Class 1 Course Stuff Flashcards

1
Q

Reports should be made with accidents when?

A

10 consecutive days

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2
Q

Death should be reported

A

Immidiately

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3
Q

Types of accident or things should be reported

A

Accident
Incident
Near miss

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4
Q

Indications for ET intubation and surgical cric

A

Protect airway from obstruction
Control oxygenation and ventilation
Inability to clear and maintain airway using simple techniques

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5
Q

Indications for ET

A
Deeply unconscious 
Management of cardiac arrest
Casualty transfer
Potential airway obstruction 
Management of head chest injury
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6
Q

Indication for surgical airway

A

Conscious patients
Trismus

Difficult intubation shape size pre existing disease

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7
Q

Complications of ET

A
Hypoxia 
Failed intubation 
Spinal cord injury 
Damage to teeth mouth or larynx 
Laryngeal spasm 
Oesophageal intubation 
Intubation of right bronchus
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8
Q

Indication for surgical cric

A

Trauma burns to face neck preventing ET intubation
Conscious casualty
Total upper airway obstruction

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9
Q

Post insertion care as per ET Tube

A

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

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10
Q

Difficulty surgical cric

A
Damage to carotid arteries 
Creation of false passage into the tissues 
Bleeding 
Asphyxia 
Aspiration of blood 
Laceration of trachea oesophagus
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11
Q

Complications of needle thoracocentesis

A

Local heamotoma
Local or pleural infection
Pneumothorax

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12
Q

Complications of chest drain

A
Blocked kinked chest tube
Dislodged chest tube
Back flow 
Hadmotoma 
Incorrect placement 
Damage to intra thoracic organs
Local or pleural infection
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13
Q

IV access indications

A

Administration of drugs

Access fluid resuscitation

Prior to chest drain

Prolonged entrapment

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14
Q

Care most be taken when administering fluids when

A

Isolated head injury
Renal trauma
Cardiac failure
Cerebellum vascular accident

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15
Q

Late complications of cannualtion

A

Thrombophlebitis
Local infection
System infection

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16
Q

IO access indications

A
Emergency vascular access 
Major burns 
Profound shock 
Overwhelming sepsis 
Cardiac Arrest 
Other methods have failed
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17
Q

IO contraindications

A

Fractures
Infection
Osteoporosis

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18
Q

FAST contra indications

A

Under 12

Sternotomy

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19
Q

Complications of IO

A

Painful to use
Extravasation due to poor placement
Compartment syndrome
Skin infection leading to osteomyelitis

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20
Q

Airway problem types times

A

Immediate
Delayed
Insidious

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21
Q

Atropine poisoning signs and symptoms

A
Dilated pupils 
Tachycardia 
Dry mouth and throat 
Hot dry flushed skin 
Used combo pens
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22
Q

Indications for bladder catheristation

A
Monitor fluid balance
Unable to pass urine 
Abdominal pelvis injury 
Head injury 
Post anaesthetic 
Unmanageable Incontinence
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23
Q

Contra indications to catheristaion

A

Urethral bleeding

Major pelvic fractures

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24
Q

Definition of blood agent (cyanide)

A

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

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25
Q

Blood agent low concentration signs and symptoms (cyanide)

A
Weakness of the legs 
Vertigo 
Nausea 
Headache 
Rapid breathing 
Cherry red colouring 
Convulsions with coma
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26
Q

Treatment for blood agent poisoning (cyanide)

A

Amyl Nitrite
Oxygenate
Ensure respirator is fitted correctly

Sodium thiosulfate
Dicolbalt edetate
Glucose

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27
Q

Categories of asthma

A

Mild
Sever
Life threatening

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28
Q

Nerve agent signs and symptoms

A

Pinpoint pupils
Weary skin
Excessive secretions from mouth and nose
Rapid laboured breathing

29
Q

Treatment nerve agent

A

BVM with gas cannister

Combo pen max 3

30
Q

Burn management

A
CABCDE
cool for at least 10 mins 
Entenox or high O2 
Removes constrictions 
Remove hot wet clothing not adhering to skin 
Apply cling films or sterile dressing 
Leave facial burns uncovered 
Extremities in burn bags 
Encourage mobility 
Great for shock fluids
31
Q

