Page 258 - 2023 SMOG Digital

Updated December 22 INFLIGHT Check all bandages, splints, dressings and tourniquets for Assess distal pulses and neurovascular status during transport. Check placement of all tubes, lines and drains & ensure proper Ensure all wires and tubing are accessible and have adequate slack to allow monito

Blood products administration placement / evidence of ongoing hemorrhage Measurement of abdomen. Confirm ETT is in appropriate position Look/feel for symmetric chest wall rise Verify tube position at teeth Check ETCO2 Look and feel for chest excursion Check Pulse Ox Check patient’s color C

M:    A:     DOPE  R:    C:     H/I:    secured  

TAKE WITH Vasoactive medications (dopamine, neo, norepinephrine) Collect all labs, x-rays, pre aid-station/hospital documentation Reconcile medications; verify allergies and patient’s weight
Additional Blood products (1:1:1) Golden Hour Container Extra ETT / King LT / IGEL Suction soft-tip 10ml syringe O2 for transport Backup ventilator Needle for decompression Pressure bags IV fluids and tubing for transport Secure personal effects. Sedation meds (propofol, versed, ketam

M:  Tubing  Warmer   A:    Bite block  Tape  BVM  R:   Suction   C:    H/I:       3% NaCl,  Medications Type and number of patients Thermal considerations

Facility Transfer Checklist DO NOW Check all bandages, splints, dressings and tourniquets for placement / evidence of ongoing hemorrhage. Mark bleeding strikethrough Measurement of abdomen Request orders for type and cross-matched blood or O-negative blood from the transferring physician. Assess

M:     A:  pressure, bite block Attach ETCO2 monitor   depth, security  placement  R:     Heimlich valve.  to patient C:        empty bag H/I:    transferring physician.     Altitude Considerations Respiratory Support

258