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  1. ABCDs
  2. AMS
  3. Applies cooling method to help reduce swelling/bruising
  4. Applies gentle traction/tension as needed, rotating extremity if necessary and if tolerated by patient.
  5. Applies high flow oxygen via nonbreather
  6. Applies occlusive dressing
  7. Applies Sterile dressing and direct pressure
  8. Applies the stabilizing device to stabilize the object from movement.
  9. Apply suction in a side to side or circular motion as you withdraw the catheter
  10. Arranges for rapid transport
  11. Arranges for transport of patient.
  12. Assesses airway, breathing, circulation (%Q{"ABCDs"}%)
  13. Assesses %Q{"CMS"}%.
  14. Assesses CMS in each extremity.
  15. Assesses respirations for the following
  16. Assesses the ABCDs, controls any bleeding
  17. Assessing Respiration Rate
  18. Assists breathing, manages/treats life threats.
  19. Attach the oxygen connective tubing to the flow meter.
  20. Attach the regulator/flow meter to the valve stem
  21. Bandages any wounds as necessary
  22. Bandages the wound and immobilizes as appropriate
  23. Based on the chief complaint, gathers information by asking OPQRST questions.
  24. Boot Removal
  25. Calls for transport, equipment, and/or additional assistance.
  26. Calls for transport, equipment, and/or additional assistance, EMS if needed.
  27. Check for/correct any leaks. Check for adequate pressure in tank.
  28. Checks for and controls any major bleeding.
  29. Chooses the correct device/material for splinting/stabilization.
  30. Clears/maintains airway and manages secretions.
  31. Close regulator and release pressure from tank.
  32. Communicates to the patient the procedure you will perform.
  33. Confirms and monitors %Q{"LOR"}% (%Q{"AVPU"}% or %Q{"GCS"}%).
  34. Continue until the flange rests against the skin.
  35. Continues manual stabilization until the patient is secured to a backboard.
  36. Controlling Bleeding
  37. Correctly sizes and applies cervical collar.
  38. Counts number of breaths for 30 seconds
  39. Covers the injured eye with a moist sterile dressing.
  40. Crosses ends of cravats that are behind patient to make a figure eight.
  41. Crosses torso straps over the patient’s shoulders and secures to board
  42. Determines if patient can speak in complete sentences.
  43. Determines if patient has breathing problems.
  44. Determines number of lifters available
  45. Determines scene is safe
  46. Determines the MOI (mechanism of injury) and/or NOI (nature of illness)—patient’s chief complaint.
  47. Directs helper to stabilize above and below the injury site
  48. Do not suction an adult for more than 15 seconds.
  49. Draws ends of sheet together over pelvis
  50. Establishes or maintains manual stabilization of head and C-spine.
  51. Evaluate patient mental status.
  52. Executes the lift
  53. Explains commands, procedures
  54. Exposes and assesses the injury to determine the location and proximity to hip or knee joint
  55. Exposes and inspects injury to identify level of emergency and formulate treatment plan.
  56. Exposes injury to access and manage the %Q{"ABCDs"}%
  57. Exposes the chest
  58. Exposes the wound site.
  59. Exposes/visualizes injured area to determine that a figure eight is appropriate.
  60. Extremity is splinted and stabilized with minimal movement
  61. FAST-ED
  62. Figure Eight Application
  63. Starting at the wrists fold 1st glove inside out
  64. Folds sheet lengthwise
  65. Forms a tight blanket roll.
  66. Forms general impression
  67. Gently advance the airway.
  68. Gently moves the patient’s head
  69. Gloves inside out
  70. Grasp exterior of glove
  71. HAZWOPER
  72. Hold the adjunct against the side of the face
  73. Identifies substance
  74. Identifies the number of patient(s) and the %Q{"LOR"}% of each.
  75. Identifies the severity of the bleeding
  76. If bleeding continues
  77. If bleeding continues despite direct pressure
  78. If necessary, realigns/recenters the patient on the board using axial movements.
  79. If nerve gas is suspected, obtains nerve gas antidote kit.
  80. If SEVERE signs/symptoms exists
  81. If suspected spinal injury
  82. Initiates Standard Precautions
