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 hard patients, including look, feel, and listen. Stresses breathing work, extra muscle use, finger oxygen watch, end CO2 wave reading, and top flow when possible and safe.
Checking breathing speed, pattern, and workLook for extra muscle use and body holdPlanned lung listen and key findsFinger oxygen bounds and mark spotEnd CO2 values and wave reading in COPDUsing top flow to measure block strengthLesson 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, amounts, and quick sequence method, with stress on COPD and over-dose body workings.
Signs for bag-valve-mask help and bestPicking and placing above-glottis airwaysWhen to go to RSI in breathing failurePre-oxygen plans in COPD and heavy bodyCalming and muscle relaxer 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, targeted history and using scene hints to spot COPD, over-dose, or mixed illness. Covers drug lists, pill pots, smells, tools, witness talks, and mind state to guide early treatment choices.
Main check and quick life threatsKey questions for watchers and carersReading drug lists and pill potsPlace hints: smoke, chemicals, toolsChecking usual versus new mind changeMixing scene hints into working spotLesson 4Monitoring and transport considerations: ventilator vs spontaneous breathing, continuous capnography, and pre-notification of receiving facilityHandles watch and move planning for breathed and self-breathed patients. Talks ongoing capno watch, breather versus bag-valve-mask help, body place, end pick, and pre-notice to ready the receiving place.
Ongoing finger oxygen and end CO2 in moveHandling patients on move breathersWhen to use bag-valve-mask versus self breathingBody place and safe airway and tubesPicking end and care levelGood pre-notice and hand-off reportsLesson 5Naloxone use for suspected opioid overdose: dosing strategies, routes (IV/IM/IN), titration to avoid acute withdrawal, and monitoringReviews naloxone drug workings, signs, and no-go in guessed opioid over with breathing slow. Covers vein, muscle, and nose ways, amount plans, step to good breathing, and watch for come back or pull out.
Spotting opioid poison signs in the fieldNaloxone way, start, and lengthPicking vein, muscle, or nose way for naloxoneFirst amounts and careful step plansHandling quick pull out and upset 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 calmer over. Stresses targeted check, lung sounds, mind state, and tool data like end CO2, oxygen, and heart tracing finds.
Usual history and starts in COPD flareSigns of heart lung water in the fieldHints to suck in and airway dirtSpotting opioid and calmer over patternsUsing lung sounds, end CO2, and finger oxygen to tellRole of heart tracing, blood pressure, and neck veinsLesson 7Bronchodilator therapy: beta-agonists, anticholinergics, dosing, routes, and nebulizer vs MDI considerationsCovers airway opener choices for COPD and breath tight overlap in breathing failure. Reviews beta openers and block closers, signs, no-go, amounts, and ways, plus real diffs between mist makers and puffers with holders.
Short beta openers: drugs and amountsBlock closer airway openers and mixesMist maker set, flow speeds, and timingPuffer with holder: method and guideBad effects and watch during treatmentWhen to repeat or step up airway openerLesson 8Oxygen and ventilation strategies: titration targets for COPD, indications for high-flow nasal cannula, NIV (CPAP/BiPAP) settings and contraindicationsCovers oxygen step targets in COPD, pick of give tools, and signs for high flow nose tube and non-invade breathe. Reviews CPAP/BiPAP set, first settings, fix, and key no-go in unsteady patients.
Finger oxygen and blood oxygen targets in COPD and CO2 holdersPicking nose tube, mask, or Venturi toolsSigns and set for high flow nose tubeStarting CPAP and BiPAP: first pressuresNo-go and problems of non-invade breathe useFix mask leaks and patient no-likeLesson 9Adjunct medical therapy: systemic corticosteroids (dosing and timing), magnesium, and diuretics for suspected cardiogenic pulmonary edemaLooks at signs, amounts, and timing of body-wide cortisone and magnesium in COPD or breath tight overlap. Reviews water pill pick and amounts for guessed heart lung water, including no-go and watch needs.
Signs for body-wide cortisone in COPDCommon cortisone drugs, amounts, and start timesUse of vein magnesium in bad air pipe tightSpotting heart lung water in the fieldWater pill picks, amounts, and no-goWatching response and bad drug effects
