Air Methods 11

1.800.678.9811 Air Methods Kentucky 11, 35 Volunteer Drive, Bedford, KY 40006, USA

Spinal Immob Device-Field Removal

Non-application rules Age ≥12 Normal mental status No signs of intoxication GCS 15 & A & O x 4 No acute stress reaction No distracting injuries No communication barriers (deafness, language, etc.) No neurological deficit No mid-line spine pain/tenderness on palpation of spinous processes

Head Trauma

Monitor and maintain SpO2 >90% If breathing is adequate, high flow O2 by NRB mask Do not hyperventilate, EXCEPT for a) Fixed or asymmetric pupils; b) abnormal extension; c) GCS

Eye and Dental Trauma

Stabilize impaled objects in place and cover both eyes Cover puncture wound with protective devices over both eyes Irrigate chemicals or non-penetrating foreign matter from eye with copious amounts of water or normal saline Instill Proparacaine into affected eye and repeat every 5 minutes as needed Dental avulsions should be placed in an obviously labeled […]

Burns

Scene safety; remove patient from burn source, including clothing Maintain airway and administer oxygen In burns over 10% BSA, use dry dressings and insulate patient to prevent hypothermia In burns under 10% BSA, use moist dressings Initiate IV fluids 0.9% NaCl or Lactated Ringers

Toxicological

Be sure the scene is safe Absorbed poison: Remove clothing and fully decontaminate. If eye(s) involved, irrigate ≥20 minutes Inhaled/ingested poison: Administer high-flow O2. Pulse oximetry may be inaccurate Ingested poison: Contact Poison Control Review circumstances with Medical Control and Poison Control Envenomations: Immobilize extremity in dependent position; consider ice pack for bee stings

Stroke

Obtain glucose reading via glucometer Administer high concentration oxygen, and be prepared to assist ventilations if necessary Assess patient with Cincinnati Stroke Scale Facial droop (big smile) Pronator drift (extend arms, palms up, eyes closed: one arm drift = positive; both = unclear) Speech (“The sky is blue in Cincinnati”) Assess and record the exact […]

Seizure

If generalized seizure activity is present, consider: Lorazepam 1-2 mg IV or IM repeated every 5 min to a total of 4 mg OR Diazepam 5 mg IV(then 2.5 mg every 5 minutes to a total of 10 mg Midazolam 1-2.5 mg IV/IM/IO repeated every 5 minutes to a total of 5 mg or until […]

Pain Management

Systolic BP >90 mmHg, no altered level of mental status, multi-system trauma, or abdominal pain Ketorolac 15 mg IVP or 30 mg IM (no repeat); avoid in patients likely to go to OR, NSAID allergy, aspirin sensitive asthma, known peptic ulcer disease, pregnant, or nursing Morphine 1-5 mg IV/IM every 10 min, max total 15 […]

Obstetrical

Assist with normal delivery If cord is prolapsed, relieve pressure on cord, elevate hips, keep cord moist, transport If buttocks presents first, give oxygen and attempt to open path in birth canal to infant’s mouth w/ sterile gloved fingers. Transport immediately! If massive bleeding or newborn distress, proceed to nearest appropriate hospital