Avmed Day 2 Flashcards

1
Q

What’s cerebral fluid?

A

Protects the brain as skull is a hard shock absorber

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2
Q

What percentage of the brain is water?

A

75%

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3
Q

What does the brain need to fully work?

A

Blood, Oxygen, sugar (glucose)

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4
Q

What are the levels of consciousness?

A

AVPU

-Alert
-Verbal
-Pain
-Unresponsive

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5
Q

What does it mean if the passenger is Alert?

A

Awake and fully responsive

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6
Q

What does it mean if a passenger is Verbal?

A

They respond to your voice

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7
Q

What does it mean if the passenger is classed as pain?

A

They respond to pain

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8
Q

What does it mean if the passenger is unresponsive?

A

They do not respond at all

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9
Q

When should you put the casualty in the recovery position?

A

Nothing below A in AVPU

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10
Q

What are the early signs of hypoxia?

A

-Agitated behaviour or combative to treatment
-Confusion, dowsiness
-Slurred speech, impaired vision
-Abnormal breathing and pulse rates (normally fast)
-Euphoria
-Greying or pale skin
-Cyanosis

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11
Q

What are the late signs of hypoxia?

A

Central Cyanosis of the skin (neck and chest)

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12
Q

What’s Cyanosis?

A

A blush tinge to the extremities

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13
Q

What’s the aim of treatment for hypoxia?

A

To restore sufficient supply of oxygen to the brain

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14
Q

How quickly can you reverse the effects of hypoxia when you provide oxygen?

A

Within 15 seconds

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15
Q

How do you ensure oxygen is flowing on a PO?

A

Pinch the resevoir bag

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16
Q

What’s the definition of a head injury?

A

Any traumatic damage to the head resulting from blunt or penetrating trauma of the skull

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17
Q

If the membrane breaks holding cerebral fluid due to head injury, where will it leak out from?

A

The orifices such as the nose, mouth and ears

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18
Q

What’s the possible signs and symptoms of a head injury?

A

-head wound or bruise
-dizziness or nausea
-straw coloured watery blood
-soft boggy area or depression of the scalp
-deterioration in level of response
-lack of symmetry of the head or face
-bruising around the eyes

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19
Q

What should you do in most medical situations?

A

Loosen clothing, open air vents and monitor pulse and breathe rate every 10 mins

20
Q

What is a stroke caused by?

A

A blood clot or bleed in the brain

21
Q

Whats the acronym that you follow when treating a stroke?

A

FAST

-Face
-Arms
-Speach
-Time

22
Q

Face

A

Drooping, asking them to smile

23
Q

Arms

A

Ask them to raise their arms or hold them in place

24
Q

Speach

A

Is their speech clear or slurred

25
Q

Time

A

Certain window of time to get medication to resolve clot

26
Q

How would you treat a stroke?

A

-Lie them down with head and shoulders raised
-Support any weakness with blankets or pillows
-Administer a PO
-Loosen tight clothing and open air vents
-Record heart rate and pulse every 10 mins

27
Q

What is meant by Hypoglcaemia?

A

-Low blood sugar
-Rapid onset
-Life threatening

28
Q

What’s meant by Hyperglycaemia?

A

-High blood sugar
-Life threatening
-Slow onset

29
Q

Signs and symptoms of Hypocaemia?

A

-Weakness, faintness, dizziness or hunger
-Pale,Cold, Clammy skin
-Abnormal pulse
-strange behaviour
-Deteriorating level of response
-Seizures

30
Q

Possible signs and symptoms of Hyperglycaemia?

A

-Excessive thirst and hunger
-Abnormal pulse (usually fast and strong)
-Drowsy
-Nausea and vomiting

31
Q

Aims of treatment for Hypo?

A

To increase sugar content of the blood as quickly as possible

32
Q

Aims of treatment for hyper?

A

-Give a sugary drink to rule out hypo
-If not change in condition contact MedLink, PA for a MQV and keep nil by mouth

33
Q

Possible causes of Seizures/Fits/Convulsions

A

-Head injury
-Epilepsy
-Drug over dose
-Brain tumours
-Hypo
-High temp in young children/infants

34
Q

Signs of a seizure?

A

-Rigid, jaw clenched
-Salivia at mouth (may be blood stained)
-Noisy breathing and could lead to cyanosis around face or lips
-Convulsive movement, eyes roll back

35
Q

Treatment for a seizure?

A

-Try and ease casualty’s fall
-Never move or restrain passenger
-Never place anything in their mouth
-Time the seizure

36
Q

If the passenger is unconscious and seizure last longer than 5 mins, what should you do?

A

-DRAB
-TTTS
-Administer a PO and call medlink
-monitor and check pulse and breathe rate every 10 mins

37
Q

Possible signs and symptoms for a Febrile Seizure?

A

-Fever (temp above 38°C)
-Flushed skin
-Sweating
-There may be a rash

38
Q

What’s the aims of treatment for a Febrile Seizure?

A

-Protect child from injury
-Cool the child
-Reassure the parents

39
Q

What other treatment should you do for a Febrile Seizure?

A

-Remove clothes to cool
-Offer liquid paracetamol
-If shivering occurs provide cotton sheet (if available
-Administer a PO
-Consider calling MedLink
-Advise parents to seek further medical advice at destination

40
Q

What does DRAB stand for?

A

-Danger
-Response
-Airway
-Breathing

41
Q

Danger

A

Assess safety

42
Q

Response

A

Shake and shout “are you alright/okay?”

43
Q

Airway

A

Head tilt, chin lift

44
Q

Breathing

A

Look listen and feel for normal breathing for 10 seconds

45
Q

Where are the PRMS located?

A

-Crew bags
-FAK
-AED

46
Q

Where do you turn the bump for a pregnant woman when putting into a recovery position?

A

Bump to left