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ALS 是个蓝包,跟BLS的红包相区别不会搞混。
ALS包里有什么
一觉醒来接着写ALS包里有什么。ALS是PARAMEDIC用的。PARAMEDIC需要两年学制的课程,比我们这些念半年就上阵的技能高多了。主要的区别,在于可以给病人打针和输液,使用的药物也多多了。我抄一个单子在下面。
前三类,和BLS差不多。从第四项开始,针头针管,输液的定量滴管,这个包很沉,几袋子1000毫升的生理盐水还有别的配好的点滴液体。
Primary Bag Amount
Vitals Pouch Stethoscope 1 Adult BP Cuff 1 Trauma Shears 1 Pen Light 1 Glucometer Kit Glucometer 1 Test Strip Vial 1 Lancets 10 Alcohol Preps 10 2x2 Gauze 10 Band-Aids 10 Pulse Oximeter 1
Trauma Pouch 1 Sterile 4x4s, individually wrapped 20 Tourniquet 1 Hemostatic Gauze 1 Triangular Bandages 2 Kerlix Rolled Gauze 1 Coban Roll 1 Adaptec Occlusive Dressing 2 Abdominal Pads 2 1" Transpore Tape 1 Trauma Dressing 1 100 mL Irrigation NS or H20 1
Airway Pouch Adult NRB Mask 1 Pedi NRB Mask 1 Adult Nasal Cannula 1 EtCO2 Nasal Cannula 1 Nebulizer 1 Adult Aerosol Mask 1 Pedi Aerosol Mask 1
IV Pouch Fliptop Sharps Container 1 Iodine Prep Pads 5 Alcohol Prep Pads 10 Nail Polish Remover Pads 5 Syringes 20, 10, 3, 1 mL 2 each Needles 18, 21/22, 25 ga. 2 each Small Biohazard Bags 1 Emesis Bag 1 Pressure Infuser 1
IV/IO Bag IV Catheters 14, 16, 18, 20 ga. 2 each IV Catheters 22, 24 ga. 1 each IV Start Kit 2 10 gtt/mL Administration Set 1 Saline Lock Ext. 2 Saline PFS 2 500 or 1,000 mL 0.9% NS 1
Main Pouch LMA size 2,3,4,5 1 each 60 mL Luer Lock Syringe 1 Adult BVM 1
Upper Medication Pouch Epinephrine(肾上腺素,哮喘) 1:10,000 (1mg/10mL) 3 Atropine(阿托品 休克,止痛 (1mg/10mL)) 1 Lidocaine(利多卡因 麻醉 )(100mg/5mL) 2 Sodium Bicarb(碳酸氢钠 心肌梗塞酸中毒的中和) 8.4% (50mEq/50mL) 2 Dextrose(葡萄糖) 50% (25g/25mL) 1
Medication Bag Oral Glucose(葡萄糖) (15g) 2 Nitro Spray or Tablets(硝酸甘油) (0.4mg/dose) 1 bottle DuoNeb(硫酸沙丁胺醇-异丙托溴铵 平喘) (3mL) 2 Aspirin Tablets (81mg/tab) 1 bottle Narcan (纳洛酮 解毒)(2mg/2mL) 1 Ammiodarone( 胺碘酮 心律不齐)(150mg/3mL) 3 Epinephrine(肾上腺素,哮喘) 1:1,000 (1mg/1mL) 1 Diphenhydramine (苯海拉明 过敏)(50mg/1mL) 1 Adenosine(腺苷 心肌缺血) (6mg/2mL) 3 Magnesium Sulfate(硫酸镁 中风) (1g/2mL) 1 Thiamine(硫胺素) (100mg/mL) 1 Tetracaine(麻醉) (0.5%) 1 bottle Ondansetron(止吐药) (4mg/tablet) 2 Ondansetron (4mg/2mL) 1 Acetaminophen(扑热息痛) Caplets 3 3 mL syringe 1 18, 25 ga. Needle 1
Intubation Bag Bite stick 1 KY Jelly 2 10cc syringe 1 Laryngoscope Handle w/ Batteries 1 Adult Magill Forceps 1 Pedi Magill Forceps 1 Miller Blades: 0, 1, 2, 3, 4 1 Macintosh Blades: 1, 2, 3, 4 1 each Adult Tuber Tamer 1 Pedi Tube Tamer 1 ET Tubes: 2.5 ‐ 8.5 1 each Adult Bougie 1 Pedi Bougie 1 PEEP Adaptor 1 Adult Easy Cap 1 Pedi Easy Cap 1 50‐100mm OPA 1 each 20‐34 Fr. NPA 1 each