Paramedic Procedures... Home

 

1.  Initial Scene Assessment

  1. 1.    Body Substance Isolation Precautions

  2. 2.    Scene Safety Assessment

  3. 3.    Incident/Illness Assessment

  4. 4.    Assessing the Number of Patients

  5. 5.    Requesting Backup

  6. 6.    Assessing for Traumatic C-spine Injury

  7. 7.    General Impression of the Patient

  8. 8.    Levels of Awareness

  9. 9.    Life Threats/Chief Complaints

  10. 10.  Triage


2. Airway

Listening

  1. 1.    Rapid Chest Auscultation

  2. 2.    Look, listen and feel

Positioning

  1. 3.    Head Tilt

  2. 4.    Chin Lift

  3. 5.    Jaw Thrust

  4. 6.    SCSCI vs non-SCSCI (SCSCI = stable cervical spinal cord injury)

  5. 7.    Cricoid Pressure / Sellick Maneuver / BURP

Choking

  1. 8.    FBAO – Conscious Adult

  2. 9.    FBAO – Unconscious Adult

  3. 10.    FBAO – Conscious Child

  4. 11.    FBAO – Unconscious Child

  5. 12.    FBAO – Conscious Infant

  6. 13.    FBAO – Unconscious Infant

Basic Airway Adjuncts

  1. 14.    Nasal Airway

  2. 15.    Oral Airway

Suctioning

  1. 16.    Manual vs. Electrical Suctioning

  2. 17.    Upper Airway Suctioning

  3. 18.    Tracheobronchial Suctioning

  4. 19.    Meconium Suctioning

Advanced Airway Adjuncts

  1. 20.    Combitube / PTL

  2. 21.    EOA

  3. 22.    Laryngeal Mask / LMA

  4. 23.    Direct Laryngoscopy - FB Removal

Mechanical Intubation Techniques

  1. 24.Orotracheal Intubation

  2. 25.Retrograde Intubation

  3. 26.Lighted Stylet Intubation

  4. 27.Digital Intubation

  5. 28.Elastic Gum Bougie

Facilitated Intubation

  1. 29.Medication Assisted Intubation (non-paralytic)

  2. 30.Rapid Sequence Intubation

  3. 31.     Surgical Airway Techniques

  4. 32.Needle Cricothyroidotomy

  5. 33.Surgical Cricothyrotomy



3. Breathing (Ventilation / Oxygenation)

  1. 1.    Gastric Decompression - NG Tube

Adult

Child

Infant

  1. 2.    Gastric Decompression - OG Tube

Adult

Child

Infant

  1. 3.    Chest Needle Decompression

  2. 4.    Pulse Oximetry

  3. 5.    End Tidal CO2 Monitoring / Capnometry

  4. 6.    Esophageal Detector Device - Toomy Syringe

  5. 7.    Automatic Ventilator

Adult

Child

Infant

  1. 8.    Oxygen Powered Demand Valve

Adult

Child

Infant

  1. 9.    Oxygen Venturi Mask

  2. 10.    Oxygen Tanks / Regulators

  3. 11.    Bag-Valve-Mask (BVM)

    11.a Assembly and Disassembly

   11b.  One person technique

Adult

Child

Infant

    11c. Two person technique

Adult

Child

Infant

  1. 12.    Mouth to Mouth Ventilation

Adult

Child

Infant

  1. 13.    Mouth to Nose Ventilation

Adult

Child

Infant

  1. 14.    Mouth to Stoma Ventilation

Adult

Child

Infant

  1. 15.    Pocket Mask Ventilation

  2. 16.    Oxygen Humidifiers

  3. 17.    Nasal Cannula

  4. 18.    Oxygen Non-Rebreather Mask

  5. 19.    Oxygen Simple Face Mask

  6. 20.    Blow-by Oxygenation (pediatrics)



