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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

    • f.

      Possible antiarrhythmic

    • g.

      Possible antihypertensives

  • 3.

    Electrical

    • a.

      Constant ECG monitoring

    • b.

      Defibrillation/ synchronized cardioversion

    • c.

      Transcutaneous pacing

  • 4.

    Transport

    • a.

      Criteria for rapid transport

      • (1)

        No relief with medications

        • (a)

          Hypotension/ hypoperfusion

        • (b)

          Significant changes in ECG

          • i)

            Ectopy

          • ii)

            Arrhythmias

    • b.

      ECG criteria for rapid transport and reperfusion

      • (1)

        Time of onset of pain

      • (2)

        ECG rhythm abnormalities

    • c.

      Indications for Ano transport@

      • (1)

        Refusal

      • (2)

        No other indications for no-transport

  • 5.

    Support and communications strategies

      • (1)

        Explanation for patient, family, significant others

      • (2)

        Communications and transfer of data to the physician

  • IX.

    Heart failure

    • A.

      Epidemiology

      • 1.

        Precipitating causes

        • a.

          Left sided failure

        • b.

          Right sided failure

        • b.

          Myocardial infarction

        • c.

          Pulmonary embolism

        • d.

          Hypertension

        • e.

          Cardiomegaly

        • f.

          High output failure

        • g.

          Low output failure

      • 2.

        Related terminology

        • a.

          Preload

        • b.

          Afterload

        • c.

          Congestive heart failure

          • (1)

            Loss of contractile ability which results in fluid overload

        • d.

          Chronic versus acute

          • (1)

            First time event

          • (2)

            Multiple events

    • B.

      Morbidity/ mortality

      • 1.

        Pulmonary edema

      • 2.

        Respiratory failure

      • 3.

        Death

    • C.

      Initial assessment

      • 1.

        Airway/ breathing

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

25

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