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Paramedics Y1S2 > BEH TCGs > Flashcards

BEH TCGs Flashcards

1
Q

Define the 3 Time Criticality definitions and their relation to trauma and medical guidelines

A

Actual - VSS shows actual physiological distress

Emergent - Pattern of injury or significant medical condition

Potential - Mechanism of Injury

Trauma uses all three

Medical uses Actual and emergent

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2
Q

To reach the criteria for Major Trauma patients with a MOI must also have co-morbidities constituting:

A
  • Pregnancy
  • Age <15 or >55
  • Systemic illness limiting normal activity or a systemic illness constant threat to life eg:

Poorly controlled HT
Morbid obesity
Congestive Cardiac Failure
Ischemic Heart Disease
Chronic renal failure or liver disease

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3
Q

An Adult patient having suffered a major trauma would require what vital signs to be considered

Actual TIme Critical

A

Adult Actual Time Critical VSS

Respiratory Rate <12 or > 24

BP < 90 mmHg sytolic

Pulse > 124

GCS < 13

O2 Saturation < 90%

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4
Q

Any patient fitting the criteria for Actual Trauma Time Critical whould require what action?

A

Actual Trauma Time Critical Action

Triage to the highest level of trauma service within 30 min

Consider MICA/ Aeromedical Support

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5
Q

For a patient paediatric or adult to fit the Emergent Trauma TCGs what pattern of injuries are required:

First describe the three styles of injury and then their constituents.

A

Emergent TCGs POI

Penetrating Injuries
Head/ Neck/ Chest/ Abdomen/ Pelvis/ Axilla/ Groin

Blunt Injuries
Significant injury to a single region:
- Head/ Chest/ Abdo/ Axilla/ Groin
Injuries involving two or more of the above body regions

Specific Injuries
Limb amputations/ limb threatening injuries
Suspected spinal cord injury
Burns >20% or involving respiratory tract
Serious Crash injury
Major compound fracture or open dislocation
Fracture of two or more of: Femur/ Tibia/ Humerus
Fractured Pelvis

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6
Q

Any patient paediatric or adult fitting the Emergent Trauma TCGs with normal VS would require what action?

A

Emergent Trauma TCG Action

Triage to the highest level of trauma service within 30 min

Consider MICA/ Aeromedical support

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7
Q

What Mechanisms of Injury MOI contribute to a potentially time critical classification:

Describe the Adult MOIs and then the three additional MOIs that apply to paediatrics

A

MOIs

Paediatric and Adult

  • Ejection from vehicle
  • Motor/ cyclist impact > 30km/h
  • Fall from hight > 3m
  • Stuck on head by falling object > 3m
  • Explosion
  • High Speed MCA > 60km/h
  • Pedestrian Impact
  • Prolonged Extraction > 30min

Exclusively Paediatric

  • Vehicle rollover
  • Fatality in same vehicle
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8
Q

If an adult has normal VS and no POI but postive MOI and positive Co-morbidities

OR

A paediatric has normal VS and no POI but postive MOI

What action is required?

A

Potentially TC Action

Triage to the Highest level of trauam service within 30min

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9
Q

If a paediatric or adult pateint has normal VS, no pattern of injury and no MOI

What action is required?

A

Potential Time Critical No MOI

Triage to nearest appropriate facility if required

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10
Q

An adult patient shows positive MOI and no co-morbidities with normal VSS and no POI

What action is require?

A

Potentially TC: MOI, no Co-morb

Triage to nearest appropriate facility with notification

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11
Q

A Newborn (<2/ 52) would be considered actual time critical with what vital signs:

A

Newborn (<2/52) Actual Time Critical VSS

  • RespR - < 40 or > 60
  • BP - NA
  • Pulse - <100 or >170
  • ConSt - GCS < 15
  • O2Sat - NA
  • Skin - Cold/ Pale/ Clammy
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12
Q

An Infant (<1 year) to be Actual trauma TC would present with what Vital Signs:

A

Infant (<1 year) Actual Time Critical VSS

  • RespR - < 20 or > 50
  • BP - <60mmHg
  • Pulse - <90 or >170
  • ConSt - GCS < 15
  • O2Sat - NA
  • Skin - Cold/ Pale/ Clammy
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13
Q

A Child (1-8 yrs) after sustaining a major trauma would be classified as Actual Time Critical with what Vital Signs:

A

Child (1 - 8 yrs) Actual Time Critical VSS

  • RespR - < 20 or > 35
  • BP - <70mmHg
  • Pulse - <75 or >130
  • ConSt - GCS < 15
  • O2Sat - NA
  • Skin - Cold/ Pale/ Clammy
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14
Q

