MOST IMPORTANT NOTES TO KNOW.txt

• NRB 60-90% at 10-15LPM
• NC 25-30% at 2-6LPM

• - tracheal deviation
• - Asymmetrical movement
• - Neck veins distended
• - Abnormal breath sounds
• - Shock
• - Subcutaneous emphysema
• - chest wall contusion / open wounds
• - Cyanosis, chest pain, SOB

• - open chest wound, air enteres into plural space, squishes lung to collapse, then possible tension pneumothorax
• - Hypoxia
• - shallow breathing
• - guarging wound
• initial=hand on wound
• secondary=3 sided occlusive dressing

• - 3+ ribs broken in 2+ places in succession
• - paridoxical motion
• - SOB
• - guarding
• - pulse up
• - BP up
• Watch out for pulinary contusion / Hemothorax / pneumothorax

• - Lungs popped, air fills plural space and begins to push on other chest cavity organs
• - SOB, fast and shallow
• - Breath sounds diminished
• - JVD
• - tracheal deviation
• - Tacypnea
• - Anxiety
• - Dyspnea

• - Blood fills the plural space
• - anxiety and confusion
• - neck veins flat = hypovolemia
• - breath sounds decreased
• - Shock

• - blood fills the sac around the heart
• -Becks Triad (hypotension, neck veins distended, heart sounds muffled)
• - peridoxical pulse
• - breath sounds equal
• Watch out for hemothorax and pneumothorax

• - blunt chest injury
• - similar to MI and Angina
• Watch for cardiac tamponalde, hemothorax and pneumothorax

• - MVC's and falls from height (90% immidiate death)
• - scene size up and history is extremely important
• (no obvious sign of chest trauma, hypertension in upper extremities

Inadequate perfusion of tissues

• - pump problem (heart)
• - fluid volume issue
• - air exchange issue
• - Vascular system issue

• Compinsated - Body is trying to fix itself
• Decompinsated - Body gives up

• - thirst
• - diaphoresis (sweaty)
• - Breathing fast
• - fast pulse
• - periferal pulses weakened

• - Altered mental status
• - Acidosis (less O2in body makes it acidic)
• - Leads to cardiac arrest

• - take care of bleeding
• - give O2
• - Shock position
• - Rapid transport
• - Cardiac monitor
• - Ongoing exam every 5 minutes

• - Pulse
• - BP
• - Respirations
• - Pupils
• - LOC
• - SPO2
• - Skin
• we dont check but we should know:
• - BGL
• - EtCO2

corodid (neck), breakeal (bicep), radial (wrist), femorial, popliteal, dorsalis pedis, posterior tibialis

• Adult - 60-100
• Child - 80-120
• Infant - 120-140

- the amount of Co2 being exhaled

35-40mmHg

• It tell you during CPR if you are:
• - If the EtCO2 reads high, speed up ventilations (hyperventilation)
• - If the EtCO2 reads low, slow down ventilations (hypoventilation)

How many O2 is sticking to the hempglobin in the blood.

90-100%

- carbon monoxide and cyonide

• AVPU - Alert, verbal, pain, unresponsive
• Orientation - Name, time, place, event
• A + O X 3

100/76 - 140/90

Temperature, condition, colour

- swelling in your head. Possible head trauma.

- 36.9 or 98.6 degrees

- 4-8

• Trauma
• - aortic disection, Cardiac Tamponade, Hypovolemia, Cardiac Contusion,

• - Miocardial Infarction, AAA Abdominal Aortic anuerizm, Angina, Ateriosclerosis,
• Congestive Heart Failure, Stroke, Trans ischemic attack, Sepsis, Pericarditis.

• - Miocardial Infarction
• - death of tissue surrounding the heart

• - Pain (clutching of the chest)
• - Reffered Pain (radiating) to the left arm, shoulder jaw.
• - Rapid Breathing, and increased heart rate.
• - irregular Pulse
• - Described like bad indigestion

• 1. pain or discomfort in the chest/left arm/neck
• 2. SOB

• A temporary blockage around the heart, (fake MI)
• MI is imminant (sooner or later), take to hospital

Blockage around the brain (MI of the brain)

• Temporary blockage around the brain.
• Stroke is imminant (sooner or later), take to hospital

• Conjestive heart failure (Fluid in Lungs)
• - usually smokers with COPD
• - do not lay them down

• - blood infection throughout body
• - look like shit and stink

• Tearing of Aorta due to trauma
• trauma version of Abdominal Aortic anurism
• - good pulse above heart, poor pulse below heart

• - sqeezing of heart due to swelling
• - JVD is apparent

- 30:2

- 30:2

- 30:2

- 30:2

- 15:2

- 15:2