1	Module 2 Mark I Kit Buddy Administration EMT Course
2	COURSE OBJECTIVES The participant should be able to: Understand Buddy Administration as an EMT Optional Scope of Practice Demonstrate Proficiency for Mark I Kit Buddy Administration Complete a written examination with a score of ≥ 70%
3	Mark I Kit Buddy Administration EMT Optional Scope of Practice Initial training requires two hours of didactic and skills laboratory training Every six months competency documented
4	Mark I Kit Buddy Administration EMT Optional Scope of Practice Training Requirements: Indications Contraindications Side/Adverse Effects Dosages Routes of Administration
5	Mark I Kit Buddy Administration EMT Optional Scope of Practice Training Requirements cont’d: Mechanism of Drug Action Disposal of Contaminated Items and Sharps Medication Administration Competency based written and skills examination
6	Mark I Kit Buddy Administration EMT Optional Scope of Practice Module One met required training in: √ Indications √ Contraindications √ Side/Adverse Effects √ Dosages √ Routes of Administration
7	Mark I Kit Buddy Administration EMT Optional Scope of Practice √ Mechanism of Drug Action √ Disposal of Contaminated Items and Sharps √ Medication Administration (Self Only) × Competency based written and skills examination
8	Mark I Kit Buddy Administration EMT Optional Scope of Practice Examination shall include: Assessment of when to administer these medications Managing a patient before and after administering these medications Using Universal Precautions and body substance isolation procedures during medication administration
9	Mark I Kit Buddy Administration EMT Optional Scope of Practice Examination shall include (cont’d): Demonstrate aseptic technique during medication administration Demonstrate preparation and administration of medications through intramuscular route Proper disposal of contaminated items and sharps EMS Agency policies/procedures for skills demonstration every six months after initial accreditation
10	Nerve Agent Exposure
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12	Treatment of Mild Exposure Symptoms Constricted pupils, headache, mild runny nose, salivation, localized sweating, nausea, vomiting, localized muscle twitching, feeling of weakness Onset: seconds to minutes for vapor 30 min to hours for liquids Treatment Observation only If shortness of breath is increasing 1 MARK I Kit
13	Treatment of Moderate Exposure Symptoms Constricted pupils, runny nose, SOB, wheezing, secretions, muscle weakness, vomiting, diarrhea onset within 10 minutes Treatment 1 to 2 MARK I Kits
14	Treatment of Severe Exposure Symptoms Unconscious, seizures, flaccid paralysis, apnea Onset of symptoms immediate (1-30 minutes) Treatment Immediately give 3 MARK I Kits
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16	Universal Precautions Wear Appropriate Personal Protective Equipment (PPE) Utilize Aseptic Technique
17	Patient Management Use the “A B C’s” for managing the patient Assure rapid ALS intervention DO NOT USE YOUR OWN Mark 1 Kits on buddy-administration You’re NO help if you succumb to an nerve agent.
18	Additional Instructions Disposing of used auto-injectors Document drug info and time given Use Triage Tag / Forehead Write M1 and time given (M1x2 @1430) Reassess for improvement in symptoms additional doses may be needed
19	Mark I Kit Buddy Administration
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21	Your Turn.
22	Points to Remember Squat do not kneel Check area where injection will be administered Shelf life of Auto-injector is:
23	Key Points DO NOT place finger over needle exit point Hold injecter for ten seconds After first set of injections, initiate decontamination procedures (remove victim from HOT ZONE) Severe exposure requires three Mark 1 Kits
24	Questions?