SNHDl Protocoll Studyl Guidel (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)
Q:l PROCEDURESl PROTOCOLS.
CERVICALl STABILIZATION partl 1
Answer:
Cervicall stabilizationl isl indicatedl inl anyl patientl whol meetsl thel indicationsl (A-E)l below:
Indications:
Thisl procedurel mayl bel performedl onl anyl patientl withl potentiall forl spinall injury
basedl uponl thel followingl (NEXUS)l criteria:
A.l Midlinel cervicall spinall tenderness.B.l Focall neurologicl deficit.C.l Alteredl mentall status.D.l Evidencel ofl drugl and/orl alcoholl intoxication.E.l Anyl painful,l distractingl injury.
Contraindications:
Cervicall stabilizationl isl NOTl performedl inl thel followingl conditions:
A.l Penetratingl traumal tol thel headl and/orl neckl andl nol evidencel ofl spinall injury.B.l Injuriesl wherel placementl ofl thel collarl mightl compromisel patient assessment,l airwayl management,l ventilationl and/orl hemorrhagel control.C.l Patientsl inl cardiacl arrest.
Q:l PROCEDURESl PROTOCOLS.
CERVICALl STABILIZATION.Continuedl partl 2
Answer:
Contraindications:
Cervicall stabilizationl isl NOTl performedl inl thel followingl conditions:
A.l Penetratingl traumal tol thel headl and/orl neckl andl nol evidencel ofl spinall injury. 1 / 4
B.l Injuriesl wherel placementl ofl thel collarl mightl compromisel patient assessment,l airwayl management,l ventilationl and/orl hemorrhagel control.C.l Patientsl inl cardiacl arrest.
Q:l PROCEDURESl PROTOCOLS.
CERVICALl STABILIZATION.Continuedl partl 3
Answer:
Keyl procedurall considerations:
A.l Ifl (A-E)l abovel arel ALLl NEGATIVE,l cervicall stabilizationl isl notl required.B.l Ifl required,l cervicall stabilizationl isl thel placementl ofl anl approved,l properlysized cervicall collarl beforel thel patientl isl moved.C.l Backboardsl arel onlyl indicatedl forl extricationl andl patientl movement.l Patients arel notl tol bel transportedl onl backboardsl (unlessl movementl offl thel backboard wouldl delayl immediatel transportl ofl patientsl withl life-threateningl injuries orl acutel spinall injuries).D.l Tape,l headl straps,l wedges,l andl headl and/orl neckl supportl devicesl arel not recommended.E.l Patientsl foundl inl motorl vehiclesl shouldl bel askedl ifl theyl arel ablel tol exit thel motorl vehiclel onl theirl own.l Ifl so,l theyl shouldl bel assistedl tol al soft stretcherl andl securedl forl transport.l Patientsl unablel tol exitl thel vehiclel on theirl ownl accordl shouldl bel removedl byl thel appropriatel extricationl method.F.l Oncel onl thel stretcher,l thel patientl mayl bel movedl tol al semi-Fowler'sl or high-Fowler'sl positionl forl comfort.G.l Ifl al backboardl isl usedl forl extricationl orl movement,l thel patientl shouldl be immediatelyl movedl tol al softl mattress,l ifl possible.H.l Inl speciall situations,l alternatel stabilizationl devicesl (e.g.l vacuuml mattress, KED,l etc.l mayl bel usedl asl indicated).I.l Pediatricl patientsl mayl bel stabilizedl inl anl approvedl carl seatl orl withl a commerciall pediatricl stabilizationl device.
Q:l PROCEDURESl PROTOCOLS.
HEMORRHAGE l CONTROLl TOURNIQUET
Answer:
Indications:
Thisl procedurel mayl bel performedl onl anyl patientl thatl hasl bleedingl froml an extremityl thanl canl notl bel controlledl byl directl pressure.
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Contraindications:l None
Keyl procedurall considerations:
A.l Applyl tourniquetl proximall tol thel bleedingl site.
B.l Absolutel contraindication:l Bleedingl hasl stopped
C.l Ifl bleedingl isl notl controlled,l considerl additionall tighteningl orl applyingl al second tourniquetl proximall sidel byl sidel tol thel first.D.l Recordl thel timel ofl tourniquetl application,l onl thel patient,l thatl isl clearlyl visible.
Q:l PROCEDURESl PROTOCOLS.
MEDICATIONl ADMINISTRATION.(basedl onl medication)
Answer:
Indications:
Thisl procedurel mayl bel performedl onl anyl patientl thatl requiresl thel administration ofl al medication.
Keyl procedurall considerationsl (GENERAL):
A.l Inquirel aboutl allergiesl andl previousl medicationl reactions B.l Checkl andl recheckl medication C.l Solutionl clarityl andl expirationl date D.l Rightl drug Rightl patient Rightl dose Rightl time Rightl route Rightl documentation E.l Disposel ofl syringel andl otherl materiall inl properl container
Q:l PROCEDURESl PROTOCOLS.
TRACTIONl SPLINT
Answer:
Indications:
Thisl procedurel mayl bel performedl onl anyl patientl withl anl isolatedl closedl midshaft femurl fracture.
Contraindications:
A.l Pelvicl fracturel orl instability 3 / 4
B.l Knee,l lowerl leg,l orl anklel instability.
(Keyl procedurall considerations:
A.l Assessl motor,l sensory,l andl circulatoryl functionl inl thel involvedl extremity.B.l Applyl tractionl splintl perl thel manufacturer'sl guidelines.C.l Initiatel mechanicall tractionl tol matchl manuall traction.D.l Reassessl motor,l sensory,l andl circulatoryl functionl inl thel involvedl extremity.)
Q:l OPERATIONSl PROTOCOLS.
CHRONICl PUBLICl INEBRIATE
Answer:
1.l Al personl whol isl suspectedl tol bel underl thel influencel ofl alcoholl andl hasl nol otherl emergentl medicall needl mayl be transportedl tol anl approvedl alcoholl andl drugl abusel facilityl ratherl thanl al hospital'sl emergencyl departmentl IFl the
patientl meetsl ALLl ofl thel followingl criteria:
A.l Patientl isl ablel tol standl withl minimall assistancel ofl onel orl twol people.
B.l Vitalsl asl follows:
1)l Bloodl pressure:l Systolicl 90l -l 180
Diastolicl 60l -l 100
2)l Pulsel rate:l 60l -l 120
.l 3)l Respiratoryl rate:l 12l -l 22
4)l Bloodl glucosel betweenl 50l -l 250 5)l Glasgowl Comal Scorel ≥14 6)l O2l >94%l orl 90%l ifl smoker 7)l Nol acutel medicall complications 8)l Nol signsl ofl trauma 9)l Nol suspectedl headl injury 10)l Approvall ofl thel physicianl orl medicall staffl uponl assessmentl ofl thel patientl afterl he/shel arrivesl at thel alternativel facility Alll ofl thel abovel parametersl mustl bel metl andl thel patientl mustl bel clinicallyl stablel otherl thanl signs andl symptomsl ofl MILDl withdrawall froml alcoholl and/orl substancel abuse.
2.l Ifl therel isl ANYl doubtl aboutl whetherl thel personl isl inl needl ofl emergencyl medicall care,l thel personl shouldl be transportedl tol thel CLOSESTl receivingl facility.
Q:l OPERATIONSl PROTOCOLS.
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