Wednesday, 30 September 2020

BPLS C11

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Tuesday, 29 September 2020

BPLS T7

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Sunday, 27 September 2020

BPLS SEP 2019 SZR ALGO

 Why Butterflies Need Shade




BPLS C22

 


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Anxiety happens when you think you have to figure out everything all at once. Breathe. You're strong. You got this. Take it day by day."

-- Karen Salmansohn


Gibran 

"Life without liberty is like a body without spirit.

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BPLS C15

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BPLS 1LL18

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BPLS T15

 
















BPLS C1 VFPOVT









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JNFO EMPED 20 RADIOL

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Lose yourself completely - return to the root of the root of your own soul - Rumi 



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BPLS C14

 

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BPLS 1

 


BPLS OV

 

C1 CR ARRST VF HYPOTHERMIA FRACTURE TIB/FIB RT
9 YR 37 34KG PMO
A EAP-ET
B BMO2-BTO2
C IV /IO Tk bloods UIBLS
T T TO 32C  <30C 3 SHOCKS , ADR 8 MINLY
BAIR HUGGER, WARM SALINE IV
CARDC VFpoVT protocol
DC2RCPC  DC2RCPC  DAAmC2RCPC
DC2RCPC  DAAmC2RCPC 
DC2RCPC  ADC2 RCPC..............
Revise 4hvotk.4t tatetoth.sbc
Revise hypothermia acidosis hypoglycemia tpnthx
DC 2-4j/kg Adr 10mcg/kg Amo 5mg/kg
ShckCCchck
C2 CR ARRST ASYSTL ANOXIA AS ETT DISPLACED
3 YR 28 14kg PMO
A EAP REMOVE ETT
B BMV02,BTO2
C IV/IO Tk bloods UIBLS
CARDC PEAAs protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise hypoxia tpnthx acidosis
Adr 10mcg/kg Ccchck
C3 DROWNING  CR ARREST   VF   HYPOTHERMIA
2 YR 28 12KG PMO
A ESTAB AIRWAY-INTUBT
B BMVO2-BTO2
C IV-IO Tk bloods UIBLS
CARDC VfpoVT protocol
DC2RCPC  DC2RCPC  DAAmC2RCPC
DC2RCPC  DAAmC2RCPC 
DC2RCPC  ADC2 RCPC..............
Revise 4hvotk.4t tatetoth.sbc
Revise hypothermia acidosis hypoglycemia tpnthx
DC 2-4j/kg Adr 10mcg/kg Amo 5mg/kg
ShckCCchck
C4 BRONCH-APNEIC-AYSTOLE SECY TO VAGAL STIM BY SUCTION
6 WK 54 5KG
A EAP-ET
B BMV02-BTO2
C IV/IO UI BLS
CARDC PEAAs protocol ASYSTOLE PROTOCOL
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise hypoxia tpnthx acidosis
Adr 10mcg/kg Ccchck
C5 DROWNING-ASYSTOLE-LARYNGEAL SPASM
10 MO 54 9 KG
A EAP-INTUBT
B BMV02-BTO2
C IV/IO TK BLDS UI BLS
CARDC PEAAs protocol ASYSTOLE PROTOCOL
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise hypoxia tpnthx acidosis
Adr 10mcg/kg Ccchck
Bc protocol
ABCO2 vAT20 AD10 PACE RX CAUSE
