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1、V-fib/pulselessv-tach(newACLSasof2001)"EVALMyPumper":EpinephrineVasopressinAmiodarone(classIIb--betterforheartfailure)Lidocaine(indeterminate-betterforyoung,healthyorpersistent)MgSO4(IIbforhypomagnesemicstateortorsades)Procainamide(IIbforintermittent/recurrentVF/VT)Traum
2、a:motorvehicleaccidentconsiderationsIAMSCARED:Impact(head-on,rear-end,t-bone,rollover,rotationaletc.)Autovs.pedestrian,bike,motorcycle(start@speed>10mph)Medicalhistory(cardiac,coagulolation,liver,immuno,obese,prego)Speed(>50mph?)Compartmentintrusion(>12inches?)Age(<5or>5
3、5y.o.?)Restraints(lap&shoulder,either,airbag,infantorchildseat?)Ejection/Extrication(eject=25xgreaterdeath,extr>20min)Death(atscene,samevehicle,other)DecompressionsicknessBoyle'slaw:volumeofgasisinverselyproportionatetoitspressure.·Therefore,BOYLE:Breathe(asyouascend)OrY
4、ourLungExplodes·Breatheasyouascendafterscubadiving,sincethepressuredecreasesonsurfacing,sothegasvolumeinlungsincreases.PainhistorychecklistOLDERSAAB:OnsetLocationDescription(whatdoesitfeellike)ExacerbatingfactorsRadiationSeverityAssociatedsymptomsAlleviatingfactorsBefore
5、(everexperiencethisbefore)Asystole:treatment"Havesomeasystole"TEA":TranscutaneouspacingEpiAtropineEndotrachialtubedeliverabledrugsONAVEL:OxygenNaloxoneAtropineVentolin(albuterol)EpinephrineLidocaine·Ifyoucan'tgetIVaccessestablished,andhavenecessitytoadministerresuscitati
6、vemeds,rememberyouhavetheairwayandcangivetheabovedrugs.·Drugdeliveryisenhancedifdilutedwith10ccNSandrapidintroducedforaeresolization.·Alternatively,bareboneversionisALE,asabove.RLQpain:differentialAPPENDICITIS:Appendicitis/AbscessPID/PeriodPancreatitisEctopic/Endometrios
7、isNeoplasiaDiverticulitisIntussusceptionCrohnsDisease/Cyst(ovarian)IBDTorsion(ovary)IrritableBowelSyndromeStonesSubarachnoidhemorrhage(SAH)causesBATS:BerryaneurysmArteriovenousmalformation/AdultpolycystickidneydiseaseTrauma(egbeingstruckwithbaseballbat)StrokeSyncopecause
8、s,bysystemHEADHEARTVESSELS:·CNScausesincludeHEAD:Hypoxia/HypoglycemiaEpilepsyAnxietyDysfunctionalbrains
