Cardiac
ACS (Angina, STEMI, NSTEMI) |
CHF |
Endocarditis |
Myocarditis |
Pericarditis |
Cardiac Tamponade* |
S/S: Chest pain - pressure, heavy, tight, radiating to left shoulder. |
S/S: Chest pain, crackles, edema, pink-frothy sputum, JVD |
S/S: Chest pain, fever, fatigue, muscle & joint pain, late: edema & SOB |
S/S: Chest pain, fever, rash, joint pain |
S/S: Chest pain - worse supine, fever, global STE, friction rub |
S/S: JVD, hypotension, muffled heart sounds |
Treat: ASA, Nitro |
Treat: Nitro, CPAP, rest |
Treat: Tylenol |
Treat: Tylenol |
Treat: Tylenol |
Treat: ALS |
Brain Hemorrhage & Trauma
Intracerebral |
Subarachnoid |
Subdural |
Epidural |
Skull fracture (Basilar) |
S/S: Headache, ALOC, worsens over 30-90 min |
S/S: Thunderclap headache, sudden severe symptoms |
S/S: Delayed onset headache, ALOC, seizures |
S/S: Headache w/ a brief loss of consciousness followed by a lucid interval then rapidly declines |
S/S: Raccoon eyes, battle signs, CSF leakage - halo sign, unequal pupils, odd resp. patterns |
Treat: SBP < 110 |
Treat: SBP < 110 |
Treat: SBP < 110 |
Treat: SBP < 110 |
Treat: SBP < 110 |
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Neurology
Stroke |
Seizure |
Headache |
Neoplasm |
Meningitis |
Encephalitis |
Brain Abcess |
S/S: Facial droop, slurred speech, arm drift, headache, vision disturbances, ALOC |
S/S: Full/partial body jerking, ALOC |
Migraine: throbbing Cluster: one-sided Tension: gradual w/ muscle contractions |
S/S: Reoccurant severe headaches, N/V, double vision, seizures |
S/S: Neck stiffness, fever, varying ALOC |
S/S: Fever, greater ALOC, weakness/partial paralysis, memory loss |
S/S: Fever, hemiparesis, |
Treat: O2, fluids |
Treat: O2, fluids |
Treat: Tylenol |
Treat: Symptoms |
Treat: Symptoms |
Treat: Symptoms |
Treat: Symptoms |
Endocrine
Hypoglycemia |
Hyperglycemia - DKA |
S/S: BGL < 4, ALOC, shaking |
S/S: BGL > 18, ALOC, Kussmals resps. thirst, fruity breath |
Treat: Oral glucose, D50, Glucagon |
Treat: 20 mL/kg over 10 min |
Burns
1st |
2nd |
3rd |
S/S: Redness, pain, ex: sunburn |
S/S: Blistering, severe pain |
S/S: White, charred, leathery skin, no pain |
Treat: Symptoms |
Treat: 4mL x TBSA % x Wt(kg) |
Treat: 4mL x TBSA % x Wt(kg) |
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