4. Cardiovascular Circulation

Hemorrhage Control

  1. 1.    Direct Pressure Hemorrhage Control

  2. 2.    Pressure Point Hemorrhage Control

  3. 3.    Tourniquet Hemorrhage Control

  4. 4.    Dressing and bandaging

  5. 5.    External Bleeding from the Ears

  6. 6.    Bleeding from the Nose

Healthcare Provider CPR / Skills

  1. 7.    Adult – One Rescuer CPR

  2. 8.    Adult – Two Rescuer CPR

  3. 9.    Child CPR

  4. 10.    Infant CPR

  5. 11.    Mechanical CPR Device

  6. 12.    Automated / Semi-automated Defibrillation

ECG / Electrotherapeutics

  1. 13.    Cardiac Monitor Application

  2. 14.    12-Lead EKG Acquisition

  3. 15.    Electrical Cardioversion

  4. 16.    Defibrillation

  5. 17.    Transcutaneous Pacing

  6. 18.    Transvenous Pacing

  7. 19.    Cardiac Monitoring - Single Lead

  8. 20.    12-Lead EKG Interpretation

Intravenous Skills

  1. 21.    Setting up an IV Set

  2. 22.    Peripheral IV initiation and maintenance

  3. 23.    External Jugular Vein IV

  4. 24.    Intraosseous Initiation and maintenance

  5. 25.    Maintenance IV Fluids

  6. 26.    Administering a Bolus

  7. 27.    Venous sampling

  8. 28.    Maintenance Medicated IV Fluids

  9. 29.    Calculating Drip Rate

  10. 30.    Blood / Blood By-Products Administration

  11. 31.    Initiation of an IV at a Central Line Port

  12. 32.    Colloid (Albumin, Dextran, etc.)

  13. 33.    Saline Lock

  14. 34.    Intravenous Pumps

Vagal Maneouvers

  1. 35.    Carotid Massage

  2. 36.    Valsalva’s Maneuver



5. Immobiliation

  1. 1.    Manual C-spine Stabilization

  2. 2.    Cervical Collar

  3. 3.    Long Board

3aProne

3bSemi-prone

3cSupine

3dSitting

3dStanding

3eInfants and Children

  1. 4.    KED

4a    Preassessment

4b    Application

Adults

Children

4cTimely Removal

  1. 5.    Rigid Splints

  2. 6.    Air Splints

  3. 7.    Vacuum Splints

  4. 8.    Hare Traction Splints

  5. 9.    SAGER Traction Splints

  6. 10.    MAST/PASG

  7. 11.    Restraints

  8. 12.    Log Roll

  9. 13.    Joint Immobilization

  10. 14.    Triangular Bandage Use

14aFractured Clavicle

14bDonut

14cHead Dressing

14dSling and Swath



6. Wound Care

Closed Soft Tissue Injury

  1. 1.    Abrasion

  2. 2.    Contusion

  3. 3.    Hematoma

  4. 4.    Burn Care

4a    Dressing

4b    Escharotomy

Open Soft Tissue Injury

  1. 5.    Lacerations

  2. 6.    Avulsions

  3. 7.    Penetration/Puncture Wound

  4. 8.    Amputation

Impaled Objects

  1. 9.    Cheek or Airway

  2. 10.    Thorax

  3. 11.    Extremity

  4. 12.    Eye(s)

