Airway management Flashcards

1
Q

what are the 3 technique to use when someone Is choking and how many reps

A
  1. Bent-Over Backblows (5 reps) 2. Abdominal thrusts (5 reps)
  2. Chest thrusts
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2
Q

what to do if you are a small rescuer or the victime is pregnant or obese

A

chest trust

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3
Q

step with unconscious choking adult/child

A

❑Call EMS/9-1-1 when unconscious (cell phone)
❑If with a child and alone, do 2 min. then call if no cell phone ❑Open mouth, visualize, remove object if seen
❑Open airway, attempt 2 breaths (reposition).
❑If 2 breaths don’t go in, 30 chest compressions
❑Visualize mouth, remove object if seen.
❑Repeat until successful / EMS arrive
❑If breath goes in, ensure 2 effective breaths are given, check
pulse/resp, correct as needed.

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4
Q

how to help a choking infant

A

Kneel down to floor and place baby (sandwich) on your thigh:
-Give 5 back blows then switch over to other thigh -Give 5 chest thrusts -hard and fast with 2 fingers
-fingers place 1 finger width below nipple ❑ Compress at least 1/3 depth of chest.
❑ Rate of compressions like CPR ❑ Continue until unconscious

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5
Q

definition of anaphylactixis

A

Allergic reaction in which the immune system reacts in a sudden and exaggerated way to contact with an allergic substance (antigen).

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6
Q

what do you do
If the first indication of an anaphylactic shock is difficulty breathing:

A

❑ CALL 911
❑ Epinephrine –autoinjector
❑ O2
❑ Oral antihistamines may help reduce some symptoms

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7
Q

epinephrine is administer when victim is breathing or non breathing

A

breathing

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8
Q

anti-histamine take about how long to take effect

A

10min

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9
Q

epinephrine can be given every _ min

A

15 min no <5min

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10
Q

life of epinephrine

A

5 min

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11
Q

can you give epipen to someone that hasn’t previous got a diagnostic or someone that the epipen is not them

A

yes

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12
Q

how do you know if someone have an allergic reaction if they are know to be allergic

A

Recent contact with causal agent <12 hrs ago AND
First sign of allergic reaction -difficulty breathing -weakness
-fainting
-itchiness
-urticaria

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13
Q

how do you know if someone have an allergic reaction if they are not know to be allergic

A

Recent contact with causal agent <12hrs ago
AND
❑ Respiratory distress or
❑ Circulatory failure or
❑ Visible edema of the tongue*

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14
Q

what are the reverse effect of anaphylactic reaction

A

❑ dilates bronchioles
❑ increases blood pressure
❑ increases pulse , may cause palpitations
❑ anxiety, trembling, nausea, vomiting
❑ effects are of short duration

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15
Q

how long should someone should be observed at the hospital after a reaction and why

A

4h to prevent biphasic reaction

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16
Q

what to do if you accidentally ejected epinephrine to you or someone with a used needle

A

Squeeze injection site to force bleed
❑ Clean with soap + water, or disinfectant

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17
Q

what to do if you accidentally ejected epinephrine to you or someone with a sterile needle

A

Hot compresses
❑ Downward position
❑ Immediately go to hospital ER

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18
Q

which technique would you use to open the airway for an athlete with an helmet

A

trauma chin lift

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19
Q

4 advantages of breathing device

A
  • maintain an open airway
  • perform rescue breathing
  • limit the potentiel for disease transmission
  • increase blood 02 concentration
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20
Q

where should the flange of OPA should rest

A

rest on lower lip

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21
Q

indication for NPA use

A

Semi-conscious, varies: semi to unconscious, trismus (jaw spasm)

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22
Q

how do you suction vomit

A

on way out, limit suctioning air from lung and suction only as far as you can visualize

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23
Q

which O2 delivery method is very similar to resucitation mask but more rigid

A

BVM

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24
Q

T/F BVM Can be used for a breathing or non-breathing athlete

A

T

25
Q

which method deliver the greatest O2 concentration

A

BVM

26
Q

%O2 of bvm if connected to tank and reservoir bag

A

90%+ if oxygen tank and reservoir bag are connected

27
Q

O2% if non connected to tani

A

21%

28
Q

O2% if oxygen tank connected without reservoir bag

A

44-64%

29
Q

T/F.Can be used alone or with an oxygen supply attached

A

T

30
Q

When using BVM with non-breathing athlete, you (have/ do not) need to wait until the reservoir bag is filled and why