C6 EPIGLOTTITIS -ASYS-WHILE RESUS GOES VF
4 YR 28 16 KG
A ATTMPT AWAY -ET-CRICOT-SX
B BMVO2-TTVO2
C IV/IO UI BLS
CARDC ASYS protocol SWITCH TO VfpoVT protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise hypoxia tpnthx acidosis
Adr 10mcg/kg Ccchck
DC2RCPC  DC2RCPC  DAAmC2RCPC
DC2RCPC  DAAmC2RCPC 
DC2RCPC  ADC2 RCPC..............
Revise 4hvotk.4t tatetoth.sbc
Revise acidosis hypoxia tpnthx
DC 2-4j/kg Adr 10mcg/kg Amo 5mg/kg
ShckCCchck
C7 SMALL BURN IB HAND-ELECY SHOCK-CRA-ASYS
18 MO 28  11 KG PMO
A EAP-ET
B BMVO2-BTO2 PEAAS PRTCL
C IV/IO TK BLDS UIBLS
CARDC ASYS protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise hypovolemia hypoxia hypothermia acidosis
Adr 10mcg/kg Ccchck
C8 ASTHMA-RESP ARREST-ASYSTL RHYTHM
6YR 37 25KG PMO
A EAP-ET
B BTO2
C IV/IO  TK BLDS UIBLS
CARDC  ASYS protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise  hypoxia t pnthx acidosis
Adr 10mcg/kg Ccchck
C10 CHOKING-CRA-ASYS-T PNTHX-RHYTM PEA 3 YR 14KG
DX-RESP ARRST TO ASTHMA THEN CRA ASYSTOLE
3 YR 28 14KG PMO 
A EAP-ET
B BMVO2-BTO2
C IV/IO TK BLDS UIBLS
SPF NEEDLE T PNTHX 
CARDC ASYS protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise  hypoxia t pnthx acidosis
Adr 10mcg/kg Ccchck
C11 AcGE-PAST TGA SX-APNC -PULSELESS-RHYTHM-VF
3 YR 28 14 KG  PMO
DX-CRA-VF
A EAP-ET
B BMV02-BTO2
C IV/IO UI BLS
CARDC VF protocol
VfpoVT protocol
DC2RC DC2RCPC  DAAmC2RC
DC2RCPC  DAAmC2RC 
DC2RCPC  ADC2 RC..............
Revise 4hvotk.4t tatetoth.sbc
Revise hypothermia acidosis hypoglycemia tpnthx
DC 2-4j/kg Adr 10mcg/kg Amio 5mg/kg
ShckCCchck
C12 STRIDOR FEVER RESP ARREST
DX-RA SECY TO BACTERIAL TRACHEITIS-ASYSTOLE
3YR 28 14KG  PMAPO
A EAP-ET
B BTO2
IV/IO TK BLDS UIBLS
CARDC ASYSTOLE
AC2RC C2RCPC
AC2RC  C2RCPC 
AC2RC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise  hypoxia t pnthx acidosis
Adr 10mcg/kg Ccchck
C13 PULSELESS VT 1 YR OLD SVT -FLECAINIDE OD
DX-PULSELESS VT
1YR 28 10 KG PMAPO
A EAP-ET
B BMO2-BTO2
CARDC poVT
DC2RC DC2RCPC  DAAmC2RC
DC2RCPC  DAAmC2RC 
DC2RCPC  ADC2 RC..............
Revise 4hvotk.4t tatetoth.sbc
Revise hypothermia acidosis hypoglycemia tpnthx
DC 2-4j/kg Adr 10mcg/kg Amio 5mg/kg
ShckCCchck
C14 TRACHY BLOCK TPNTHX RT 2 YR 12 KG
DX-CRA, ASYSTOLE
EAP BVTT02 IV/IO UIBLS DRAIN TPNTHX
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C15 SIDS ASPHYXIA 4 WK 4.5 KG
DX-CA ASYSTOLE
EAP-ET BV02-BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C16 UNCONSC, ABDO DISTN, BRUISES-RHYTHM ASYS THEN PEA
DX-CRA HGIC SHOCK ABDO TRAUMA NAI 5 YR 18 KG
EAP-ET BTO2 IV/IO UIBLS IVI FLUID BOLUS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C17 DROWNING TODDLER T 30C RHYTHM-VF 18 MO 11 KG
DX-CRA -VF, HYPOTHERMIA, SECY TO DROWNING
