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CABIN CREW SOP > AVIATION MEDICINE > Flashcards

AVIATION MEDICINE Flashcards

1
Q

Definition of Hypoxia

A

Lack of oxygen in the blood tissues

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2
Q

Management of Hypoxia?

A

Give oxygen- 4L
Calm and reassure
make comfortable by loosing clothing
monitor

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3
Q

Symptoms of Hypoxia?

A

MILD
fatigue
lack of concentration
listlessness

MODERATE
breathlessness
mood swings
confusion
lack of criticism

SEVERE
death
unconsciousness
cyanosis

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4
Q

Decompression sickness definition?

A

When gas bubbles form
due to atmospheric pressure

e.g diving, need 24hrs for nitrogen to release

cabin crew- 48hrs

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5
Q

Symptoms of Decompression sickness?

A

the bends
the chokes
the creeps

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6
Q

In detail..

Symptoms for decompression sickness

A

deep pain in joints
difficulty breathing
odd sensation in skin
red rash
partial loss of vision

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7
Q

How to manage Decompression Sickness?

A

Let the FD know
to divert to nearest airport with a hyperbaric chamber
to descend to a lower altitude to release nitrogen
unconscious- lay in recovery position
conscious- lay them on their backs with feet up
keep warm
restrict movement
give oxygen
monitor

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8
Q

Depressurisation types?

A

Gradual
Rapid

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9
Q

Symptoms of Graduel depressurisation

A

Headaches
mild euphoria
sleepiness
drowsiness
increase pulse rate

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10
Q

Symptoms of Rapid depressurisation?

A

Loud bang
extreme noise
extreme cold
air rushing out
loose items
hot water boiling

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11
Q

Definition of Rapid depressurisation?

A

Structural damage
fuselage damage
damage to the aircraft system

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12
Q

TUC 20000 FT?

A

5-10M

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13
Q

TUC 25000FT?

A

2-3 M

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14
Q

TUC 30000FT?

A

45-75 SECS

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15
Q

TUC 35000FT?

A

30-45 SECS

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16
Q

TUC 40000FT?

A

20-30 SECS

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17
Q

TUC 45000FT?

A

15-20 SECS

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18
Q

How does it vary?

TUC

A

due to age
condition of health
fitness
altitude

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19
Q

depressurisation response?

what PA will you hear from the FD

A

ATTENTION! EMERGENCY DESCENT!

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20
Q

safe altitude reached?

What PA will you hear from the Flight deck?

A

CABIN CREW safe altitude reached?

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21
Q

Emergency decent response

after hearing the PA what will you do?

A

FIT- oxygen
SIT- secure in seat wherever
ADVISE- pax to do the same

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22
Q

safe altitude response

after PA has been made what will you do?

A

TRANSFER- to portable oxygen
ASSIST- crew/pax/administer FA
ASSESS- pax/ identify injuries &dmage to aircraft
report- injuries and damage to aircraft. actions / TEST

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23
Q

When can you stop giving first aid?

A

When a medical personnel takes over
when the person becomes better
when it becomes unsafe
or when you can no longer continue due to fatigue

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24
Q

Can you contact flight deck for a medical emergency during no contact

A

no only if a person tries to open the exits or there is a self sustaining fire

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25
Q

what about in limited contact?

What things are you able to contact THE FD during this time?

A

Yes, for medical emergencies
fuel leak, fire etc i can

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26
Q

first aid role?

A

Preserve- administer correct first aid
Promote- ongoing treatment
Prevent- further danger

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27
Q

Atmospheric pressure percentage?

A

78% nitrogen 20% oxygen 2% carbon dioxide

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28
Q

What happens with increasing altitude?

A

temperature drops
humidity falls
gas trapped in the body expands
atmospheric pressure increases

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29
Q

Pain in Ears management ADULT

A

Instruct pax to chew and yawn
if that fails then we are going to ask them to take a deep breath, close mouth and noise and swallow

if the pains persists during descent we will give Panadol as instructed by pax

apply warmth to the outer ear and advise to see a medical doctor

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30
Q

Pain in ears Infant

what wil you let the baby do?

A

let the baby cry vigorously and advise the parents to let the baby suck on a bottle

if pain persists advise to see a medical doctor

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31
Q

Teeth Management?

A

Apply icepack
give panadol

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32
Q

Symptoms of teeth pain?

A

Hollow Cavity
Decay
gas expanding and putting pressure

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33
Q

Sinus Management?

A

instruct pax to blow forcibly one nostril at a time
give Bren-Clear
give Panadol

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34
Q

Symptoms of Sinus issues?

