how would a paramedic intern treat a pt. with cardiogenic pulmonary
I would ask CHAMPS. conduct a primary survey checking that the patients airway was clear. check the patients breathing including respiratory rate, breath sounds, equal air entry, effort of breathing. check circulation for Bradycardia / tachycardia and hypotension / hypertension assess the pt. disability including GCS and expose the pt. including looking for rashes, wounds and temperature. ask a more thorough hx and PQRST. posture the pt. sitting with legs dependant. place the pt. on 100% oxygen via BVM and administer IPPV if required. monitor the pt. administer 600mcg GTN if the pt. is >16, not on any nitric oxide donors, systolic BP >100 and HR >50 and <150. call IC to cannulate pt. and administer Frusemide if required. Urgent transport.