Other

  1. 13.    Eye Avulsions

  2. 14.    Lost Tooth

  3. 15.    Open Neck Wounds

  4. 16.    Open Chest Wound

  5. 17.    Abdominal Injuries and Eviserations


7. Medications Administration Routes

  1. 1.    Oral

  2. 2.    Sub-lingual

  3. 3.    Nasogastric

  4. 4.    Subcutaneous

  5. 5.    Buccal

  6. 6.    Endotracheal

  7. 7.    Intramuscular

  8. 8.    Intravenous Push

  9. 9.    Intravenous Piggyback

  10. 10.    Rectal

  11. 11.    Aersolized / Nebulized / MDI

  12. 12.    OG / NG

  13. 13.    Otic

  14. 14.    Aural



8. Miscellaneous Skills

  1. 1.    Blood Glucose Monitoring

  2. 2.    Eye Irrigation

  3. 3.    Urinary Catherization

  4. 4.    Helmet Removal

  5. 5.    Helmet Stabilization



9. Physical Assessment

Systems

    Nervous System

  1. 1.AVPU

  2. 2.Glasgow Coma Scale

  3. 3.Alert

  4. 4.Memory

  5. 5.Orientation

  6. 6.Decreased LOAs

  7. 7.Unresponsive

  8. 8.Cranial Nerve Exam

  9. 9.Reflex Exam

  10. 10.Major Dermatome Exam

    Cardiovascular

    Respiratory

    Endocrine

    GI/GU


Vital Signs

    Blood pressure

  1. 11.    Auscultation

  2. 12.    Palpation

    Circulation

  1. 13.    Assessing for Gross Bleed

  2. 14.    Carotid Pulse

  3. 15.    Femoral Pulse

  4. 16.    Apical

  5. 17.    Brachial Pulse

  6. 18.    Radial Pulse

  7. 19.    Popliteal

  8. 20.    Posterior Tibialis

  9. 21.    Dorsalis Pedis

  10. 22.    Pulse Rate

  11. 23.    Pulse Regularity

            Regular

            Regularly Irregular

            Irregularly Irregular

    Skin

  1. 24.    Colour

  2. 25.    Temperature

  3. 26.    Condition (Wetness)

  4. 27.    Turgor

    Respirations

  1. 28.    Adventitous Sounds

  2. 29.    Rate

  3. 30.    Pattern

    Temperature

  1. 31.    Oral

  2. 32.    Rectal

  3. 33.    Axillary

  4. 34.    Tympanic

  5. 35.    Palpation

    Pupils

  1. 36.    Reactivity

  2. 37.    Nystagmus

  3. 38.    Conjugate Gaze

  4. 39.    Tracking

  5. 40.    Cardinal Positions

  6. 41.    Blink Reflex

Head to Toe

        See General Paramedic Physical Exam section of site.



10. Specific Complaints and Conditions

See Complaints and Conditions section of site.


11. Lifting Moving and Positioning

Patient Positioning

  1. 1.Prone to Supine

  2. 2.Supine to Lateral

  3. 3.Fore and Aft

Stretcher Operations

  1. 4.Raising and Lowering Platform

  2. 5.Raising and Lowering Head

  3. 6.Raising and Lowering Foot

  4. 7.Side Rails

  5. 8.Locking Wheels

  6. 9.Loading and Unloading from Ambulance

  7. 10.Rolling

Stretcher Alternatives

  1. 11.Stair Chair

  2. 12.Scoop Stretcher

  3. 13.Pole Stretcher

  4. 14.Wheelchair

Drags, Caries & Assists

  1. 15.Blanket Drag

  2. 16.Forearm Drag

  3. 17.Shoulder or Clothes Drag

  4. 18.One-Rescuer Assist

  5. 19.Two Rescuer Assist

  6. 20.Cross-armed Carry (“Handseat”)

  7. 21.Two Rescuer Extremity Carry (“Fore and Aft”)

  8. 22.Piggy Back Carry

  9. 23.Shoulder Carry (“Firefighters Carry”)

Transfers

  1. 24.Stretcher to Stretcher

  2. 25.Stretcher to Bed

  3. 26.Chair to Stretcher

  4. 27.Floor to Stretcher



12. Oby/Gyn

Childbirth

  1. 1.Uncomplicated / Normal

  2. 2.Breech

  3. 3.Prolapse

  4. 4.Limb

  5. 5.Multiple Births

Newborn Assessment

  1. 6.APGAR



13. Children and Infants

  1. 1.Pediatric assessment

  2. 2.Approaching the Tentative Child

  3. 3.Recognizing Developmental Milestones

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