EAP-ET BVO2-BTO2 IV/IO UIBLS
RESUS TILL 32C -ACTIVE REWARMING-BAER HUGGER , IV WARM SALINE
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
C18 EX TRACHY BLOCK RHYTM-ASYSTOLE 1 YR 10 KG
DX-CRA-ASYSTOLE, SECY TO BLOCKED ETT
EAP-SUCTION TUBE BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C19 COLLAPSED, FEVR, PURPURIC-MCD OWS RHYTHM-ASYSTOLE
DX-CRA-OWS 2 YR 12 KG
EAP-ET BMO2/BTO2 IV/IO UIBLS IVI BOLUS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C20 POST FALLOT REPAIR COLLAPSE- RHYTHM-VF
4 MO 4.5 KG GVN
EAP-ET BMO2-BTO2 IV/IO DONE UIBLS
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
CONTINUE UPTO 6 DC SHOCKS
C21 BRONCH -APNEA-ANOXIA RHYTHM-ASYSTL
DX-CRA-ANOXIA SECY TO APNEA IN BRONCH 2 WK 4.25 KG
EAP-ET BMO2-BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C22 BRONCH-RESP FAILR RHYTHM-ASYSTL
DX-CRA-ASYSTL SECY TO RESP FAILR 2 MO 6 KG
EAP-ET BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
ROSC AFTER 2ND ADR
C23 LYMPHOMA-TLS-COLLPSE-APNC-PLESS- RHYTHM-P/LVT
DX-CRA-P/L VT 14 YR 36 KG GVN
EAP-ET BO2/BTO2 IV/IO UILS
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
PULSE  AFTER 3RD SHOCK
C24 LQTS PT-COLLPS-APNC P/L RHYTHM-ASYSTL 16 YR ADULT DOSES
DX-CRA-ASYSTL 2/LQTS
EAP-ET BMO2/BTO2 IV/IO
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C25 COLLAPSED WTH MAT METHDN BTTL-APNC P/L RHYTM-ASYSTL
DX-CRA-SECY TO METHDN POISONING  6 YR 25 KG GVN
EAP=ET BMO2/BT02 IV/IO UIBLS AFTR ROSC AND OXYGN-NLXN
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
ILL-1 AC SEV ASTHMA P-50
6 YR 37 25KG PMO
A EAP-ET
B BMO2-BTO2
C CC IV/IO TK BLDS FLD BOLUS
SPF IV SALB,AMPH,MG,HCORT
Bc PRTCL-RXSHCK/HYPOXIA-VAGAL-AT20,NO-AD10-ADI-PACING
ILL-3 PEANUT-ANAPHLXS P120R28SP100
3 YR 28 14KG PMO
A EAP
B BMO2
C IV
SPF IM AD,NEB AD IF STRIDOR,IV HCORT
ANAPLXS PRTCL= ABCDE-ADIM,O2 , FLUID, CHLPHNRMN, HCORT
ADIM OFCH
ILL-6 EPIGLOTTITIS-MISSED Hib P160R40 2.5 YR 13 KG EST
CALL ANESTH/ENT BMO2-ET-NCT-TCV IV/IO IV ABX
ILL-7 15 MO , FITS-COLLAPSED, EMPTY MED BOTTLE-TCA p 15 MO 10.5KG
P170SP65
RHYTM-VT
EAP HF02M/BMO2 IV/IO IV LORAZ SBC
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
ILL-8 4 MO SEPSIS P189 R65 T39 SP60 BM1.8 CRT 6  4 MO 6KG EST
DX-SEPSIS
EAP HFO2M IV/IO IV ABX, 10DEX 2ML/KG-IVI
FLUID BOLUS
ILL-12 4 YR, PRO FEB FIT P170 R30 T39.7BM8 4 YR 16 KG EST
DX-PRO FEB FIT
EAP-ET HFO2M/BMO2/BTO2 IV/IO
SE PRROTOCOL
RPT BM
ILL-14 7 YR-SLEEPY,LABRD BREATHING,ABDO PAIN 7 YR 28 KG EST
P160 R30 CRT5 BM32
DX-DKA
EAP-OAM-NGT HFO2M IV/IO ASSS DEHY,CALCULT DEFICIT
BLOOD TESTS AS APPROP IVI NS, IVI INS AFTR 1 HR
FLUID BOLUS 10 ML/KG MNTR-CE ED,ECG-T WAVES
ILL-18 5 D, LTHARGIC, GRAYISH P195 R75 CRT7 GLLP RHYTHM