A

Headaches
Pressure in forehead
Watery Eyes

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35
Q

Hyperventilation Symptoms?

feelings

A

Anxiety
Stress
Rapid or deep breathing
Low level of carbon dioxide
Tingling
Spasms
Fainting
Numbness

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36
Q

Hyperventilation Management?

what to do after you see someone hyperventalating?

A

Reassure the Pax
Instruct Pax to take slower breaths
Give 4L oxygen
Monitor

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37
Q

Gastro Intestinal Disturbance Cause?

A

Low fibre diet
Dietary
Stress
Pain medication
Pregnancy
Fitness

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38
Q

Gastro Intestinal Disturbance Management?

A

Sip liquids
Go see a doctor
rest
do not eat a lot

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39
Q

Airsickness Cause?

why can it happen?

A

Anxiety
Fatigue
Hungover
Diziness

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40
Q

Airsickness Symptoms?

A

Nausea
Vomiting
Pale

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41
Q

Airsickness Management?

A

Sip of Lemonade/ Ice water
Clean where necessary
Advise not to go to sleep
give extra sick bags
Advise to look out in the horizon

42
Q

Fainting Cause?

why does someone faint?

A

Shock
Pain
Siting/ Standing for long periods of time
Inadequate blood pressure to brain

43
Q

Fainting Management?

how to treat patient?

A

Conscious- Lay on back
Unconscious- Lay on recovery Position
Monitor
Not going to give them anything to drink or eat

after they feel better, we will give them a sugary drink to raise their blood pressure

44
Q

Fainting Symptoms?

what will you see if someone has fainted?

A

Laying on the ground
Giddiness
Vomiting
Nauseous
unconscious
Sweating

45
Q

3 types of Cardiac arrest

A

Angina
Heart attack
Cardiac arrest

46
Q

Signs of Cardiac Arrest?

why can it happen?

A

Drugs
blocked arteries
hereditary
loss of oxygen
loss of blood
age
fitness
physical activity
alcohol consumption
medical condition

47
Q

Angina - What is it?

A

Chest pain

48
Q

Heart attack -what is it?

A

Blocked circulation in the heart

49
Q

Cardiac Arrest- What is it?

A

Blocked/ electric problem to heart

50
Q

Management for Angina/Heart attack?

A

Ask Pax if they have a medical condition

Ask them if they have their medication on them

Ask the passenger to adopt the most comfortable position

Stay with them and monitor closely and observe until their pain has subsidise

If pax knows how to control the pain, we are going to follow their instructions

51
Q

Cardiac Arrest? Signs

one of the heart attacks

A

loss of consciousness
no response
vomiting - (conscious) - recovery position

52
Q

Cardiac arrest management?

A

CPR
DEFIB
30 compressions, 2 breaths

53
Q

Allergic Reaction definition?

A

body reaction to a a certain protein

54
Q

Allergic Reaction symptoms?

A

Stomach cramps
nausea
breathless
headaches

55
Q

Anaphylaxis symptoms?

A

Metallic taste
swelling
itching
thrush skin
increase Heart rate

56
Q

Anaphylaxis how is it caused and is it life threatning?

A

life threatening

caused by stings, medicine, synthetic materials

57
Q

Anaphylaxis management?

how will you treat the paitent?

A

blue to the sky
orange to the thigh

calm & reassure the passenger
follow the emergency plan
follow the manufacturer
instructions for safe administration
record the time
safely manage the used injection
no improvements, inject 2nd epipen

58
Q

Asthma signs?

why does it happen?

A

Spasms in small air tubes in the lungs
Difficulty breathing
allergies due to dust, pollen, exercise, infection smoke

59
Q

Asthma symptoms?

what will you see?

A

Pale skin
breathlessness
sweating

60
Q

Asthma management?

how to treat the patient?

A

adopt comfortable position
loosen any tight clothing
give oxgen 4l
ask the passenger if they have an inhaler (4 breaths, 4 sprays)
hands over head

if breathing stops comence CPR

61
Q

Burn signs?

A

pain
redness in skin
discolouration
smell

62
Q

burn causes?

A

hot device
hot water spilt

63
Q

burn management?

how will you treat the patient?

A

Remove the cause
saturate the burn in cold water for 20 minutes
do not remove any clothing that sticks
remove rings and bracelets
do not use break blister
do not apply cream
cover with light dressing (non adhesive)
elevate burnt limbs

64
Q

Adult choking signs partial and full

A

Partial- they can breath, speak and cough

full- they cant speak and nothing is coming out

65
Q

Adult choking management? Partial

how will you treat the patient?