  83. Insert the lubricated airway into the larger nostril
  84. Inspect the tank, regulator, and O ring or washer for any visible damage.
  85. Introduce self
  86. Keeps patient's knees flexed
  87. Kneels beside or above the patient’s heads.
  88. LAR and HAR
  89. Lifting Techniques: Bridge/Bean Lift
  90. Loads patient onto long spine board
  91. Log rolls patient on to backboard
  92. Looks for chest rise and fall
  93. Lowers the patient into a supine position on the long board
  94. Maintains airway, uses BVM or suction if needed. Monitor vitals
  95. Maintains direct pressure; applies additional dressing if needed
  96. Maintains spinal alignment
  97. Maintains spinal immobilization if applicable.
  98. Manages/treats life threats.
  99. Managing an Open Chest Wound
  100. Manually stabilizes the head/cervical spine
  101. Measures and applies a C-collar per local protocol
  102. Measures patient for C-collar per manufacturer’s recommendations.
  103. Minimizes further exposure
  104. Moves the patient to a long board
  105. Moving as a unit and maintaining spinal stabilization, the rescuers lower the patient to the ground.
  106. Obtains baseline set of vitals.
  107. Obtains SAMPLE history
  108. Obtains %Q{"SAMPLE"}% history from patient and/or witness (if available).
  109. Open the O2 system by turning the valve stem on top of the cylinder or using the wrench, counterclockwise
  110. Open the patient’s mouth and insert the catheter only as far as you can see.
  111. Open the patient’s mouth with the cross-finger technique.
  112. Opens coat or shirt and removes any bulky clothing around neck/shoulder area.
  113. Palpates entire chest
  114. Patient Assessment—Trauma Patient
  115. Peal second glove off
  116. Pelvic Stabilization
  117. Performs detailed head-to-toe body assessment physical exam %Q{"DCAPBTLS"}%.
  118. Place fingers inside second glove
  119. Place removed glove in dominant hand
  120. Places blanket on flat surface, sizing the roll by folding the blanket to fit the size needed.
  121. Places board behind the patient’s back
  122. Places four cravats crosswise on one end of folded blanket; rolls blanket firmly, including cravats.
  123. Places hands on either side of the patient’s head
  124. Places one cravat around each shoulder
  125. Places patient in a sitting position.
  126. Places patient in supine position, with blanket roll under shoulder blades.
  127. Positions hands underneath patient
  128. Positions rolled blanket and cravats snugly in the axilla (armpit) of the dislocated shoulder.
  129. Positions the lifters
  130. Posterior S/C Dislocation Reduction
  131. Pre-oxygenate patient prior to suctioning.
  132. Prepares and applies splint, keeping movement of injured extremity to a minimum.
  133. Prepares and position all of the equipment needed.
  134. Prepares patient for transport
  135. Prepares patient for transport, activates EMS.
  136. Primary Assessment
  137. Provides any necessary interventions related to airway/breathing
  138. Provides interventions per protocols.
  139. Provides oxygen/treat for shock if appropriate
  140. Pulls ends of sheet tight over pelvis
  141. RISE
  142. Re-evaluates patient, monitor vitals.
  143. Readjusts occlusive dressing tape
  144. Reassesses %Q{"CMS"}%
  145. Reassesses CMS after splint is applied.
  146. Reassesses CMS in each extremity.
  147. Reassesses vital signs and primary assessment
  148. Remove regulator from tank
  149. Removes boot/shoe per local protocol.
  150. Removing Contaminated Gloves
  151. Rescuer #1 applies traction to the wrist on affected side by pulling arm out and downward toward ground.
  152. Rescuer #1 continues to gently remove the helmet.
  153. Rescuer #1 directs other rescuers in lowering the patient onto the backboard as a unit.
  154. Rescuer #1 directs the roll
  155. Rescuer #1 grasps the helmet straps and pulls apart, spreading the helmet.
  156. Rescuer #1 kneels above patient’s head and takes/maintains spinal stabilization.
  157. Rescuer #1 manually stabilizes head/C-spine by placing hands on either side of the helmet.
  158. Rescuer #1 manually stabilizes the fracture site above and below the injury.
  159. Rescuer #1 pulls the helmet axially from the patient’s head with forward rotation of the helmet.
