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A B C D E F G H I K L M N O P R S T U V W

[[OEC.PNS][]]

A

Applies the stabilizing device to stabilize the object from movement.

Applies cooling method to help reduce swelling/bruising

Applies gentle traction/tension as needed, rotating extremity if necessary and if tolerated by patient.

Applies high flow oxygen via nonbreather

Applies occlusive dressing

Applies Sterile dressing and direct pressure

Apply suction in a side to side or circular motion as you withdraw the catheter

Arranges for transport of patient.

Arranges for rapid transport

Assesses airway, breathing, circulation (%Q{"ABCDs"}%)

Assesses %Q{"CMS"}%.

Assesses CMS in each extremity.

Assesses respirations for the following

Assesses the ABCDs, controls any bleeding

Assessing Respiration Rate

Assessment Videos

Assists breathing, manages/treats life threats.

Attach the oxygen connective tubing to the flow meter.

Attach the regulator/flow meter to the valve stem

B

Bandages any wounds as necessary

Bandages the wound and immobilizes as appropriate

Based on the chief complaint, gathers information by asking OPQRST questions.

Blanket Roll Splint for Shoulder

C

Calls for transport, equipment, and/or additional assistance, EMS if needed.

Calls for transport, equipment, and/or additional assistance.

Check for/correct any leaks. Check for adequate pressure in tank.

Checks for and controls any major bleeding.

Chooses the correct device/material for splinting/stabilization.

Classified Topic

Clears/maintains airway and manages secretions.

Close regulator and release pressure from tank.

Communicates to the patient the procedure you will perform.

Confirms and monitors %Q{"LOR"}% (%Q{"AVPU"}% or %Q{"GCS"}%.)

Continue until the flange rests against the skin.

Continues manual stabilization until the patient is secured to a backboard.

Controlling Bleeding

Correctly sizes and applies cervical collar.

Counts number of breaths for 30 seconds

Covers the injured eye with a moist sterile dressing.

Creates a stabilizing device (use a handmade cravat donut or a paper cup.)

Crosses ends of cravats that are behind patient to make a figure eight.

Crosses torso straps over the patient’s shoulders and secures to board

D

Determines if patient can speak in complete sentences.

Determines if patient has breathing problems.

Determines number of lifters available

Determines scene is safe

Determines the MOI (mechanism of injury and/or NOI (nature of illness)—patient’s chief complaint.)

Directs helper to stabilize above and below the injury site

Do not suction an adult for more than 15 seconds.

Draws ends of sheet together over pelvis

E

Establishes or maintains manual stabilization of head and C-spine.

Evaluate patient mental status.

Executes the lift

Explains commands, procedures

Exposes and assesses the injury to determine the location and proximity to hip or knee joint

Exposes and inspects injury to identify level of emergency and formulate treatment plan.

Exposes injury to access and manage the %Q{"ABCDs"}%

Exposes the chest

Exposes the wound site.

Exposes/visualizes injured area to determine that a figure eight is appropriate.

Extremity is splinted and stabilized with minimal movement

F

Figure Eight Application

Folds sheet lengthwise

Forms a tight blanket roll.

Forms general impression

G

Gently advance the airway.

Gently moves the patient’s head

Gloves inside out

Grasp exterior of glove

H

Hold the adjunct against the side of the face

I

Identifies substance

Identifies the number of patient(s and the

of each.)

Identifies the severity of the bleeding

If bleeding continues

If bleeding continues despite direct pressure

If necessary, realigns/recenters the patient on the board using axial movements.

If nerve gas is suspected, obtains nerve gas antidote kit.

If SEVERE signs/symptoms exists

If suspected spinal injury

Immobilizing a Standing Patient

Initiates Standard Precautions

Insert the lubricated airway into the larger nostril

Inserting an Oropharyngeal Airway (OPA)

Inserting Nasopharyngeal Airway (NPA)

Inspect the tank, regulator, and O ring or washer for any visible damage.