DX-COLLPSE, BY COA 5 DAYS 4 KG EST 4 KG EST
AOM HFO2 IV/IO IV ALPROSTADIL/PROSTIN
INTUBT FLUID BOLUS 10 ML/KG CONTACT TERT CARDIO TM
T-3 10 YR, BARN EXPLOSN,ALL, BURNS, A/WAY OBS,C7-8 FRCTR
P130,R40 SP70
DX-FALL,BURN,A/WAY OBS,FRCTR,RPTR SPLEEN,C7-8FRCTR
10 YR 37 37 KG EST PMO
A EAP-PROTECT CS
B HFO2-VENT ONCE TUBED
C IV WIDE BORE TK BLDS XMATCH FLUID BOLUS BLOOD TX
SPF PAIN RELF TRAUMA IMG CALL SURGN
T-4 9 MO BURNS FACE, NECK, HYPOTHERMIA FROM COOLING EXCESS
DX-BURNS FACE/NECK/AWAY OBS,HYPOTHEMIA
9 MO 54 8.5KG PMO
A EAP-PROTECT CS
B HFO2M
C IV WIDE BORE TK BLDS IV CRYSTALLOIDS -WARMED
SPF KEEP WARM PAIN RELIEF
T-5 3 YR MVA-RT EDH RT SKULL FRCTR, FRCTR C3-4,FRCTR TIB-FIB 3 YR 14 KG EST
DX-RT EDH, C3-4 FRCTR, TIB-FIB FRCTR
EAP-PROTECT CS HFO2M IV WIDE BORE URGENT CT
BLOOD FOR X MATCH TO NEUROSGNS
T-7 12 YR HIT BY M/CYCLE P120 R35 BP90/60 12 YR 43 KG EST
DX-FRCTR FACE LIMBS HMTHX
EAP-PCS HFO2M IV WIDE BORE PAIN RELF
CHEST DRAIN BLOOD FOR X MATCH TRAUMA IMAGING
IV NS BOLUS 10 10
T-8 3 YR-BRICK WALL COLLPSE P130 R40 SP70 CRT 6 3 YR 14 KG EST
DX-LIVER LAC HI FRCTR LIMB
EAP=PCS HFO2M IV WIDE BORE PAIN RELF
BLOOD FOR XMATCH CALL SURGEON
IVI NS-10,10 TRAUMA IMAGING
BLOOD TX
T-9 10 YR, FALL FROM IST FLOOR WINDOW 10 YR 37 KG EST
P120 R40 SP 100/70 DX-HI, FRCTR C4/5,FRCTR LARYNX,LT HMPNTHX
EAP-PCS HFO2M IV WIDE BORE CALL ANESTH
CHEST DRAIN AFTER IV ACCESS BLOOD FOR X MATCH CALL SURGN
IVI NS - 10, 10 PAIN RELF
TRAUMA IMAGING
T-10 11 YR, FALL OFF M/CYCLE AT SPEED 11 YR 11 YR
P120 R30 SP60 DX-FRCTR PELVIS,FEMUR WTYH DISLOCN
EAP-PCS HFO2M IV WIDE BORE CALL ORTHO SRGN
BLOOD FOR XMACH PAIN RELF
IVI-NS 10,10 TRAUMA IMAGING
BLOOD TX
T-11 11 YR, FALL FROM SWING ONTO MUDDY BRANCHES 11 YR 40 KG EST
P130 CRT 5 T33.5 DXRT LUNG CONTUSN, RT PNTHX, RT FACIAL FRCTR
EAP-PCS HFO2 IV WIDE ORE 3 SIDED DRESSING/ASHERMAN VALVE
FLUID BOLUS 10,10 CHEST DRAIN
REWARM PASSIVELY
TRAUMA IMAGING
T-12 9 YR, DRAGGED UNDER LORRY, DEGLOVING INJRY 9 YR 34 KG EST
P160 R60 CRT6
DX-LIVER LAC,LUNG CONTUSN,DEGLOVING THIGH, FR TIB-FIB
EAP-PCS ET IV WIDE BORE PAIN RELIEF
HFO2 FLUID BOLUS TRAUMA IMAGING
VENT 100% O2 BLOOD TX
T-13 12YR , GSW CHEST P140 R45 CRT7 12 YR 43 KG EST
DX-4 PEN WNDS, LUNG LAC, HMPNTHX,DUO PERF, PERIT
EAP-PCS-ET VENT HFO2M IV WIDE BORE NGT
VENT 100%O2 FLUID BOLUS-10X4,BLOOD-1
INSERT RT ICD Call sgns to stop hg
T-14 8 YR, FALL FROM TREE HS ONTO METAL STAKE ON ABDO IMPALED
P130 R30 BP100/70 CRT5 8 YR 31 KG EST
DX-KID/SPL HG,PERT
EAP-PCS-ET VENT HFO2M-FAIL IV WIDE BORE NGT
ET VENT 100%O2 FLUID BOLUS-10X4,BLOOD-1 CXR
Call Sgns-Hg,Perit
T-15 EXTERNAL HEMORRHAGE-
<C>ABC
DP-T-THDP
T-16 ABDOMINAL TRAUMA
NECK TRAUMA
             
