emt-basic curriculum module 4

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State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Educationc) Vomitingd) Diarrheae) Altered mental statusf) Abdominal paing) Chemical burns around the mouthh) Different breath odors2. Emergency medical carea) Remove pills, tablets or fragments with gloves frompatient's mouth, as needed, without injuring oneselfb) Consult medical direction and/or poison control center -activated charcoalc) Bring all containers, bottles, labels, etc. of poison agentsto receiving facilityC. Inhaled1. Signs and symptomsa) History of inhalation of toxic substanceb) Difficulty breathingc) Chest paind) Coughe) Hoarsenessf) Dizzinessg) Headacheh) Confusioni) Seizuresj) Altered mental status2. Emergency medical carea) Have trained rescuers remove patient from poisonousenvironment. Be aware that fumes and gases canremain on clothing or skin.b) Give oxygen, if not already done in the initial assessmentc) Bring all containers, bottles, labels, etc. of poison agentsto receiving facilityD. Toxic injection1. Signs and symptomsa) Weaknessb) Dizzinessc) Chillsd) Fevere) Nauseaf) Vomiting2. Emergency medical carea) Airway and oxygenb) Be alert for vomitingc) Bring all containers, bottles, labels, etc. of poison agentsto receiving facilityE. AbsorbedModule 4-64
State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationII.III.1. Signs and symptomsa) History of exposureb) Liquid or powder on patient's skinc) Burnsd) Itchinge) Irritationf) Redness2. Emergency medical carea) Skin - remove contaminated clothing while protectingoneself from contamination(1) Powder - brush powder off patient, then continueas for other absorbed poisons(2) Liquid - irrigate with clean water for at least 20minutes (and continue en route to facility ifpossible)b) Eye - irrigate with clean water away from affected eye forat least 20 minutes and continue en route to facility ifpossibleRelationship to Airway ManagementA. Use information and skills learned in airway section of course tomanage airway difficultiesB. A patient's condition may deteriorate, so continue to assess patient forairway difficulties and manage as learned previouslyMedications – refer to local protocols for prehospital useA. Activated charcoal1. Medication namea) Generic - Activated charcoalb) Trade(1) SuperChar(2) InstaChar(3) Actidose(4) LiquiChar2. Indications - poisoning by mouth3. Contraindicationsa) Altered mental statusb) Ingestion of acids or alkalisc) Unable to swallow4. Medication forma) Pre-mixed in water, available in containers of 12.5, 25and 50 gramsb) Powder - should be avoided in field5. Dosagea) Adults and children: 1 gram activated charcoal/kg of bodyweightb) Usual adult dose: 25 - 50 gramsc) Usual infant/child dose: 12.5 - 25 gramsModule 4-65
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