Assessment |
Initiate cardiac monitoring |
Measure pulse oximetry |
Airway and cervical spine immobilization |
Open and maintain the airway |
Suction the airway to remove secretions |
Apply cervical collar and back board immobilization for suspected spinal injury |
Administer racemic or L-epinephrine for severe inspiratory stridor (eg, severe croup) |
Place an advanced airway, if unable to maintain airway by other means |
Breathing |
Perform bag-mask ventilation |
Administer beta agonist therapy for reactive airway disease |
Perform needle decompression for tension pneumothorax |
Circulation |
Control external hemorrhage (eg, penetrating trauma to extremity) |
Provide cardiopulmonary resuscitation if indicated - at least three cycles |
Perform synchronized cardioversion and defibrillation |
Obtain intravenous or intraosseous access if benefit outweighs delay in transport |
Administer medications indicated for cardiopulmonary arrest - at least one cycle |
Administer IV fluids for shock |
Disability |
Administer glucose for hypoglycemia |
Administer medications to control seizures |
Splint extremities |
Perform eye irrigation |
Other |
Administer medications (eg, epinephrine, diphenhydramine, and steroids) for allergic or anaphylactic reactions |
Administer hydroxocobalamin for cyanide poisoning (eg, home fires) |
Administer pain medication |
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