2020 Revision Flashcards

1
Q

Medical patch checklist

What’s written on it?

A

The term SCCM is implemented

Patients...
Age
Gender
Seat number
Problem/complaint 
All above have been rearranged and crew should proved this at early stage to Medlink 

In & out of consciousness is now example of critical incident.

Name and weight are now at the bottom of the checklist. This info is for cabin crew & ground staff reference

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2
Q

O2 bottle new operation?

A
  1. Unplug the green stopper from the selected flow outlet (“HI”/”LO”) or flow outlet of the oxygen bottle.
  2. Connect the dispensing tube and the yellow cup mask to the flow outlet.
  3. Turn the tamper proof cap to break the seal.
  4. Ensure oxygen is flowing by checking that the flow indicator on the dispensing
    tube turns to green colour.
  5. Place the mask over the nose and mouth and place the securing elastic strap over
    the head. Adjust the straps.
  6. Observe the passenger’s condition.
  7. After use, remove the mask. Turn the control knob fully off (clockwise).
  8. Ensure the green band disappears in the flow indicator on the dispensing tube.
  9. Disconnect the dispensing tube from the oxygen bottle, put in a plastic bag and
    dispose to lavatory waste bin.

10.Inform the Captain.

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3
Q

Oxygen bottle pre flight checks

A

Bottle is secured with minimum pressure of 1800 PSI

tamper-proof cap and seal intact

one set of dispensing tube and yellow cup mask per oxygen bottle

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4
Q

Hypoxia

Sings & Symptoms 1-3

A
  1. Headache and dizziness
  2. Rapid, distressed breathing and gasping
  3. Difficulty speaking
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5
Q

Hypoxia

Sings & Symptoms 4-6

A
  1. Anxiety and restlessness
  2. Fatigue, excessive sleepiness and loss of coordination
  3. Bluish discolouration of the skin
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6
Q

Hypoxia

What is the cause?

A

Not enough oxygen

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7
Q

Hypoxia

treatment?

A

Treatment

  1. Give oxygen.
  2. Loosen tight clothing.
  3. Call MedLink.
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8
Q

DVT

What is the cause?

A

Blood clot in vein

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9
Q

DVT

Signs & symptoms part 1?

A

1 Only about half of the casualties with deep vein thrombosis have symptoms.

i. Swelling of the calf
ii. Pain or tenderness in the leg - the pain is usually in one

leg and may be worse when standing or walking.
iii. Redness of the affected leg.

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10
Q

DVT

Signs & symptoms part 2?

A
  1. “Pulmonary Embolism” may occurs. In addition to the above,
    i. Chest pain when taking a deep breath.
    ii. Shortness of breath.
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11
Q

DVT

Treatment?

A

1 Raise the leg (at least 6 IN) to prevent the clot from enlarging and to reduce swelling.

2 Loosen tight clothing.

3 If “Pulmonary Embolism” occurs, give oxygen.

4 Monitor breathing and pulse.

5 Call MedLink.

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12
Q

DVT

How to prevent

A

Encourage passengers to carry out in-seat exercises

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13
Q

hyperglycaemia
(Diabetic)

What is the cause?

A

Hyperglycaemia is too much sugar or a lack of insulin.

This can result in a loss of consciousness and can last for few days.

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14
Q

hyperglycaemia
(Diabetic)

Signs & Symptoms 1-3?

A
  1. Dry skin
  2. Rapid pulse
  3. Deep breathing
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15
Q

hyperglycaemia
(Diabetic)

Signs & Symptoms 4-5?

A
  1. Breath smells faintly of nail varnish remover or fruity sweet breath
  2. Excessive thirst
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16
Q

hyperglycaemia
(Diabetic)

Treatment?

A
  1. Make casualty as comfortable as possible.
  2. Call MedLink.
  3. Monitor breathing and pulse.
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17
Q

Hyperventilation

What is it?

A

emotional over breathing

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18
Q

Hyperventilation

Cause?

A

Hyperventilation causes an excessive loss of carbon dioxide, Due to anxiety or fear, over breathing is the body’s reaction to release nervous tension.

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19
Q

Hyperventilation

Signs & Symptoms?

A
  1. Unnaturally fast or deep breathing
  2. Dizziness and blurring of vision
  3. Numbness and tingling sensation of hands and feet
  4. No apparent change in skin colour
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20
Q

Hyperventilation

Treatment?

A
  1. Reassure the casualty.
  2. Instruct the casualty to breathe slowly.
  3. Call MedLink.
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21
Q

Epilepsy

What is it?

