Lesson 1Focused respiratory exam: breath sounds, work of breathing, accessory muscle use, pulse oximetry, end-tidal CO2 interpretation, and peak flow when feasibleGives a planned breathing check for tricky patients, including look, feel, and listen. Stresses breathing work, extra muscle use, finger oxygen watch, end CO2 wave read, and top flow when possible and safe.
Check breathing speed, way, and workLook for extra muscle use and standPlanned lung listen and key findsFinger oxygen bounds and flaw spotEnd CO2 values and wave read in COPDUse top flow to judge block hardLesson 2Airway escalation: when to use BVM, supraglottic airway, or perform RSI—drug selections, preoxygenation, and rapid sequence technique in respiratory failureDetails when to step up from basic airway moves to bag-valve-mask, above-glottis airway, or RSI in breathing failure. Reviews pre-oxygen, drug pick, amount, and quick step skill, with stress on COPD and overdose body workings.
Signs for bag-valve-mask help and bestPick and place above-glottis airwaysWhen to go to RSI in breathing failurePre-oxygen plans in COPD and fatCalm and stop picks and amountsAfter-tube breathing and confirmLesson 3Rapid history and scene clues: medication lists, smoke/odor, witness accounts, and assessment of mental statusFocuses on getting quick, aimed history and using spot clues to spot COPD, overdose, or mixed ills. Covers drug lists, pill pots, smells, tools, witness talks, and mind state to guide early treat choices.
Main check and quick life dangersKey questions for watchers and carersRead drug lists and pill potsSpot clues: smoke, chems, toolsCheck base over new mind changeBlend spot clues into work guessLesson 4Monitoring and transport considerations: ventilator vs spontaneous breathing, continuous capnography, and pre-notification of receiving facilityHandles watch and move plan for breathed and self-breathed patients. Talks steady capno watch, breather over bag-valve-mask help, place, end pick, and pre-warn to ready receiving place.
Steady finger O2 and end CO2 in moveHandle patients on move breathersWhen to use bag-valve-mask over self breathePlace and safe airway and tubesPick end and care levelGood pre-warn and hand reportsLesson 5Naloxone use for suspected opioid overdose: dosing strategies, routes (IV/IM/IN), titration to avoid acute withdrawal, and monitoringReviews naloxone drug workings, needs, and no-go's in guessed opioid overdose with breathing slow. Covers vein, muscle, and nose ways, amount plans, adjust to good breathing, and watch for come back or pull out.
Spot opioid bad signs in fieldNaloxone way, start, and lastPick vein, muscle, or nose for naloxoneFirst amount and careful adjust plansHandle quick pull out and stir risksAfter-turn watch and move needsLesson 6Differentiating COPD exacerbation, cardiogenic pulmonary edema, aspiration, and opioid/sedative overdose—key exam and device findingsDetails how to tell COPD flare, heart lung water, suck in, and opioid or calm overdose. Stresses aimed check, lung sounds, mind state, and tool data like end CO2, oxygen, and heart graph finds.
Usual history and starts in COPD flareSigns of heart lung water in fieldClues to suck in and airway dirtSpot opioid and calm overdose waysUse lung sounds, end CO2, and finger O2 to tellRole of heart graph, blood pressure, and neck veinsLesson 7Bronchodilator therapy: beta-agonists, anticholinergics, dosing, routes, and nebulizer vs MDI considerationsCovers open-breath picks for COPD and asthma mix in breathing failure. Reviews beta-pushers and block-nerve drugs, needs, no-go's, amounts, and ways, plus real diffs between mist makers and puffers with holders.
Short beta-pushers: drugs and amountsBlock-nerve open-breath and mixesMist maker setup, flow speed, and timePuffer with holder: skill and guideBad effects and watch in treatWhen to repeat or step up open-breathLesson 8Oxygen and ventilation strategies: titration targets for COPD, indications for high-flow nasal cannula, NIV (CPAP/BiPAP) settings and contraindicationsCovers oxygen adjust goals in COPD, pick of give tools, and needs for high-flow nose tube and non-invade breathe. Reviews CPAP/BiPAP setup, first sets, fix issues, and key no-go's in unsteady patients.
Finger O2 and blood O2 goals in COPD and CO2 holdersPick nose tube, mask, or Venturi toolsNeeds and setup for high-flow nose tubeStart CPAP and BiPAP: start pressuresNo-go's and harms of non-invade useFix mask leaks and patient no-likeLesson 9Adjunct medical therapy: systemic corticosteroids (dosing and timing), magnesium, and diuretics for suspected cardiogenic pulmonary edemaLooks at needs, amounts, and time of body-wide calm steroids and magnesium in COPD or asthma mix. Reviews water pill pick and amount for guessed heart lung water, including no-go's and watch needs.
Needs for body calm steroids in COPDUsual steroid drugs, amounts, and start timesUse vein magnesium in bad air pipe spasmSpot heart lung water in fieldWater pill picks, amounts, and no-go'sWatch response and bad drug effects