K

Keeps patient's knees flexed

Kneels beside or above the patient’s heads.

L

Lifting Techniques: Bridge/Bean Lift

Loads patient onto long spine board

Log rolls patient on to backboard

Looks for chest rise and fall

Lowers the patient into a supine position on the long board

M

Maintains airway, uses BVM or suction if needed. Monitor vitals

Maintains direct pressure; applies additional dressing if needed

Maintains spinal alignment

Maintains spinal immobilization if applicable.

Make sure the suctioning unit is properly assembled and turn on the unit if using a power system.

Manages/treats life threats.

Managing an Open Chest Wound

Manual Spine Stabilization

Manually stabilizes the head/cervical spine

Measures and applies a C-collar per local protocol

Measures patient for C-collar per manufacturer’s recommendations.

Minimizes further exposure

Moves the patient to a long board

Moving as a unit and maintaining spinal stabilization, the rescuers lower the patient to the ground.

N

Nerve Agent Administration

O

Observes patient for excessive salivation

Obtains baseline set of vitals.

Obtains %Q{"SAMPLE"}% history from patient and/or witness (if available.)

Obtains SAMPLE history

Open the O<sub>2</sub> system by turning the valve stem on top of the cylinder or using the wrench, counterclockwise

Open the patient’s mouth and insert the catheter only as far as you can see.

Open the patient’s mouth with the cross-finger technique.

Opens coat or shirt and removes any bulky clothing around neck/shoulder area.

Oxygen Delivery

Oxygen Tank Set-up and Breakdown

P

Palpates entire chest

Patient Assessment

Patient Assessment—Medical Patient

Patient Assessment—Trauma Patient

Peal second glove off

Pelvic Stabilization

Performs detailed head-to-toe body assessment physical exam %Q{"DCAPBTLS"}%.

Place fingers inside second glove

Place removed glove in dominant hand

Places blanket on flat surface, sizing the roll by folding the blanket to fit the size needed.

Places four cravats crosswise on one end of folded blanket; rolls blanket firmly, including cravats.

Places one cravat around each shoulder

Places patient in a sitting position.

Places patient in supine position, with blanket roll under shoulder blades.

Places board behind the patient’s back

Places hands on either side of the patient’s head

Positions rolled blanket and cravats snugly in the axilla (armpit of the dislocated shoulder.)

Positions hands underneath patient

Positions the lifters

Posterior S/C Dislocation Reduction

Pre-oxygenate patient prior to suctioning.

Prepares and applies splint, keeping movement of injured extremity to a minimum.

Prepares and position all of the equipment needed.

Prepares patient for transport

Prepares patient for transport, activates EMS.

Primary Assessment

Provides any necessary interventions related to airway/breathing

Provides interventions per protocols.

Provides oxygen/treat for shock if appropriate

Pulls ends of sheet tight over pelvis

R

Re-evaluates patient, monitor vitals.

Readjusts occlusive dressing tape

Reassesses CMS after splint is applied.

Reassesses CMS in each extremity.

Reassesses %Q{"CMS"}%

Reassesses vital signs and primary assessment

Remove regulator from tank

Removes boot/shoe per local protocol.

Removing a Helmet from a Lying Patient

Removing Contaminated Gloves

Rescuer #1 applies traction to the wrist on affected side by pulling arm out and downward toward ground.

Rescuer #2 simultaneously places counter-traction on the other side of body by pulling on cravat tied around upper chest.

Rescuer #1 continues to gently remove the helmet.

Rescuer #1 directs other rescuers in lowering the patient onto the backboard as a unit.

Rescuer #1 directs the roll

Rescuer #1 grasps the helmet straps and pulls apart, spreading the helmet.

Rescuer #1 kneels above patient’s head and takes/maintains spinal stabilization.

Rescuer #1 manually stabilizes head/C-spine by placing hands on either side of the helmet.

Rescuer #1 manually stabilizes the fracture site above and below the injury.

Rescuer #1 pulls the helmet axially from the patient’s head with forward rotation of the helmet.

