CERT Skills- Dallas!! Flashcards
CERT stands for…
Community Emergency Response Team
EOP stands for…
Emergency Operations Plan
What is the EOP?
It describes how the community will function in an emergency
SOP stands for…
Standard Operating Procedures
What is SOP?
A set of written instructions that describes the step-by-step process that must be taken to properly perform a routine activity
What is Social Capital?
The value we place on our relationships with one another
What are some examples of a natural disaster?
Earthquakes, wildfires, floods, extreme heat
What are 2 examples of technological and accidental disasters?
Hazardous material spill and nuclear power plant accident
What are 3 examples of terrorism disasters?
Chemical accidents, nuclear accidents, and explosive weapons
What are the key elements to a disaster?
- Unexpected (for the most part)
- May overwhelm available response personnel + emergency services
- Endanger lives, health, and environment
In a disaster, a CERT members first responsibility is to…
Ensure personal + family safety
CERT members may also volunteer in non-disaster roles. What is an example of a non-disaster function?
Staffing parades, health fairs, and other special events
What are the 5 types of disasters?
Natural, terrorist, home fires, pandemics, technological and accidental
Which of the following is NOT a hazard associated with home fixtures?
a. gas line ruptures
b. hazardous material spill
c. injury or electric shock
d. fire from faulty wiring
b. hazardous material spill
How many steps are involved in a CERT size-up?
9 steps
What are the steps to a CERT size-up?
- Gather facts
- Access + communicate damage
- Consider possibilities
- Assess your own situation
- Establish properties
- Make decisions
- Develop a plan of action
- Take action
- Evaluate progress
Should rescue be attempted in a heavy damage site?
No, too dangerous to enter
Should rescue be attempted in a moderate damage site?
Yes, but only quick, safe removals
Should rescue be attempted in a light damage site?
Yes, locate, access, continue size-up, and document
What are the 5 crucial steps when approaching a patient?
- Make sure the patient can see you
- Identify yourself (name + organization)
- Request permission to treat
- Respect cultural differences
- Be mindful of privacy (HIPAA)
When requesting permission to treat an unconscious patient it is…
assumed to have implied consent
HIPAA stands for…
Health Insurance Portability and Accountability Act
What is HIPAA?
A law that protects a patients privacy
The average person has approximately __ liters of blood.
5
True or False: Severe blood loss can result in irreversible shock
True
What are indications of life threatening bleeding?
Spurting/steady bleeding, blood is pooling, blood is soaking through overlying clothes, blood is soaking through bandages, amputation
What is the normal breath rate?
12-16 breaths per minute
What is the normal blood pressure?
120/80 mmHg
What is the normal heart rate?
60-100 beats per minute
Typically, how many stages of excessive bleeding are there?
4 stages
Name the following for the FIRST STAGE of severe bleeding: blood loss %, heart rate, blood pressure, breath rate, and patient status.
Less than 15% blood loss,
normal heart rate, normal blood pressure, 14-20 breath rate, patient appears normal
Name the following for the SECOND STAGE of severe bleeding: blood loss %, heart rate, blood pressure, breath rate, and patient status.
15-30% blood loss, fast heart rate (>100bpm), slightly low blood pressure, 20-30 breath rate, patient may feel anxious
Name the following for the THIRD STAGE of severe bleeding: blood loss %, heart rate, blood pressure, breath rate, and patient status.
30-40% bloos loss, very fast heart rate (>120bpm), low blood pressure, 30-40 breath rate, patient may feel confused
Name the following for the FOURTH STAGE of severe bleeding: blood loss %, heart rate, blood pressure, breath rate, and patient status.
> 40% blood loss, critical heart rate (>140bpm), critical blood pressure, >35 breath rate, patient may feel lethargic
Scenario: You respond to a call where someone accidentally cut their hand with a chainsaw. Your patient has a heart rate of 128 bpm, low blood pressure, 36 breath rate, and does not know their name. Based on your observations, what stage of severe bleeding are they at?
