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h.

Paroxysmal nocturnal dyspnea

i.

Labored breathing (SOB)

j.

Orthopnea

k.

Vertigo

l.

Epistaxis

m.

Tinnitus

n.

Changes in visual acuity

o.

Nausea/ vomiting

p.

Seizures

q.

Lateralizing signs

r.

ECG findings

Medical: 5

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

    • (1)

      Can be warm or cool

  • f.

    Peripheral pulses

    • (1)

      Can be strong

  • g.

    Edema

    • (1)

      Pitting versus non-pitting

F.

G.

Management

  • 1.

    Non-pharmacologic

    • a.

      Position of comfort

    • b.

      Airway and ventilation

  • 2.

    Pharmacological

    • a.

      Gases

    • b.

      Other

Support and communications strategies

  • 1.

    Explanation for patient, family, significant others

  • 2.

    Communications and transfer of data to the physician

3.

Rapid transport

a. b .

Refusal No other indications for no transport

  • XII.

    Cardiogenic shock

    • A.

      Pathophysiology

      • 1.

        Precipitating causes

        • a.

          Myocardial infarction

          • (1)

            Can be acute or progressive

        • b.

          Age

          • (1)

            Progressive

        • c.

          Trauma

    • B.

      Initial assessment

      • 1.

        Airway/ breathing

        • a.

          Labored breathing may or may not be present

      • 2.

        Circulation

        • a.

          Peripheral pulses

          • (1)

            Quality

          • (2)

            Rhythm

        • b.

          Changes in skin

          • (1)

            Color

          • (2)

            Temperature

───────────

─────────────────────────────────────────────────────────────────────────

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

30

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