV access - Central line > cephalic > saphenous
•Reversals, Drugs - Reversal agents if indicated
Vasopressors - Non-shockable rhythms - Repeat q 3-5min
(every other cycle)
Parasympatholytics- used ONCE if bradycardia, bradyarrhythmi
tone
airway evaluation evaluate pt stature/ posture
watch for - drooling, pawing at mouth, rubbing face, gagging, re
signs of airway obstruction
watch for - tachypnea, standing w/ head and neck extended, ab
nasal flaring, open mouth breathing, pacing, cyanosis - signs of
airway responses normal - continue w/ exam
abnormal - clear airway, intubate, ventilate w/ 100% oxygen
- lateral finger sweep, suction, instrument to grab object
- if unsuccessful --> tracheostomy
- if sedation needed, ketamine and midazolam or etomidate
3 types of ventilation techniques •Endotracheal tube
•Tight fitting mask
•Mouth to snout
ABCDs airway/ alertness
breathing
circulation
disability
active cooling when temp > 105.8
stop when temp reaches 103.5
active warming when temp < 94
warm fluids before external warming
additional tests rads
U/S
bloodwork
Urinalysis
, Emergency and Critical Care
advanced life support (ALS) •Initiate monitoring, By end of first round of compressions, ECG,
•IV access - Central line > cephalic > saphenous
•Reversals, Drugs - Reversal agents if indicated
Vasopressors - Non-shockable rhythms - Repeat q 3-5min
(every other cycle)
Parasympatholytics- used ONCE if bradycardia, bradyarrhythmi
tone
airway evaluation evaluate pt stature/ posture
watch for - drooling, pawing at mouth, rubbing face, gagging, re
signs of airway obstruction
watch for - tachypnea, standing w/ head and neck extended, ab
nasal flaring, open mouth breathing, pacing, cyanosis - signs of
airway responses normal - continue w/ exam
abnormal - clear airway, intubate, ventilate w/ 100% oxygen
- lateral finger sweep, suction, instrument to grab object
- if unsuccessful --> tracheostomy
- if sedation needed, ketamine and midazolam or etomidate