Third stage
What are the 3 types of bleeding?
Arterial, venous, and capillary
What is arterial bleeding? What does it look like?
Bleeding coming from an artery. Will spurt and will be bright red because it is oxygenated.
What is venous bleeding? What does it look like?
Bleeding coming from a vein. Will flow and be dark red because it is not oxygenated.
What is capillary bleeding? What does it look like?
Bleeding coming from a capillary (low pressure). Will ooze and is bright red in color.
What is the first thing you should try to control excessive bleeding?
Direct, constant pressure
If direct, constant pressure does not work you should _____ _ _________.
apply a tourniquet
What is shock?
A life threatening condition that occurs when the body is not getting enough blood flow.
What are the main signs of shock?
Rapid/shallow breathing, capillary refill > than 2 seconds, failure to follow simple commands
If your patient is in shock, ________ ____ ___________.
maintain body temperature
What are ways you can maintain body temperature?
Remove wet clothing, place something between the patient and the ground, wrap the patients in dry layers, shield patient from the wind.
What are things you can use to separate your patient from the ground?
Cardboard, blanket, or jacket
What is the recovery position?
Body laid on its side, bottom arm reached outward, top arm placed on bicep of bottom arm, head rested on hand, legs slightly bent, chin raised forward, and mouth pointed downward
What is the second step of a CERT size-up?
Access and communicate damage
What is the fifth step of a CERT size-up?
Establish properties
What is the eighth step of a CERT size-up?
Take action
What is the tenth step of a CERT size-up?
There is no tenth step
What 2 things you should do when moving someone into the recovery position when you suspect a spinal injury?
- Support the head and neck when rolling them over
- Do not move them more than necessary
What is the epidermis?
The outer layer of the skin that contains nerve endings and is penetrated by hairs
What is the dermis?
The middle layer of the skin that contains blood vessels, oil glands, hair follicles, and sweat glands
What is the subcutaneous?
The innermost layer of the skin that contains blood vessels and overlies the muscle
Superficial burns affect what layer of the skin?
Epidermis
What are signs of superficial burns?
Reddened dry skin, pain, possible swelling
Partial thickness burns affect what layer of the skin?
Epidermis and partial destruction of the dermis
What are signs of partial thickness burns?
Reddened blistered skin, wet appearance, pain, possible swelling
Full thickness burns affect what layer of the skin?
Complete destruction of the dermis and epidermis, possible destruction of the subcutaneous
What are signs of full thickness burns?
Whitened, leathery, or charred (brown/black); painful or relatively painless
The guidelines for treating heat burns are…
Cooling and dressing the burn
What should you do when cooling a heat burn?
- Remove the patient from the burning source and remove clothing unless it is stuck to the skin
- Cool skin and clothing if they are still hot: immerse them in cold water for more than 1 minute and covering them with cold compresses that have been soaked in cold water and sprung out
*Do not ice because it can cause vessel constriction; rapid temperature changes can lead to shock
What should you do when dressing a heat burn?
- Loosen clothing and remove jewelry if needed, but ALWAYS document what was taken off, by whom, and who it was given to
- Cover loosely with dry, sterile dressings in order to keep air out, reduce pain, and prevent infection
* when treating burns on hands and feet, wrap fingers/toes loosely and individually - Do not apply antiseptics, ointments, or other remedies
- Do not remove shreds of tissues, break blisters, or remove adhered particles of clothing
True or False: Chemical burns are treated the same as heat burns
False
What should you do if you suspect a chemical burn?
- Protect yourself from the substance
- Remove affected jewelry/clothing
- If the irritant is dry, brush away from the patient and yourself
- Use cooling water to flush the chemical from the skin for at least 10 minutes
- Apply a wet, cool compress to relieve pain
- Cover the wound loosely with a dry sterile cloth (so that it does not stick!)
* for chemical burns it is best to defer treatment to trained professionals