AvMed Day 3 Flashcards

1
Q

Where is the heart located?

A

The centre of the sternum slightly to the left

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2
Q

What happens when the heart speeds up?

A

Pumps more oxygen around the body

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3
Q

What’s a sinus node?

A

Gives off electrical charge to make it beat

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4
Q

What does the heart need?

A

Electricity, blood and oxygen

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5
Q

What do red blood cells do?

A

Carry oxygen

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6
Q

What do white blood cells do?

A

Fight infection

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7
Q

What do platelets do?

A

They form clots

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8
Q

What makes up 60% of the blood volume?

A

Plasma

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9
Q

What do arteries do?

A

Carry oxygenated blood around the body

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10
Q

What do the veins do?

A

Carry blood with less oxygen to the heart

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11
Q

What are the capillaries?

A

Tiny bloody vessels between the arteries and veins

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12
Q

What’s Deep Vein Thrombosis (DVT)?

A

Where blood clots form in the deep veins of the legs, groin and upper parts of the arm

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13
Q

What causes DVT?

A

Long periods of time immobile

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14
Q

What’s the risk factors of DVT?

A

-Immobility
-Cramped seating position
-extremes of heights
-Aged over 60
-Recent major surgery
-Personal/family history of DVT
-Heart disease
-Cancer
-Pregnancy
-Trauma or surgery of lower limbs
-Obesity
-The oral contraceptive pill

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15
Q

How can you prevent DVT?

A

-Place hand luggage in over head locker
-Don’t sit with legs crossed
-Simple exercises
-Elevate legs where possible
-Short walk every 2-3 hours
-Avoid excess alcohol and sleep tablets
-Watch the health video

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16
Q

What percentage of DVT are symptom free?

A

50%

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17
Q

What’s the treatment for DVT?

A

-Raise legs on seats to level of body, do not elevate the legs
-PO
-AVPU every 10 mins
-Complete IIOR
-Give casualty reassurance and stay with them

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18
Q

What does PE stand for?

A

Pulmonary Embolism

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19
Q

What’s the signs and symptoms of a PE?

A

-Sudden chest pain
-Breathlessness
-Coughing up blood
-Fainting
-Signs of shock
-Abnormal pulse rate

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20
Q

How should treat a PE?

A

The same as a heart attack

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21
Q

What’s Angina?

A

Reduced amount of oxygen to the heart usually when heart is over worked

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22
Q

How is Angina caused?

A

From heart disease where there’s a build up of plaque in the arteries and blood can’t get through quick enough

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23
Q

What’s helps reduce the symptoms of Angina?

A

GNT spray

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24
Q

What does GNT spray do?

A

It expands all blood vessels

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25
Q

How do you give GTN to a passenger and why?

A

2 sprays under tongue as it gets to the blood stream quicker

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26
Q

What’s the signs and symptoms of Angina?

A

-Chest pain that may feel tight, heavy and dull which may spread to your arms, neck, jaw and back
-Breathlessness
-Weakness/Fatigue
-Feeling of anxiety
-Nausea

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27
Q

What’s the treatment for Angina?

A

-Rest casualty in reclined seat to reduce pain
-Time angina attack
-Administer PO and call MedLink
-Loosen tight clothing and open air vents
-Encourage casualty to take GTN
-Monitor and record AVPU and pulse every 10 mins
-Complete IIOR
-Give reassurance and stay with them

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28
Q

What should you do if the Angina attack lasts longer than 15 minutes?

A

Don’t resolve with rest and medication (or if it’s casualty’s first experience of this type of pain) treat as a heart attack

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29
Q

What’s the signs and symptoms of a heart attack?

A

-Severe chest pain with feeling of heaviness, tightness and squeezing
-Can spread into both arms, jaw, back, tummy
-Persons body language
-Lightheaded/Dizziness
-Abnormal breathing and pulse rates
-Shortness of breath
-Pale, cold and clammy skin or sweating
-Nausea and vomiting
-Casualty may feel a sense of ‘impending doom’/over whelming anxiety
-Get med history

30
Q

What’s the treatment for a heart attack?

