Class 1 Course Stuff Flashcards
Reports should be made with accidents when?
10 consecutive days
Death should be reported
Immidiately
Types of accident or things should be reported
Accident
Incident
Near miss
Indications for ET intubation and surgical cric
Protect airway from obstruction
Control oxygenation and ventilation
Inability to clear and maintain airway using simple techniques
Indications for ET
Deeply unconscious Management of cardiac arrest Casualty transfer Potential airway obstruction Management of head chest injury
Indication for surgical airway
Conscious patients
Trismus
Difficult intubation shape size pre existing disease
Complications of ET
Hypoxia Failed intubation Spinal cord injury Damage to teeth mouth or larynx Laryngeal spasm Oesophageal intubation Intubation of right bronchus
Indication for surgical cric
Trauma burns to face neck preventing ET intubation
Conscious casualty
Total upper airway obstruction
Post insertion care as per ET Tube
Casualty movement
Poor neck anatomy due to short neck
position of injury or swelling
Light and correct equipment essential
Position of operator and casualty critical
Difficulty surgical cric
Damage to carotid arteries Creation of false passage into the tissues Bleeding Asphyxia Aspiration of blood Laceration of trachea oesophagus
Complications of needle thoracocentesis
Local heamotoma
Local or pleural infection
Pneumothorax
Complications of chest drain
Blocked kinked chest tube Dislodged chest tube Back flow Hadmotoma Incorrect placement Damage to intra thoracic organs Local or pleural infection
IV access indications
Administration of drugs
Access fluid resuscitation
Prior to chest drain
Prolonged entrapment
Care most be taken when administering fluids when
Isolated head injury
Renal trauma
Cardiac failure
Cerebellum vascular accident
Late complications of cannualtion
Thrombophlebitis
Local infection
System infection
IO access indications
Emergency vascular access Major burns Profound shock Overwhelming sepsis Cardiac Arrest Other methods have failed
IO contraindications
Fractures
Infection
Osteoporosis
FAST contra indications
Under 12
Sternotomy
Complications of IO
Painful to use
Extravasation due to poor placement
Compartment syndrome
Skin infection leading to osteomyelitis
Airway problem types times
Immediate
Delayed
Insidious
Atropine poisoning signs and symptoms
Dilated pupils Tachycardia Dry mouth and throat Hot dry flushed skin Used combo pens
Indications for bladder catheristation
Monitor fluid balance Unable to pass urine Abdominal pelvis injury Head injury Post anaesthetic Unmanageable Incontinence
Contra indications to catheristaion
Urethral bleeding
Major pelvic fractures
Definition of blood agent (cyanide)
A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure
Blood agent low concentration signs and symptoms (cyanide)
Weakness of the legs Vertigo Nausea Headache Rapid breathing Cherry red colouring Convulsions with coma
Treatment for blood agent poisoning (cyanide)
Amyl Nitrite
Oxygenate
Ensure respirator is fitted correctly
Sodium thiosulfate
Dicolbalt edetate
Glucose
Categories of asthma
Mild
Sever
Life threatening