1what are the indications for the traumatic heomorrhage directive?
suspect hemorhage from truame ( internal or external) + hemodynamic instability
2what are the conditions in TXA administration?
> then 16
HR > 110 BPM or hypotension
3what are the contraindications to TXA admin?
- allergy or sensitivity
- greater the 3 hours since time of injury / unknow injury time
- isolated head injury
4what are the 2 routes TXA can be given?
IV + IM
5What are TXA's (tramatic hemorrgage) IV ,dose, max single dose, and the dosing interval
dose: 1000
max single: 1000mg
dosing interval: n/a
max # doses: 1
6What are TXA's (tramatic hemorrgage) IM,dose, max single dose, and the dosing interval
dose: 1000
max single: 1000mg
dosing interval: n/a
max # doses: 1
7what are the indications for the emergency childbirth directive?
pregnant patient expiriencing labor OR post-partum patient following delivery
8what are the conditions for delivery (emerge child birth)
age: childbearing years
other: second stage of labour, imminent birth, shoulder dystocia, breech presentation, prolapsed cord
9what are the conditions for umbilical cord managment (emerge child birth)
age; childbearing years
other: cord complications, neo/maternal resus requires, due to transport considerations
10what are the conditions for external uterine massage ( emerge child birth)
age: childbearing years
other: post-placental delivery
11what are the conditions for oxytocin (emerge child birth)
age: childbearing years
SBP: < 160 mmhg
other: postpartum or placental delivery
12what are the contraindications for external uterine massage?
placenta not delivered
13what are the contraindications for delivery and umbilical cord managment?
N/A
14what are the 5 contraindications of oxytocin?
- allergy/sensitivity
- undelivered fetus
- pre-emclapsia
- eclampsia
- > 4 hours post placental delivery
15what is oxytocins route, dose, max single dose, dosing interval and max # of doses?
route: IM
dose: 10 units
max single dose: 10 units
dosing interval : N/A
max # dose: 1
16what are the indications for the newborn resusitation directive?
newborn patient
17what are the conditions for CPR ( newborb resus)?
age: < 24 hours
HR: <60 bpms
other: 30 seconds post PPV using room air
18what are the contraindication for CPR + PPV (newborn resus)?
- obviously dead per BLS
- < 20 weeks gestations
19what are the conditions for PPV (newborn resus)?
age: < 24 hours
HR: < 100 bpm