NREMTP Review-Lucas A. 🚒🚑 "Neuro/Spine/SCI"
Meconium-The baby's first bowel movement. This should occur within the first 24 hrs. after birth
Meconium Staining
The baby had a BM in utero, and the meconium has stained the amniotic fluid and/or the outside of the baby
Meconium Aspiration
The baby has now inhaled the meconium into the lungs (Alveoli)
Normal Delivery
We do NOT routinely suction
Only suction the oropharynx and nasopharynx if there is the presence of an airway obstruction (Secretions, Mucus, Gurgling, aspiration)
Normal Neonatal V.S
HR-110-160 bpm
RR-30-60/min
SBP-70-80s
Spo2-94-100%
Neonatal Bradycardia-HR less than 100
Most Common causes=Hypoxia!!!!!
PPV
BVM
Intubation
CPAP
BiPap
Nervous System
3 Subdivisions of the N.S
CNS-Central N.S
PNS-Peripheral N.S
ANS-Autonomic N.S
CNS-Central N.S
Brain
Spinal Cord
PNS-Peripheral N.S
12 Cranial Nerves
33 Spinal Nerves
ANS-Autonomic N.S
Sympathetic N.S (Fight or Flight)-Epi, Nor-epi, Dopamine
Parasympathetic N.S (Rest & Digest)-Acetylcholine
SCI (Spinal Cord Injuries)
Complete SCI (Transection)
Incomplete SCI
Spinal Nerves
Motor movement
Temperature
Vibration
Pain/Touch
Proprioception (Positioning)-The ability to know the position of our body
Incomplete SCI
Central Cord Syndrome
Center portion of the cord is injured
Occurs in the Cervical region
Hyperextension Injury
The guy who CAN walk into a bar, but he cannot take a drink!!!!!
NO loss of function in the lower extremities
LOSS of motor in the upper extremities
Anterior Cord Syndrome
The front part of the cord is injured
Due to a Hyperflexion injury
Occurs in the cervical region
LOSS of Monitor, Pain, Temp in the LOWER Extremities
NO LOSS of Vibration and Positioning
Cannot walk into a bar, but he CAN take a drink!!!
Brown Sequard Syndrome
A lateral injury, 1 side of the cord in injured
Occurs from penetrating trauma (Stabbing, GSW)
Ipsilateral-The side of the injury-LOSS of motor, vibration, positioning
Contralateral-Opposite side of the injury-LOSS of pain & temp
Axial Stress Load Injury=Compression Injury
Levels of the Spine-"Breakfast, Lunch, and 2 Dinners
Cervical-7
Thoracic-12
Lumbar-5
Sacrum-5
C3, 4, and 5=Keep the diaphragm alive (Phrenic Nerve)
An injury in this location, the pt. will stop breathing
Cervical 5, 6
Elbows
Shoulders
Arms
Lumbar L is for the LEGS
Hips
Legs
Knees
Ankles
Sacral *S is for SEX
Controls bowel & Bladder function
Sexual function
Parasympathetic N.S-We are very moist (We are making saliva, mucus, urine, digestive juices)-controlled by acetylcholine
Cholinergic=Acetylcholine (goes w/ the Parasympathetic N.S
Organophosphates=Nerve agents=Pesticides=Insecticides
Cholinergic-it turns ON the parasympathetic and does NOT let go!!!
Salivation
Lacrimation (Tear production)
Urination
Defecation
G.I upset
Emesis
Miosis
Anticholinergic=Going against the parasympathetic and blocking the acetylcholine
Sympathomimetic
Albuterol
Epi
Dopamine