A

Partial- reassure
ask to cough

66
Q

Adult choking management? Full

how will you treat the patient?

A

place in recovery position after item has been lodged out with the 4 black blows

if that doesn’t work then we alternate with 4 chest thrust, until the item has been coughed out.

if they become unconscious we commence CPR until they become conscious and position them in the recovery position

67
Q

Diabetes Hypo

A

low suger

68
Q

diabetes hyper

A

high suger

69
Q

hypo symptoms

diabtes

A

sweating
pale skin
irritable
hunger
sleepliness

70
Q

treatment

for hypo diabetes

A

give a sugary drink

71
Q

hyper diabetes symptoms

A

bad breath
weakness
blurred vision

72
Q

treatment

for hyper diabetes?

A

give sugary drink followed by muffin or sandwich

if there is no improvements inform the FD for an ambulance to be called.

73
Q

Sprains/Bruises signs

A

over stretched ligaments

74
Q

Sprains/Bruises managment

A

Rest the leg to keep weight off
ice pack the injury to reduce swelling and stiffness
use compression bandage to reduce swelling
elevate the leg, to prevent swelling (not above the heart)
refer to medical profession

75
Q

Fractures Mangement?

A

Control the bleeding with a dressing
do not apply pressure
immobilise the fracture with a rigid item such as a magazine
do not re-align
elevate
check circulation and warmth every 15min
apply RCE
treat shock

76
Q

Nose bleed management?

how to treat patient?

A

Instruct Pax to sit upright
Instruct pax to lean forward
Instruct Pax to breath through their mouth
use protective gloves
apply finger pressure at the end od nose for 10m

77
Q

haemorrhage bleeding management

A

Use gloves
apply pressure
elevate
remove dressing
do not tournique
treat shock

78
Q

Management for shock?

A

calm and reassure
oxygen
keep warm
conscious- lay on back
unconscious- recovery position

79
Q

symptoms for shock

what you may see on a patient?

A

thirst
unconsciousness
sweating
pale skin
nausea

80
Q

cause of shock

A

death
collapse
loss of circulation
poison
blood loss
severe burn
dehydration
hemoridge

81
Q

concussion signs

A

mood change
anxiety
depression
black out
headache

82
Q

seizure

what is it?

A

sudden or electric problem in brain

83
Q

epilepsy

What is it?

A

condition

84
Q

management

how to manage epilepsy?

A

do not put anything in mouth
remove anything in the area which will cause damage
provide pillows & blanket
minimum restraining
recline seat/ loosen seatbelt
place in recovery position
if not possible leave them alone
if the timing is off (call ambulance)

85
Q

Stroke signs

what will you see on a patient being affected by a stroke?

A

balance
eyes droopy
face
arm drooping
speech
headache
loss of movement
eye pupil
Paralisis

86
Q

Stroke Management?

how to treat patient?

A

no drink or food
oxygen (high flow)
calm and reassure
place in recovery position in affected area
notify flight deck

87
Q

childbirth management?

what to do?

A

Notify FD
PA for medical assistance

88
Q

stages of childbirth?

A

1- dilation
2- birth
3- afterbirth

89
Q

precautions

for childbirth?

A

check the cord
do not bump baby head
reassure
keep baby warm
let mum hold baby

90
Q

more precautions

for childbirth?

A

use first aid kit and bodily fluid
make comfortable
allow fluid out
blow face
rubb back

91
Q

D
R
S
A
B
C

A
92
Q

D

A

DANGER- to your self and bystanders

93
Q

R

A

response- check to see if they can hear u, touch them, ask to open eyes, squeeze my hand

94
Q

S

A

send for help- get and inform the pic and ask for medical

95
Q

Airway DRSABC

A

check for breathing and any obstruction roll them onside and remove obstruction

96
Q

breathing DRSABC

A

check for normal breathing 3-5 breaths 10 seconds (look and listen)

97
Q

CPR

A

30 compressions
2 breaths

98
Q

recovery position unconscious breathing normal

precautions?

A

keep airway clear
observe pulse
loose clothing
do not leave un attendant
alert FD

99
Q

Head to toe survey

A

head
bones
press on chest

arm
squeeze fingers

stomach
legs
feet

100
Q

First aid report

A

submit report even if pax refused first aid

to airs report within 24hrs
debrief after incident

101
Q

Rapid depressurisation human symptoms

A

-rapper Chest Expansion
-cheek and lip flutter
- extreme pain in joints
- abdominal fulness
- difficulty communicating

102
Q

Gradual depressurisation cabin reason

A

due to a leak or failure of the pressurisation equipment

CABIN CREW SOP (8 decks)

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