A

disruption in the normal electrical activity of brain”

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22
Q

Epilepsy

Signs & symptoms 1-3?

A
  1. suddenly falls unconscious, strange cry.
  2. body becomes rigid for a few seconds with arching of the back.
  3. Breathing may cease for a short time.
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23
Q

Epilepsy

Signs & symptoms 4-6?

A
  1. Lips may turn blue.
  2. Convulsive movements begin.
  3. The jaw may be clenched, breathing noisily, loss of bladder or bowel
    control. Saliva at the mouth, blood-stained if lips or tongue is bitten.
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24
Q

Epilepsy

Signs & symptoms 7-0?

A
  1. Finally the muscles relax and breathing becomes normal.
  2. regains consciousness within a few minutes.
    He may feel dazed and be unaware of his actions.
  3. may want to sleep following an epileptic fit.
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25
Q

Epilepsy

Treatment 1-4?

A
  1. support the casualty or ease his fall.
  2. Do not move him unless he is in danger.
  3. Protect the casualty by padding area around him
  4. Do not forcibly restrain his movements.
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26
Q

Epilepsy

Treatment 5-7?

A
  1. Do not put anything in his mouth or try to open it.
  2. convulsions cease, place him in the recovery position. Stay with him
  3. Call MedLink.
27
Q

Shock

What is it?

A

Insufficient fluid to body

28
Q

Shock

Causes?

A
  • caused by a heart attack where the heart fails to do its work and the pressure of the circulating blood is reduced.
  • Another major cause is a decrease in the volume of fluid circulating around the body.
  • common examples are external or internal bleeding,
  • or loss of other bodily fluids through severe diarrhoea, vomiting, or
    burns.
29
Q

Shock

Signs & Symptoms 1-4?

A

Rapid and shallow breathing

Pulse rate increases, but is weak and irregular Pale

grey skin

Lips turn blue

30
Q

Shock

Signs & Symptoms 5-7?

A

Weakness and dizziness

Restless and anxious

Nausea, and possibly vomiting

31
Q

Shock

Signs & Symptoms 8-10?

A

Sweating, cold and clammy skin

Thirsty

Finally, the heart may stop

32
Q

Shock

Treatment 1-3?

A
  1. Treat any obvious cause of shock if possible e.g. external
    bleeding.
  2. Lay the casualty down, keep the head low, raise and support the
    legs to improve the blood supply to the vital organs i.e. brain,
    heart and lungs.
  3. Loosen tight clothing.
33
Q

Shock

Treatment 4-6?

A
  1. Keep the casualty warm.
  2. Do not give anything to eat or drink., moisten his lips with water.
  3. If unconscious with breathing, place him in the recovery position.
34
Q

Shock

Treatment 7-9?

A
  1. CPR and AED are needed if there is no breathing.
  2. Monitor breathing and pulse.
  3. Call MedLink.
35
Q

Unconscious

What it is?

A

interruption of brain’s normal activity

36
Q

Unconsciousness

Treatment? 1-4

A
  1. Check the casualty’s level of consciousness
  2. Ensure airway is clear.
  3. Place in recovery position and open airway.
  4. Loosen tight clothing.
37
Q

Unconsciousness

Treatment? 5-8?

A
  1. Treat any serious wounds or fractures.
  2. Keep the casualty warm.
  3. Give oxygen if difficulty in breathing.
  4. Do not give anything by mouth.
38
Q

Unconsciousness

Treatment? 9-13?

A
  1. Do not move unnecessarily because of the possibility of back and neck injury.
  2. Do not leave the casualty unattended.
  3. Commence with CPR and use AED if required.
  4. Monitor breathing and pulse.
  5. Call MedLink
39
Q

Blood and Body Fluid Exposure

Eyes

What to do?

A
  1. eyes are involved, immediately gently wash with a large amount of cold water. Ensure both surfaces of the eye-lids are washed.
  2. Consult doctor
40
Q

Blood and Body Fluid Exposure

Mouth

What to do?

A

in mouth, spit out any fluid, rinse mouth with water and spit out again.

Consult doctor

41
Q

Blood and Body Fluid Exposure

On broken skin

What to do?

A

on broken skin, encourage bleeding by squeezing the edges of the area and wash with soap under running water.

Consult doctor

42
Q

Nose bleeding

Treatment 1-3?

A
  1. Sit the casualty down with head slightly forward
  2. pinch the soft part of the nose and breathe through mouth
  3. Tell him not to speak, swallow, cough, or sniff
    to speak, swallow, cough, or sniff
43
Q

Nose bleeding

Treatment 4-6?

