Management of CHF or Pulmonary Edema

Keep the patient at rest and avoid exertion during transfers. Position patient sitting upright with legs hung down. Keep the patient warm Keep SPO2 Above 94 Assist ventilations if altered LOC or SpO2 <94%

Indications of CHF or Pulmonary Edema

Drowning Cardiogenic shock Exposure to toxins

Management of Electrical Contact?

Self-Safety High Flow O2 Cool burns for 15-20 minutes Non-stick dressings for burns Estimate TBSA ID Current type and length of exposure Treat for shock Consider analgesia

Management of Conscious FBAO

Pt. Cough Forcefully 5 Abdominal(or chest if needed) Thrusts/5 Back Blows Start CPR Check airway after 30 compressions Remove object if visible Attempt breaths

Management of Unconscious FBAO

Attempt one ventilation, if no air entry or air blows back, reposition head and attempt ventilation, if no air entry, begin chest compressions. Continue cycle of 30:2 vents - Inspect mouth prior to ventilate If foreign body is seen in mouth, remove it.

Indications of Hypovolemia?

Significant loss of blood or bodily fluid Systolic BP 20% BSA (partial and full thickness)

Management of Hypovolemia?

Control external hemorrhage Splint pelvis/fractures, if clinically indicated Position the patient supine to support blood pressure Keep the patient warm and protect from further heat loss Administer supplemental oxygen to maintain SpO2 ≥ 94%

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EMR-Other Managments

Question	Answer
Management of CHF or Pulmonary Edema	Keep the patient at rest and avoid exertion during transfers. Position patient sitting upright with legs hung down. Keep the patient warm Keep SPO2 Above 94 Assist ventilations if altered LOC or SpO2 <94%
Indications of CHF or Pulmonary Edema	Drowning Cardiogenic shock Exposure to toxins
Management of Electrical Contact?	Self-Safety High Flow O2 Cool burns for 15-20 minutes Non-stick dressings for burns Estimate TBSA ID Current type and length of exposure Treat for shock Consider analgesia
Management of Conscious FBAO	Pt. Cough Forcefully 5 Abdominal(or chest if needed) Thrusts/5 Back Blows Start CPR Check airway after 30 compressions Remove object if visible Attempt breaths
Management of Unconscious FBAO	Attempt one ventilation, if no air entry or air blows back, reposition head and attempt ventilation, if no air entry, begin chest compressions. Continue cycle of 30:2 vents - Inspect mouth prior to ventilate If foreign body is seen in mouth, remove it.
Indications of Hypovolemia?	Significant loss of blood or bodily fluid Systolic BP < 90 mmHg2 Other clinical signs or symptoms of shock Patients with burns > 20% BSA (partial and full thickness)
Management of Hypovolemia?	Control external hemorrhage Splint pelvis/fractures, if clinically indicated Position the patient supine to support blood pressure Keep the patient warm and protect from further heat loss Administer supplemental oxygen to maintain SpO2 ≥ 94%

Created by: Levelstorm3950

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