Critical Care and Paramedic Levels Chest PainACS Replaces Chest Pain protocol More focused on cardiac chest pain Early EKG Cardiac equivalents Shortness of breath epigastric pain nausea altered mental status weakness ID: 500471
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Slide1
Cardiac / Resuscitation
Critical Care and Paramedic LevelsSlide2
Chest Pain—ACS
Replaces “Chest Pain” protocol
More focused on cardiac chest pain
Early EKG
Cardiac equivalents
Shortness of breath,
epigastric
pain, nausea, altered mental status, weaknessSlide3
STEMI
NEW PROTOCOL
Contact Medical Direction prior to transport
Destination decision
Possible helicopter transport
Chest Pain ChecklistSlide4
Symptomatic Bradycardia
Changes:
Treatment based on symptoms only
Sedation option if pacing
Glucagon now in “Overdose” protocolSlide5
Tachycardia with a Pulse
Changes:
Treatment options more symptoms based
Still requires some interpretation of rhythm
Sedation option
Early EKGSlide6
Cardiac Arrest—Initial Care
NEW PROTOCOL
References rhythm based protocols
Reinforces BLS
Good
CPR
Intubation not required if ventilation adequate
Consider
supraglottic
airwaySlide7
VF/Pulseless VT
Changes:
Reinforces
good
CPR
Discourages transport unless ROSC
Field termination allowed and encouraged if unsuccessful after 20 minutes of ALS and poor EtCO
2Slide8
PEA/
Asystole
Changes:
Combines previous protocols
NO MORE
Atropine
Again, discourages automatically transporting unless ROSC achievedSlide9
Post Cardiac Arrest
Changes:
More encompassing than just Therapeutic Hypothermia
ASA administration
EKG acquisitionSlide10
Pediatric Cardiac Arrest
General ApproachIntubation is deemphasized
Understand Termination RulesSlide11
Pediatric Cardiac Arrest
Intubation DeemphasizedEpi
,
Epi, Epi!Slide12
Peds:
BradycardiaEpinephrine preferred over Atropine Slide13
Peds: TachycardiaSlide14
Neonatal Resuscitation