  160. Rescuer #1 stabilizes injured area of leg/ankle
  161. Rescuer #1 stabilizes the boot to be removed.
  162. Rescuer #1 stands beside or behind the patient; manually stabilizes the patient’s head/C-spine.
  163. Rescuer #2 assesses CMS
  164. Rescuer #2 checks CMS in each extremity; sizes and correctly applies cervical collar.
  165. Rescuer #2 ensures that the patient is centered on the backboard
  166. Rescuer #2 firmly grasps ankle hitch with one hand
  167. Rescuer #2 gently removes boot by sliding heel away from foot
  168. Rescuer #2 opens/removes the face shield or goggles.
  169. Rescuer #2 removes ski or snowboard if present and then applies the ankle hitch.
  170. Rescuer #2 removes the chin strap and places one hand at the patient’s occiput
  171. Rescuer #2 simultaneously places counter-traction on the other side of body by pulling on cravat tied around upper chest.
  172. Rescuer #2 slides backboard into position
  173. Rescuer #2 slides the fingers up to the patient’s occiput, ensuring no loss of stabilization.
  174. Rescuer #2 spreads the boot open.
  175. Rescuer #2 stabilizes the boot/shoe or the ski/snowboard if the equipment is still in place.
  176. Rescuer #2 unbuckles/unlaces the boot completely.
  177. Rescuer #3 assesses CMS.
  178. Rescuer #3 connects ankle strap if needed and turns crank/knob
  179. Rescuer #3 positions backboard beside the patient
  180. Rescuer #3 positions the splint according to manufacturer’s directions and secures the groin strap around upper thigh.
  181. Rescuer #3 prepares and positions backboard behind the patient.
  182. Rescuer #3 prepares traction splint
  183. Rescuer #4 kneels beside the patient’s knee/lower leg
  184. Rescuers #2, #3, and #4 kneel along one side of the patient.
  185. Rescuers #2 and #3 stand next to the patient, one on either side
  186. Rescuers exchange immobilization without loss of stabilization.
  187. Rescuers secure Velcro support straps or cravats.
  188. Rotate the airway 180°.
  189. Rotates extremity if necessary and as tolerated by patient
  190. SAMPLE
  191. SAR
  192. Secondary Assessment
  193. Secure the bottle from falling.
  194. Secures patient to a backboard.
  195. Secures second cravat around the patient’s waist.
  196. Secures the C-collar using Velcro closures, ensuring a proper fit.
  197. Secures the object with the appropriate materials covering both eyes.
  198. Secures the patient on the backboard in the usual method.
  199. Secures the patient's knees and ankles with cravats, padding any voids.
  200. Secures the patient to the backboard
  201. Set the regulator to the proper flow based on the delivery device.
  202. Sizes splint properly; padding as needed and positions splint
  203. Sizes splint properly; uses pads as needed and positions splint.
  204. Slides posterior neck portion of the collar behind the patient’s neck.
  205. Sling and swathe correctly applied and restricts movement of injured extremity
  206. Splinting an Upper Extremity Injury
  207. Splints and stabilizes extremity with minimal movement.
  208. Stabilizes hand and forearm on the blanket with the remaining two cravats.
  209. Stabilizes the cervical region in a neutral, in-line position. (Aligns patient axially.)
  210. Stabilizes the cervical spine if injury is trauma induced.
  211. Swings the chin portion of the C-collar up the patient’s chest until it cups the chin.
  212. Technician chooses the correct device/material for splinting/stabilization
  213. Ties cravats with square knots, ensuring that the shoulders are in normal position.
  214. Ties sheet in overhand knot
  215. Ties wide cravat around upper chest, under armpits.
  216. Tightens cravats so that the position of the shoulders is the same as if the patientwere sitting normally
  217. Traction Splinting
  218. Transports patient and transfers to EMS personnel.
  219. Treats for shock.
  220. Treats for shock and maintains body temperature
  221. Treats for shock as indicated
  222. Treats for shock/provides oxygen.
  223. Using an oxygen wrench or valve stem
  224. While helper holds blanket roll in place, ties one set of cravats over the opposite shoulder around the neck.
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