Medical Emergencies

Crash cart Drugs and equipment for emergency situations

Automatic External Defibrillator(AED) Analyze the pts cardiac rhythm and determine if shock is necessary

Head Injury Indications Response Irritability Lethargy Slowing pulse rate Slowing respiratory rate Response Maintain open airway Stop procedure and obtain medical assistance/vital signs Head Injury

Medical Emergencies Oxygen Suction unit Cardiac arrest Mask or nasal cannula 3-5L/minute Suction unit Maintain pt’s airway Cardiac arrest Cessation of heart function Call code Grab crash cart Perform CPR Respiratory arrest Cessation of breathing Choking/upper respiratory tract swelling Failure of CNS Medical Emergencies

Shock Shock Septic shock Neurogenic shock Symptoms Diastolic less than 50 (hypotension) Systolic less than 30 Dyspnea (shortness of breath or difficulty breathing) Accelerated pulse Confusion Restlessness and apprehension Pale, cool, clammy skin Weakness Septic shock Toxins in bloodstream cause drop in blood pressure Neurogenic shock Causes blood to pool in peripheral vessels Shock

Shock Hypovolemic shock Cardiogenic shock Allergic shock Anaphylaxis Loss of large amount of blood/plasma Cardiogenic shock Cardiac failure Allergic shock Anaphylaxis Allergic reaction to foreign proteins Low pressure/dyspnea Iodinated contrast reactions Mild reaction Urticaria(hives), nausea,vomiting Serious reaction Laryngeal edema, shock, cardiac arrest Shock

Failure of the circulatory system to support vital body functions Hypovolemic-loss of blood or tissue fluid Cardiogenic-cardic disorders/myocardial infarction Neuorgenic-damage to spinal cord Vasogenic-sepsis,anaphylaxis Shock

Hypoglycemia Excessive insulin Caused by taking insulin and not eating breakfast Hungry, weak, shaky, sweating, confused,irritable, aggressive Administer carbohydrate (OJ, soda,candy) Schedule pts first thing in AM Hypoglycemia

Hyperglycemia Excessive sugar in blood Excessive thirst, urination, rapid deep breathing, drowsiness, confusion Can lead to diabetic coma Pt needs insulin/get medical help Hyperglycemia

Wheezing Dilation of bronchi on inspiration and collapse on exhalation Inhaler or bronchodilator Stop procedure and assist pt to a sitting position/calm pt down Asthma

Heimlich Maneuver

Cardiopulmonary Resuscitation (CPR)

Minor emergencies Epistaxis Vertigo Syncope Nosebleed Lean forward and pinch nostril Vertigo Dizziness Syncope Fainting Assist to a seated or recumbent position Be careful when having pts sit up after lying on xray table Minor emergencies

Seizures Falls Prevent pt from being injured Never leave a pt alone on the xray table