A
  1. Give him a clean cloth or tissue to wipe away blood
  2. Tell the casualty to spit out any blood from mouth
  3. Apply a cold compress to the bridge of the nose
44
Q

Nose bleeding

Treatment 7-9

A
  1. After 10 minutes, gently release the pressure
  2. If nose is still bleeding,
    reapply the pressure for another 10 minutes
  3. If the nosebleed persists > 30 minutes, contact MedLink
45
Q

Bruises

Signs & symptoms

A
  1. Pain
  2. Swelling and skin discoloration
  3. The bruise begins as a pinkish red color
46
Q

Bruises

Treatment 1?

A

Place a cold compress to help it heal faster and to
reduce swelling.
Apply the cold compress for up to 15 minutes per hour.
use a clean towel soaked in very cold water or a bag of ice wrapped in a cloth -
DO NOT place ice directly on the skin.

47
Q

Bruises

Treatment 2-5

A
  1. Keep the bruised area raised above the heart
  2. rest the bruised body part
  3. offer Paracetamol to reduce pain.
  4. Seek prompt medical help if there is any swelling
    around the bruise, especially if it occurs at a joint. This can signal danger to nerves, muscles, and bones,
48
Q

Fever

Signs & symptoms

1-3?

A
  1. Body temperature higher than 38°C or 100.4°F
  2. Headache , Muscle aches
  3. Shivering
49
Q

Fever

Signs & symptoms

4-7?

A
  1. Sweating
  2. Lack of appetite
  3. Dehydration
  4. Weakness
50
Q

Fever

Treatment 1-2

A
  1. Offer Paracetamol. help to relieve the aches and pains that go with fever.
  2. Offer plenty of fluids to avoid dehydration (avoid drinks containing caffeine, including colas and tea as it can cause the casualty to urinate more).
51
Q

Fever

Treatment 3-5?

A
  1. Remove extra blankets and clothing
    heat can leave the body and help lower the body temperature.
  2. A tepid/lukewarm towel applied to the forehead or neck ** ice packs/cold water should not be used, cause shivering which raises body temperature.
  3. Call MedLink if the fever persists after 1 HR.
52
Q

AED

Pre flight check?

A
  1. Break Green/Blue Seal on Container Retrieve AED
  2. Check Black Seal Intact
  3. Check Hour Glass Flashing
  4. Reseal Container with Green Seal
53
Q

AED

Pad location for above 8 years old?

A
  1. (RIGHT PAD) below the collarbone and to the right of the sternum.
54
Q

AED

Pad location for below 8 years old?

A
  1. one pad should be placed in the middle of the chest.
  2. the other pad in the middle of the back, between the
    shoulder
55
Q

AED

Patient criteria ?

A
  1. Not breathing NORMALLY (e.g. Gasping or agonal breathing).
  2. Severe chest pain or any other signs and symptoms of heart attack.
  3. Unconsciousness.
56
Q

New born CPR

What to do?

A

Give two ventilations first

57
Q

Exit row definition?

A
  • Row/Seat where occupants egress is not impaired by any other seat
  • can reach an emergency exit without first entering an aisle
58
Q

Passengers forbidden to sit at emergency exit?

A
  • Children Under 12
  • Deportees/INAD/Prisoners
  • Passengers Require Use of Extension Seat Belt (CRD)
  • Passengers with Reduced Mobility
  • Passengers Unable to Understand Cabin Crew Instructions
  • Passengers Require Usage of Oxygen Bottles or MPED
  • Passengers Confirmed Intoxicated or Drug Abused
59
Q
  • Battery-powered wheelchairs or other similar mobility devices
    with lithium ion batteries where the batteries is designed to be removed, the battery must be…..?
A

carried in the cabin.

60
Q
  • The restriction limiting aerosols in Division 2.2 for sporting or home use may now be….
A

in either checked or carry-on baggage.

61
Q

CPR Drill sequence

A

Check scene safe

Take universal precautions

Inform Captain & ISM get the AED

No obstruction (while checking airway)

Check breathing for 10 seconds 1-1000 2-1000 etc…

Start CPR

Give two ventilations after 30 compressions

62
Q

Objectives of first aid?

A

Save life

Prevent condition from worsening

Promote recovery

63
Q

Actions when giving first aid?

A

Great on spot

Check level of conciseness

Check vital signs

Obtain history

Obtain signs & symptoms

Diagnosis & treatment

Medical support

Other considerations