A large child (9 - 15 years) presenting after a major trauma would require what VS to be categorised as Actual Time Critical

A

Large Child (9 -15 yrs) Actual Time Critical VSS

  • RespR - < 15 or > 25
  • BP - <80mmHg
  • Pulse - <65 or >100
  • ConSt - GCS < 15
  • O2Sat - <90%
  • Skin - Cold/ Pale/ Clammy
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15
Q

To be classified as actual medical time critical what vital signs would warrent such as classification:

A

Actual Medical Time Critical

  • Moderate or Severe Respiratory Disetress
  • O2 Saturation <90% RA or <93% sup O2
  • < Adequate Perfusion
  • GCS < 13 (unless normal for pateint)
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16
Q

A patient with normal VS what medical conditions would class a patient as Emergent Medical Time Critical:

A

Emergent Medical Time Critical

Hypothermia / Hyperthermia

Need for possible hyperbaric treatment

Medical Symptoms or Syndromes:

  • Acute coronary syndrome
  • Acute Stroke
  • Sever Sepsis inc suspected meningoccocal disease
  • Possible Abdominal Aoritic Aneurysm
  • Undiagnosed sever pain
17
Q

For both Actual and Emergent Medical Time critical guidlines what actions are required for a paitient that meets these classifications:

A

Medical TCG Action

Triage to nearest appropriate facility with notification

Consider MICA/ Aeromedical Support

18
Q

Describe the Golden Hour and the Trimodal Distribution of death

A
19
Q

Describe the 5 types of motor vehicle collision patterns:

A

Motor Vehicle Collision Patterns

  • Head on/ frontal impact
  • Rear
  • Lateral
  • Rotational
  • Rollover
20
Q

Describe the Three phases of pedestrian impact:

AND

Describe the Waddells triad of padestrian impact

A

Three phases of pedestrian impact MOI:

  • *1:** Bumper hits lower extremity
  • *2:** Pedestrian hits bonnet of car (chest, abdo, head)
  • *3:** Pedestrain falls to ground (further head, chest, extermity injuries)

Weddells Triad or Pedestrian impact injuries:

  • *1:** knee/ femur
  • *2:** Chest
  • *3:** Head
21
Q

Name the injury stages of blast injuries

A

Blast Injuries

Primary Injury
Associated with pressure waves in air. Eg myocardial contusion, shearing of cardiac vessel, ruptured eardrum

Secondary Injury
Due to fragments. Eg penetrating injuries, lacerations, abrasions, contusions, fractures, avulsions and amputations

Teritary Injury
Results from person being displaced

Quaternary Injury
Due to building collapse, hypothermia, toxic effects of chemicals

22
Q

Children can have a delayed shock response, once the limit of compensation is reached, a child will deteriorate very rapidly.
Number of anatomical differences cause this, describe these:

A

MOI and Paediatrics

  • Large head on weak neck
  • Large hands relative to body
  • Smaller airways
  • Soft laryngeal cartilage
  • Ribs more compliant (therefore greater risk of damage to underlying structures.)
  • Large abdo
23
Q

Describe the Important components and structure of a SITREP

A

SITREP

  • Call Sign
  • Request Code
  • Patient Particulars
  • Main Presenting Problem
  • Observations - relevant ones
  • Mx Interventions
  • Your current/ next actions
  • Location considerations
  • Request ETA from back up - as required
24
Q

Seasme street style say the Phonic Alphabet!!

A

Phonic Alphabet

  • *A**lpha
  • *B**ravo
  • *C**harlie
  • *D**elta
  • *E**cho
  • *F**oxtrot
  • *G**olf
  • *H**otel
  • *I**ndia
  • *J**uliet
  • *K**ilo
  • *L**ima
  • *M**ike
  • *N**ovember
  • *O**scar
  • *P**apa
  • *Q**uebec
  • *R**omeo
  • *S**ierra
  • *T**ango
  • *U**niform
  • *V**ictor
  • *W**hiskey
  • *X**-Ray
  • *Y**ankee
  • *Z**ulu
25
Q

Descibe the Radio use of Transmission Reports:

Ie How do you read Mordialloc?

Mordialloc. Reading you 5 by 5.

A

Transmission Reports

= Readibility (Clarity) X Signal Strength

Readibility

1: Unreadable
2: Bearly Readable
3: Readable with difficulty
4: Readible with minor dificulty
5: Perdectly Readable

Signal Stength

1: Faint signal, bearly perceptible
2: Very Weak
3: Fair
4: Good
5: Strong

Paramedics Y1S2 (5 decks)

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