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Hello and welcome to paramedia today we’re going to be looking at the medications that are inside the response bag for an ambulance crew when attending an emergency look at the general medications cardiac arrest medications and the paramedic meds too stay tuned to find out what goes inside these bags and the indications for using them there are three different
Bags of medication within the response bag itself we have the general medication which we’re going to look into first we have the paramedic medications and we have the cardiac arrest medications each of these bags slightly different sized the general meds is what we have the majority of our medications that can be used by technicians paramedics and the like the
Paramedic drugs are for the paramedic and above and the cardiac arrest drugs are also in the same um kind of boat as the power drugs each of the bags has the amate service logo on it it also has a used by date or expiratory date the bags themselves obviously don’t expire but the date on these um the stickers corresponds to the first drug in these to go out of
Date and expire you also have a unique number to each bag so if there’s a problem you can quote that number into any day text or an email and there was like a batch number the people that fill these bags for us can go back and look into what happened we’re going to begin with the general meds bag so let’s go into the bag just remove the anti-tamper plastic
There and we’ll open the bag up and it shouldn’t fall out okay so medication bag itself has these flaps these flaps are just to stop everything from falling out once you open up the bag it can also be used as a little table so if you’re in at the roadside and you’re preparing medications take the medications out on top of the the little flaps and then you can
Pick it on there so right the medication that will go through first we will have go through it’s so beautiful so it sounds beautiful you get four packets containing nebules the indications for salbutamol is acute asthma attack where normal inhaler has not worked for the patient expiratory wheezing associated with an allergy anaphylaxis beta blocker overdose
Smoke inhalation or any other lower airway course an exacerbation of copd after the subutomon we have hypertropium bromide hypertropium bromide is indicated for acute severe or life-threatening asthma acute asthma i’m responsive to salvoyutamol or an exacerbation of copd that is also unresponsive to subutical the next medication we have is um we’re going to go for
Hydrocortisone hydrocortisone get three vials for reconstitution for hydrocortisone uh severe or life-threatening asthma acute exacerbation of copd or adrenal crisis so the next medication we’re going to is paracetamol paracetamol is indicated for relief to mold to moderate pain high temperature associated with discomfort go to a few different preparations here
We have the sachets which are for patients from three months up to six years we have the fast melts which is six years up to 12 and then for the adult we have the regular old paracesmal tablets the next medication we’ll go through is ibuprofen and some more tablets ibuprofen is used for the relief of mild to moderate pain pyrexia and discomfort it’s also used for
Soft tissue injuries and it’s best to use when part of a balanced analgesic regime we’ve gone to the other side of the pouch and we have aspirin aspirins indicated for a patient with clinical ecg evidence of an mi a myocardial infarction or ischemia it’s also indicated for patients that have had a tia and that is where their symptoms are fully resolved they are
Not being conveyed to hospital and they have been referred onto the local tia pathway the next medication is clopidogrel indicated for acute st segment elevation myocardial infarction or stemi in patients over the age of 18. the next medication is naloxone like zone is a reverser for opioid toxicity especially for use when patients are in respiratory arrest or
Respiratory depression you can use it for the unconscious patient or you suspect that there may have used opioids cardiac arrest where there’s a likelihood that the patient has used opioids you also can use it if a patient has been exposed to any sort of veterinary or anesthetic preparations that would contain opioids so you use it as soon as their consciousness
Is impaired or if the exposure was within the last 10 minutes then you would just give naloxone straight away and transport hospital chloramphetamine indications for the use of chloramphetamine is allergic reactions that fall short of full-blown anaphylaxis where the symptoms are still causing the patient discomfort that is i.e kind of blotchy skin itching next
We have gtn glycerol trinitrate so the sort of finite rate comes in a little squishy bottle or a ttn spray it’s used to treat cardiac chest pain due to angina or myocardial infarction or mi when systolic blood pressure is greater than 90. it’s also used to treat breathlessness due to pulmonary edema and acute heart failure when systolic blood pressure is greater
Than 110. and it’s also used to treat any patients that are suffering cocaine toxicity with chest pain we have adrenaline uh one in one thousand adrenaline one in one thousand comes in these little ampules it’s used to treat anaphylaxis and life-threatening asthma ventilations are failing and the patient is still deteriorating despite nebulization with salbutamol
Glucagon comes in these plastic packets these are two you only need the one it gives you two and here you have a pre-filled syringe with water for injection and then a powder for reconstitution so this medication you will inject the water into the powder reconstitute it giving a gentle shape and then draw up the medication and then give it to patient i am it’s
Indications as hypoglycemia we class hypoglycemia as a patient with blood glucose less than four millimoles per liter we also have gluco boost again hypoglycemia and a patient where they can or they’re conscious enough with no risk of aspiration to take on oral glucose you get three tubes um in each tube is 40 glucose in a gel so they can squirt it into the
Mouth you can hold it in the mouth and um swallow it that’s it for the general meds bag now we’re going to be moving on to the paramedic medications okay now within this pouch slight different medications is medications are for use by paramedics within here we have medications such as txa txa or tranexamic acid is indicated for use with trauma where there is
A known or a suspected bleed postpartum hemorrhage or front an isolated head injury on danzatron indicated for adults in the prevention and treatment of opiate induced nausea and vomiting and generally nausea and vomiting for children it’s indicated for again opiate induced nausea and vomiting and nausea vomiting associated with traffic atropy symptomatic
Bradycardia mesoprostol is indicated for postpartum hemorrhage within 24 hours of birth or life-threatening obstetric bleeding less than 24 weeks pregnant where a miscarriage has been confirmed kef tax me is indicated in adults and children where there’s a suspected allergy to penicillin or benzo penicillin and also used in adults and children who you suspect
May have sepsis foreign meningitis you have water for injection to reconstitute any powdered medications dexamethasone for the treatment of croup that’s it for the paramedic medications i’m going to go and look at the cardiac arrest bag foreign we have two different medications we have adrenaline one in ten thousand 300 milligrams pre-filter range and that’s
It for the cardiac arrest bag we’ve gone through all the medications within these three bags there are more within the ambulance itself i have some controlled medications some iv fluids oxygen is also a medication look forward to our next videos where we’re going to be exploring more about the kit and equipment that’s within the bags and also how to perform a kit
Dump with each of these areas thanks very much for watching thank you
Transcribed from video
Introduction to the General, Paramedic and Cardiac Medications within the ambulance response bag. By Para+ Media
