emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationII.III.d) Administer oxygen if not already done in the initialassessmente) Determine if patient has prescribed preloadedepinephrine available. Facilitate administration ofpreloaded epinephrine.f) Contact medical directiong) Record and reassess in two minutesh) Record reassessment findingsi) If patient does not have epinephrine auto-injectoravailable - transport immediately2. Patient has contact with substance that causes allergic reactionwithout signs of respiratory distress or shocka) Continue with focused assessmentb) Patient not wheezing or without signs of respiratorycompromise or hypotension should not receiveepinephrineRelationship to Airway ManagementA. These patients may initially present with airway/respiratorycompromise or airway/respiratory compromise may develop as theallergic reaction progressesB. The airway should be managed according to the principles identified inthe airway management lesson presented earlierMedicationsA. Epinephrine auto-injector1. Medication namea) Generic - Epinephrineb) Trade - Adrenalin2. Indications - must meet the following three criteria:a) Emergency medical care for the treatment of the patientexhibiting the assessment findings of an allergic reactionb) Medication is prescribed for this patient by a physicianc) Medical direction authorizes use for this patient3. Contraindications - no contraindications when used in a lifethreateningsituation4. Medication form - liquid administered via an automaticallyinjectable needle and syringe system5. Dosagea) Adult - one adult auto-injector (0.3 mg)b) Infant and child - one infant/child auto-injector (0.15 mg,up to #60)6. Administrationa) Obtain order from medical direction either on-line oroff-lineb) Obtain patient's prescribed auto-injector. Ensure:(1) Prescription is written for the patient experiencingallergic reactionsModule 4-57