A

-Rest casualty in reclined seat (don’t move unnecessarily
-Never make casualty aware of defib
-Call MedLink
-PO
-Loosen tight clothing and open air vents
-Check AVPU, pulse and breathing rates every 10 mins
-Fill out IIOR
-FSM will make a PA for a MQV

31
Q

When would you use an ECG?

A

To help diagnose and monitor conditions affecting the heart

32
Q

Once you have the reading from the ECG what would you do?

A

Send them to MedLink

33
Q

Where is the ECG kept?

A

At L1

34
Q

What app on your IPad to you use to get the readings?

A

CardioSecur

35
Q

What’s shock?

A

The inability of the circulation system to supply the cells of the body with enough oxygenated blood to meet their needs

36
Q

What’s the causes of shock?

A

-Severe bleeding
-Severe vomit to f and Diarrhoea
-Severe fractures
-Severe burns
-Heart attack
-Severe infection

37
Q

What’s the common causes of a cardiac arrest?

A

-Heart attack
-Asthma
-Hypoxia
-Shock
-Hyperthermia
-Overdose

38
Q

What’s the chain of survival?

A

-Early help
-Early CPR
-Early AED
-Early hospital

39
Q

Early help

A

-Notice signs
-Symptoms
-Call 99

40
Q

Early CPR

A

Perform CPR ASAP

41
Q

Early AED

A

Use defib

42
Q

Early hospital

A

Depends on day

43
Q

When you do a 10 second breathing test and the breathing is not there what does this indicate?

A

A cardiac arrest

44
Q

What would indicate not normal breathing?

A

-Gasping
-No sound

45
Q

Once you have done you DRAB assessment and have determined a cardiac arrest, what do you shout?

A

“Cabin crew delta foxtrot to (location)” x2

46
Q

When giving CPR how far should you push down?

A

Push down to a 3rd of their chest (on average 5-6cm)

47
Q

Where is the AED located?

A

L1

48
Q

What’s the minimum age of a person you can use a AED on?

A

1 years old

49
Q

When you use the AED who should you notify?

A

The APIC

50
Q

What’s in the AED prep kit?

A

-Pocket mask
-Scissors
-Gloves
-Swabs

51
Q

Once the AED is on what will it look for?

A

The ventricle fibrillation (VF) rhythm

52
Q

What is the Ventricle Fibrillation (VF) rhythm?

A

The electrical activity in the heart

53
Q

What’s the minium age of a casualty to use an I-Gel?

A

8 years old

54
Q

Where does the I-Gel live?

A

In the EMK in the blue module

55
Q

What happens when you insert the I-gel?

A

CPR stops

56
Q

What do you do once the I-Gel is inserted?

A

Get a PO, remove bayonet and attach resuscitator mask to the I-Gel

57
Q

How many attempts do you have to fit an I-Gel?

A

3

58
Q

On casualty’s aged 1-18 what should you do before starting treatment?

A

You should give them 5 initial rescue breaths

59
Q

What kind of chest compressions should you do on a child?

A

1 handed

60
Q

How should you place the AED on a child?

A

1 pad on the front one on the back

61
Q

How do you check for alertness for an infant?

A

Rub belly and foot

62
Q

How do you do head tilt, chin lift on an infant?

A

Lift head neutrally

63
Q

If you think you see signs of life what should you do?

A

Stop and do 10 second breath check

64
Q

If after the 10 second breath check they are alive, what should you do?

A

-Put them in the recovery posistion
-Leave I-gel in and put PO mask on top
-Cover casualty with a blanket

65
Q

Can you still use an AED on a pregnant casualty?

A

Yes

66
Q

Where should you position your hands when performing CPR on a pregnant casualty?

A

Higher up to accommodate

67
Q

Who will come to assist once you’ve landed if there has been a death on board?

A

PORT Health

68
Q

What will the AED say if there is no sign of life?

A

No shock advised

69
Q

How long are you expected to perform CPR for?

A

30 minutes

70
Q

At what time should you start to prepare the family in a bad outcome?

A

25 minutes into CPR