Rescuer #1 stabilizes injured area of leg/ankle

Rescuer #1 stabilizes the boot to be removed.

Rescuer #1 stands beside or behind the patient; manually stabilizes the patient’s head/C-spine.

Rescuer #2 assesses CMS

Rescuer #2 checks CMS in each extremity; sizes and correctly applies cervical collar.

Rescuer #2 ensures that the patient is centered on the backboard

Rescuer #2 firmly grasps ankle hitch with one hand

Rescuer #2 gently removes boot by sliding heel away from foot

Rescuer #2 opens/removes the face shield or goggles.

Rescuer #2 removes ski or snowboard if present and then applies the ankle hitch.

Rescuer #2 removes the chin strap and places one hand at the patient’s occiput

Rescuer #2 slides backboard into position

Rescuer #2 slides the fingers up to the patient’s occiput, ensuring no loss of stabilization.

Rescuer #2 spreads the boot open.

Rescuer #2 stabilizes the boot/shoe or the ski/snowboard if the equipment is still in place.

Rescuer #2 unbuckles/unlaces the boot completely.

Rescuer #3 assesses CMS.

Rescuer #3 connects ankle strap if needed and turns crank/knob

Rescuer #3 positions backboard beside the patient

Rescuer #3 positions the splint according to manufacturer’s directions and secures the groin strap around upper thigh.

Rescuer #3 prepares and positions backboard behind the patient.

Rescuer #3 prepares traction splint

Rescuer #4 kneels beside the patient’s knee/lower leg

Rescuers #2 and #3 stand next to the patient, one on either side

Rescuers #2, #3, and #4 kneel along one side of the patient.

Rescuers exchange immobilization without loss of stabilization.

Rescuers secure Velcro support straps or cravats.

Rotate the airway 180°.

Rotates extremity if necessary and as tolerated by patient

S

Secondary Assessment

Secure the bottle from falling.

Secures second cravat around the patient’s waist.

Secures the object with the appropriate materials covering both eyes.

Secures patient to a backboard.

Secures the C-collar using Velcro closures, ensuring a proper fit.

Secures the patient on the backboard in the usual method.

Secures the patient to the backboard

Secures the patient's knees and ankles with cravats, padding any voids.

Set the regulator to the proper flow based on the delivery device.

Short Board Immobilization

Simple Knee Injury

Size the airway.

Sizes splint properly; padding as needed and positions splint

Sizes splint properly; uses pads as needed and positions splint.

Sizing and Applying a Cervical Collar

Slides posterior neck portion of the collar behind the patient’s neck.

Sling and swathe correctly applied and restricts movement of injured extremity

Splinting a Lower Extremity Injury

Splinting an Upper Extremity Injury

Splints and stabilizes extremity with minimal movement.

Stabilizes hand and forearm on the blanket with the remaining two cravats.

Stabilizes the cervical region in a neutral, in-line position. (Aligns patient axially.)

Stabilizes the cervical spine if injury is trauma induced.

Stabilizing an Impaled Object in the Eye

Starting at the wrists fold 1st glove inside out

Suctioning a Patient’s Airway

Supine Patient: Log Roll onto a Long Spine Board

Swings the chin portion of the C-collar up the patient’s chest until it cups the chin.

T

Technician chooses the correct device/material for splinting/stabilization

Ties cravats with square knots, ensuring that the shoulders are in normal position.

Ties wide cravat around upper chest, under armpits.

Ties sheet in overhand knot

Tightens cravats so that the position of the shoulders is the same as if the patientwere sitting normally

Traction Splinting

Transports patient and transfers to EMS personnel.

Treats for shock and maintains body temperature

Treats for shock as indicated

Treats for shock.

Treats for shock/provides oxygen.

U

Uncategorized Topics

Untagged Topics

Using an oxygen wrench or valve stem

V

W

WebTopicEditTemplate

While helper holds blanket roll in place, ties one set of cravats over the opposite shoulder around the neck.

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