Dads Upskill

• 2 x age + 10
• Round to nearest 10kg
• >50kg = adult

• Oral
• Sub cut
• im
• rectal
• neb
• inhale
• iv

• mu = dorsal horn of spine thalamus
• kappa = hypothalamus
• sigma = limbic system
• delta = limbic system

• Dysphoria
• Analgesia
• Miosis (pupil constriction)
• Sedation

1. Prolonged hypoxia secondary to resp. arrest

2. Myocardial Ischaemia

3.End result of secondary P.E.A. 4H's + 4T's

Abrupt cessation of normal circulation of blood due to failure of the heart to contract effectively during systole

• Safety
• Responsiveness
• Airway
• Breathing
• Circulation
• Deformity
• Expose Examine
• Forward Planning

• Signs/Symptoms
• Allergies
• Medications
• PMHx
• Loi
• Events prior

• Onset
• Provoke
• Quality
• Radiate region
• Severity
• Timing

• Reasurance
• Oxygen
• Monitor
• Position
• IV
• Transport

IM 0.3 - 0.5mg/20min

• LMA
• IV patancy
• O₂ Level
• ECC effectiveness
• Print strips

• 5 joules /kg
• 20ml /kg

• Broad complex >150/min
• GCS motor score <6
• so Cardiovert 100J, 200J

• Inferior II III aVF
• Septal V₁ V₂
• Anterior V₃ V₄
• Lateral I aV_L V ₅ V₆

5 - 10mg/20min

• 1. Paediatric
• 2. Obese
• 3. Pregnant
• 4. Resistant VT/VF

IV 1.0mg/4 min

Neb 5mg/20min

0.1 mg/kg / 3 - 5 min

IM 0.01mg/kg /20 min

• vasodilation
• bronchospasm
• ^capillary per meability
• hypotension
• oedema
• airway obstruction

• IV 0.01 mg/kg 2 - 3 min
• IM 0.02 mg/kg 20 min
• IN 0.04 mg/kg 20 min

• Physical dedependance
• Euphoria
• Analgesia
• Respiratory depression

• IV 0.1 - 0.4mg / 2 - 3 min
• IM 0.8mg / 20 min
• IN 1.6mg / 20 min

• Prepare scene
• R50
• Relatives
• Gear
• Prepare patient
• advice
• IV
• O₂
• Pads
• Prepare lifepack
• synchronise
• change
• Proceed