A

When using BVM with non-breathing athlete, you do NOT need to wait until the reservoir bag is filled because the minimum amount of oxygen being delivered is already 44% and it will continue to increase as the reservoir bag is filling

31
Q

Ideally should not be used with _ mask which is non rigid

A

pocket mask

32
Q

what do you need to take in consideration if you use BVM when desaling with anaphylaxis or asthmatic patient

A

The valve on the BVM should be closed when dealing with anaphylaxis or
asthmatic patients because then air won’t be allowed out of the valve and it
forces more air in for a closing airway

33
Q

BVM is also known as

A

AMBU

34
Q

Do not over inflate lungs, adult BVM can push _, normal adult takes around
600ml

A

1.5L

35
Q

procedure with BVM if using oxigen only

A

Select good size BVM and mask
o The bag-valve is then attached to rigid mask.
o The O2 tubing is connected to BVM (distal end). o Connect O2 reservoir bag to the BVM
o Place the BVM on athletes’ face
o Cover the mouth and nose of the athlete o Create a tight seal (nose to mouth)
o Open airway (TJT)
o Ventilate 1 second duration

36
Q

vent rate For NON-BREATHING athletes or BREATHING athletes

A

<10 or >30

37
Q

BVM.2-person CPR, Non-intubated athlete

A

After 30 compressions, AT #2 squeezes the BVM for two breaths

38
Q

BVM 2-person AR, Non-intubated athlete

A

AT #2 squeezes the BVM once every 6 seconds

39
Q

BVM 3-person CPR, Intubated athlete

A

If athlete has an advanced airway in place (intubated by physician or paramedic),
the rate of ventilations changes to 1 breath every 6 seconds (10/min)à
Continuous compressions throughout

40
Q

is it neccesary to stop compression to give ventilation during 3-person CPR intubated athlete

A

no

41
Q

Witnessed Cardiac Arrest
high performance
traditionnal
hybrid

A
  1. High Performance (witnessed adult, cardiac origin) - Continuous compression 200/200/200, passive O2/OPA first 6 minutes*
  2. Traditional 30:2
  3. Hybrid Continuous Compressions first 1-2 minutes until set-up/airway access
    with sports equipment
42
Q

what is more effective than standard 30:2 approach when a high performance BLS is present for a withness adult cardiac arrest and applicable for how long

A

ontinuous compressions (200 per compressor) with OPA and high flow NRB
his is applicable only in witnessed adult cases for the first 6 minutes.

43
Q

indicator of critical athlete- airway

A
  • Obstructive sounds such as stridor, snoring, or gurgling - Compromised airway
44
Q

indicator of critical athlete- breathing

A
  • Inadequate rate and quality of breathing - Absence of breathing - Difficulty breathing - Accessory muscle use
45
Q

indicator of critical athlete- circulation

A
  • Uncontrolled bleeding - Weak, absent, or irregular pulse - Signs of cyanosis - Cool, clammy skin (shock)
46
Q

indicator of critical athlete- disability

A
  • GCS ≤ 13 - Confusion, disorientation - Changing level of consciousness
47
Q

difference with inhalation and ventilation

A

INHALATION = athlete is breathing, but needs supplemental O2 either with: - 100% non-rebreather mask (NRB)
- Nasal cannula
- BVM (hyper/hypoventilation)

VENTILATION = athlete is NOT breathing and must be given breaths with: - BVM
- Pocket mask
- NRB in high performance CPR situations only for first 6 minutes

48
Q

when can we use nasal canula

A

breathing, conscious and unsconscious athlete

49
Q

when can we use pocket masck

A

non breathing and unscounscious athlete

50
Q

Amount % of oxygen delivered by nasal canula+ O2

A

25-36% (1-4L/min)

51
Q

Amount % of oxygen delivered by pocket mask alone

A

16% (rescuers expired oxygen)

52
Q

Amount % of oxygen delivered by pocket mask + O2

A

40-60% (10-25L/min)

53
Q

Amount % of oxygen delivered by BVM alone

A

21% (atmospheric oxygen)

54
Q

Amount % of oxygen delivered by BVM with reservoir + O2

A

90% (15 L/min)

55
Q

Amount % of oxygen delivered by non-rebreatger mask + O2

A

90+

56
Q

You should have at least _ psi in the tank on standby

A

800

57
Q

Change oxygen cylinder at _psi (keep as spare)

A

500

58
Q

Keep at least psi in the tank

A

200