M-31 PARAMEDIC INTERN
SHIFT PRESENTATION OUTLINE
SHIFT 1: Orientation
Complete ambulance checkout: ALS and BLS
Protocol Quizzing
No Presentation today
SHIFT 2
Topic: Active Seizures
Drug: Diazepam
Procedure: Proper Narcotics handling/documentation, Rectal Diazepam administration/video
SHIFT 3
Topic: Allergic Reaction/Anaphylaxis
Drugs: Diphenhydramine, Epinephrine 1:1,000
Procedure: IM injection, SL injection
SHIFT 4
Topic: Altered Level of Consciousness
Drugs: Narcan, Dextrose (D25 video), Glucagon
Procedures: IM injection, Restraints (Policy 209), Documentation of Patient Refusal (Policy 203)
SHIFT 5- Open -Evaluation day
SHIFT 6
Topic: Policies 126, 127
Drugs: None
Procedure: Prehospital Determination of Death, Termination of CPR, DNR
SHIFT 7
Topic: Bradycardia
Drugs: Atropine, Dopamine
Procedures: Dopamine piggyback setup/calculation, Review of heart blocks, role of Calcium Channel Blocker/Beta blockers….Home Meds
SHIFT 8
Topic: Cardiac Chest Pain
Drugs: Nitroglycerine, Aspirin, Morphine
Procedure: 12 Lead EKG, Differential Diagnoses for chest pain of all kinds, STEMI Policy 152
SHIFT 9: Trauma
Topic: Hypotension / Shock / Mechanism of Injury
Drug: Normal Saline
Procedure: Needle Thoracostomy, Needle Cricothyrotomy, START triage, Helicopter Policy 155
BLS Skill Review: C-Spine, KED, Traction Splint, Cardboard Splint, Trauma Center Policy 153
SHIFT 10 – Open -Evaluation day
SHIFT 11
Topic: Pulseless Electric Activity/Asystole
Drug: Calcium Chloride, Sodium Bicarbonate, Epi 1:10,000
Procedure: Adult I.O., Treatable considerations, Overdoses, Etc.
SHIFT 12
Topic: Respiratory Distress (Asthma, Pulmonary Edema, COPD)
Drugs: Albuterol, Epinephrine 1:1,000/1:10,000, Nitroglycerine, Morphine
Procedures: HHN, Medrafter, CPAP
SHIFT 13
Topic: Supraventricular Tachycardia
Drug: Adenosine
Procedures: Adenosine Administration, Valsalva, Synchronized Cardioversion
SHIFT 14
Topic: Ventricular Fibrillation / Pulseless Ventricular Tachycardia
Drugs: Lidocaine, Epinephrine 1:10,000, Sodium Bicarbonate
Procedures: Termination of CPR, Post-conversion consideration
SHIFT 15 – Open Evaluation day: Home Med Test #1
SHIFT 16
Topic: Ventricular Tachycardia with a pulse
Drugs: Lidocaine
Procedures: Synchronized Cardioversion
SHIFT 17 – Home Medication Test #2
SHIFT 18
Airway Review
- BLS Airway, ET Intubation, King Vision ET, End Tidal CO2, Suctioning
SHIFT 19 - Pediatrics
SHIFT 20 – Final Evaluation!
Quizzes: There will be a 15 question home med quiz given every Sunday covering the following topics:
Quiz #1: Narcotics, Barbiturates, Benzodiazepines
Quiz #2: Anticonvulsants, Beta Blockers, Phenothiazines
Quiz #3: Calcium Channel Blockers, Tricyclic Antidepressants, Pulmonary agents
Quiz #4: Diabetes, Antidysrhythmics, Thyroid agents, Antihyperlipidemic
Quiz #5: Nitrates, Antiplatelet, HTN, Diuretics
Home Med Tests: There will be a home med test given on shifts 15 & 17 (possibly more if there is an extension). These tests will cover all of the meds given to you in the Common Meds and Classes list. Study hard!