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Adults Trauma ALS > Adult Trauma ALS > Flashcards

Adult Trauma ALS Flashcards

1
Q

what is the dosage for TXA

A

1g in 10ml slowly over 10 minutes

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2
Q

what are the indications for TXA

A

traumatic arrest, tourniquet applies, LOw bP nd weak slow pulse

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3
Q

when would you give fluids if cat hem

A

if a tournuqet is applies fluids is indicated

id want to give blood products howeveer only merit and ccp can theirfor i will give an inital 250ml boules of fluids to resotrt fluid volume

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4
Q

what to check of blood on the flood 4 more

A

chest
abdomen
pelivs
long bones

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5
Q

what to do is systolic blood pressure is less than 90

A

give fluids

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6
Q

when to consider atropine

A

if hear rate less than 40BPM

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7
Q

what to do one rosc is confined

A

reases Cat heam

are they tolierating the Igel

look listen and feel for 10 seconds for breathing

in circulation check cap refil, blood pressure, asses pulse both crotid and radial

in disabeltiy reases AVPU, HR, BM

in exposure consider temperture and transfer and do a 12 lead on transfer

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8
Q

what to do when confirm rosc

A

acknowledge rosc and stop CPR

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9
Q

what to ask in thrombosis

A

check for DVT

complaining of any chest pain

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10
Q

what to ask in tension pneumotharx

A

any resistance on BVM
good rise and fall
good air entry
any tracheal deviation

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11
Q

what to ask in tamponde

A

stabbing

chest trauma

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12
Q

what to ask for toxins

A

taking somthing
look in pupils

treat with naloxone

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13
Q

what are the 4 T”S

A

Toxins
tamponde
tension pneumothorax
thrombos

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14
Q

what to ask in hypokalaemia

A

potassium

check BM

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15
Q

what to ask in hypovalemia

A

any signs of fluid loss
any d&v

if their is treat with fluids

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16
Q

what to ask in hypothermia

A

check temperature below 35 degrees

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17
Q

what to ask in hypoxia

A

give oxygen
check capnography
any resistance
good rise and fall

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18
Q

what are the 4 h’s

A

hypoxia
hypothermia
hypovalemia
hypokalemia

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19
Q

what to flush after giving a drug

A

20ml

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20
Q

what to flush after IV access

A

10ml

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21
Q

what is the half dose of amiodarone

A

150milligram in 5ml

22
Q

when to give amiodarone

A

after the 3rd shock

half dose for 5th shock

23
Q

what is the dose for amiodarone

A

300 milligram in 10ml

24
Q

when to give adrenaline in non shockable rhythms

A

ASAP

25
Q

when to give adrenaline in a shockable rhythm

A

3rd shock

5th shock

7th shock

26
Q

what is the dose for adrenaline

A

1 milligram in 10ML

27
Q

what to do in PEA

A

look for pulse

CPR if no pulse

28
Q

what to do in asystole

A

CPR

29
Q

what to do in VF

A

shock

30
Q

what to do in VT

A

look for pulse

no pulse then shock

31
Q

wha joules do you charge to

A

360

32
Q

how to explain CPR to the bystander

A

5 cycles of 30 compression at a rate of 110-120 bpm with 2 rescue breaths

33
Q

what to do when confirming cardiac arrest

A

apply pads

call for back up

34
Q

what to do in breathing

A

look, listen and feel for 10 seconds

look for rate rhythm and efficacy

35
Q

what to do in airway

A

inspect the airway for blockage

check c-spine

head tilt chin lift or jaw thrust

36
Q

what to do for wounds in cat hem

A

pressure
compression
packing

37
Q

when to apple a tourniquet

A

limb injury

38
Q

what to do in a catastrophic haemorrhage

A 
visualise wound
direct pressure 
elevation 
wound packing- cello 
tourniquet
39
Q

what does response stand for

A

alert

voice

pain

unresponsive

40
Q

what does SAMPLE stand for

A

signs and symptoms

medication

allergies

past medical history

last oral

event leading up to it

41
Q

what do you check in danger

A

PPE
SCENE- safety, cause of injury, environment, number of patients, extra resources
patient assessment trainee- appearance, colour and work of breathing
const

42
Q

when considering IV in trauma what do you do

A

2 large bore cannulas in the ACF

43
Q

What to look for when performing a jaw thrust

A

Look down the body for breathing

Then check pulse

44
Q

What are the shocking policey

A

120, 150, 200

45
Q

If it’s a cat hem how will they word it

A

Sperting
Life threatening
Catastrophic

46
Q

If you have a sucking chest wound when would you apply a chest seal

A

In your breathing assessment

47
Q

What is the dose of TXA

A

1g in 10ml slowly over 10 minutes

48
Q

How to identify fail chest

A

Sink into chest with insperstion and expand with expiration

49
Q

How to identify hemothorax

A

Absent sounds on one side

One part of the chest

50
Q

How to identify and pneumothorax

A

High pitched sounds over inflated

Adults Trauma ALS (1 decks)

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