 
 
 
CHEST TRAUMA
FLAIL CHEST
WETFLAG Calculation
W Weight 1-12months (0.5 x age in months) + 4
1-5yrs (2 x age in yrs) + 8
6-12yrs (3 x age in yrs) + 7
E Electricity 4 Joules / Kg/ biphasic
T- Tube ETT Internal Diameter (age/4 + 4) = --- mm
Length Oropharangeal Tube (age /2 +12) = -- cm
Nasopharyngeal tube (age /2+ 15) = --- cm
F Fluids Medical / cardiac arrest – 20 ml/ kg
Trauma cases initial Bolus 10 ml/ kg, then 2nd 10 ml /kg
L Lorazepam 0.1 mg / Kg IV/ IO
A Adrenaline 0.1 ml/kg of 1:10, 000 = 10mcg/kg
G Glucose 2ml / kg of 10% dextrose
BRADYCARDIA ALGO
ANAPHYLAXIS ALGO RESUS UK
BROAD COMPLEX TACHYCARDIA
WIDE COMPLEX TACHYCARDIA
SHOCKABLE RHYTHM
SHOCKABLE RHYTHM
A EAP-ET
B BMO2-BTO3
C IV /IO Tk bloods UIBLS
T T TO 32C  <30C 3 SHOCKS , ADR 8 MINLY
BAIR HUGGER, WARM SALINE IV
CARDC VFpoVT protocol
ShckCCchck
C3 CR ARRST ASYSTL ANOXIA AS ETT DISPLACED
4 YR 29 14kg PMO
A EAP REMOVE ETT
B BMV02,BTO3
C IV/IO Tk bloods UIBLS
CARDC PEAAs protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
C4 DROWNING  CR ARREST   VF   HYPOTHERMIA
3 YR 29 12KG PMO
A
ESTAB AIRWAY-INTUBT
B BMVO2-BTO3
C IV-IO Tk bloods UIBLS
CARDC VfpoVT protocol
DC2RCPC  DC2RCPC  DAAmC2RCPC
DC2RCPC  DAAmC2RCPC 
DC2RCPC  ADC2 RCPC..............
Revise 4hvotk.4t tatetoth.sbc
Revise hypothermia acidosis hypoglycemia tpnthx
DC 2-4j/kg Adr 10mcg/kg Amo 5mg/kg
ShckCCchck
CARDC PEAAs protocol ASYSTOLE PROTOCOL
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise hypoxia tpnthx acidosis
Adr 10mcg/kg Ccchck
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise hypoxia tpnthx acidosis
Adr 10mcg/kg Ccchck
Bc protocol
ABCO3 vAT21 AD11 PACE RX CAUSE
C7 EPIGLOTTITIS -ASYS-WHILE RESUS GOES VF
5 YR 29 17 KG
A ATTMPT AWAY -ET-CRICOT-SX
B BMVO2-TTVO3
C IV/IO UI BLS
Adr 10mcg/kg Ccchck
DC2RCPC  DC2RCPC  DAAmC2RCPC
DC2RCPC  DAAmC2RCPC 
DC2RCPC  ADC2 RCPC..............
Revise 4hvotk.4t tatetoth.sbc
Revise acidosis hypoxia tpnthx
DC 2-4j/kg Adr 10mcg/kg Amo 5mg/kg
ShckCCchck
C8 SMALL BURN IB HAND-ELECY SHOCK-CRA-ASYS
19 MO 29  12 KG PMO
A EAP-ET
B BMVO2-BTO3 PEAAS PRTCL
C IV/IO TK BLDS UIBLS
CARDC ASYS protocol
AC2RCPC C2RCPC
Adr 10mcg/kg Ccchck
C9 ASTHMA-RESP ARREST-ASYSTL RHYTHM
6YR 38 25KG PMO
A EAP-ET
B BTO3
C IV/IO  TK BLDS UIBLS
CARDC  ASYS protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise  hypoxia t pnthx acidosis
Adr 10mcg/kg Ccchck
C IV/IO TK BLDS UIBLS
SPF NEEDLE T PNTHX 
CARDC ASYS protocol
AC2RCPC C2RCPC
AC2RCPC  C2RCPC 
AC2RCPC C2RCPC …...
Revise 4hvotk.4t tatetoth.sbc
Revise  hypoxia t pnthx acidosis
Adr 10mcg/kg Ccchck
C12 AcGE-PAST TGA SX-APNC -PULSELESS-RHYTHM-VF
4 YR 29 15 KG  PMO
DX-CRA-VF
A EAP-ET