Types of entrapment

A

Actual
Physically trapped ensnared

Relative
Trapped by injury or environment

32
Q

Definition of extrication

A

Removal or withdrawal of a trapped casualty

33
Q

Types of extrication

A
Routine 
No immediate risk to life 
Urgent 
Potential risk to life 
Emergency 
Immediate risk to life
34
Q

Technical rescue skills

A
Rope 
Water
Search
Confined space
Fire fighting 
Heavy
Tactical
35
Q

Rescue equipment

A
Hacksaw
Pliers
Screwdrivers
Wrecking bar
Bolt cutters
Extrication devices TED
36
Q

Timings for trauma death

A

Instantaneous 0-10 mins
Early approx 10 mins- 2 hours
Late days to weeks later

37
Q

Chemical Agent definition

A

A chemical substance which is intended for use in military operations to kill, seriously injure or incapacitate people because of its patho physiological effects

38
Q

Types of chemical agents

A
Nerve
Blood 
Chocking 
Blister 
Incapacitating
39
Q

Means of delivering chemical agents

A

Bursting munitions
Spray equipment
Aerosol generator
Chemical IED

40
Q

Safety

A

Risk management
Mange SE to promote a culture to enhance safety
Safeguarding policies and barring service
IPC policy and training
Equipment care directive
Medicine management

41
Q

Significant event occurrence in

A

Patient care
The conduct of medical or dental research
The infrastructure of a facility where care is delivered

42
Q

Categories and recording SE

A

Harm events
Non harm events
Unexpected clinical outcome occurrence
Recorded on the ASER platform

43
Q

Clinical and cost effectiveness

A
Evidence based practice 
Fit for role 
Updating in light of the new evidence
Audits 
Liaison with other agencies partnerships
44
Q

Governance

A
Records
Maintained archived IAW policies
Employment checks 
Codes of practice 
Research systems 
Accountability 
Use of resources 
Financial management 
Promoting equality 
Staff concerns 
CPD
45
Q

Care environment and amenities

A

Health and safety complaint
Patient privacy
Medical infrastructure maintenance

46
Q

Public health

A

Health promotion and education

Patients offered advice and treatment

47
Q

Occupational health

A
Correct grading for role 
Standards for employment 
Sharing of data 
Protecting service personnel 
Protecting the services
48
Q

Pupils bilaterally fixed and dilated

A

Dead
Hypoxia
Hypovalemic shock
Atropine and ecstasy

49
Q

Pupils unilaterally fixed and dilated

A

Brain injury

Stroke

50
Q

Pupils bilaterally pinpointed

Irregular pupils

A

Opiate overdose

Trauma
Eye operation
Stigmatism

51
Q

Hypoglycaemia

A

MMol below 3.5

52
Q

Treatment aims for mother

A

Prevent infection
Prevent trauma
Relive pain

53
Q

Treatment aims for baby

A

Resuscitate
Maintain body heat
Prevent trauma

54
Q

8 principles of data protection

A

Data Protection Act 1998

Fairly and lawful
Processed for limited purposes
Adequate and relevant 
Accurate 
Not kept longer than necessary 
Processed in accordance to individual 
Secure
Not transferred outside EU
55
Q

Mental health 7R’s

A
Recognition 
Respite
Rest
Recall
Reassurance 
Rehab
Return
56
Q

Mental health pies

A

Proximity
Immediacy
Expectancy
Simplicity

57
Q

Indications for NG

A
Prior to intubation to decompress stomach 
Abdominal injury 
Suspected intestinal obstruction 
Suspected peritonitis 
Pre or post abdominal surgery
58
Q

Contra indications for NG

A

Suspected fractured base of skull
Nasal trauma
Intestinal perforation
Abnormal oesophageal tract due to possible structure tumour or trauma

59
Q

Define nerve agent

A

A group of particularly toxic chemical warfare agents which are organophosphate that interfere with the nervous system and disrupt functions such as breathing and muscular co ordination they are cumulative in effect

60
Q

Signs and symptoms of nerve agent

A

Difficulty breathing
Running nose and increase salivation
Pinpoint pupils effected vision
Tightness of chest

61
Q

Nerve Agent Pte Treatment Set

A

21 tablets 1 every 8 hours

Pyridostigmine Bromide 30mg

62
Q

Combopen

A

Post exposure to nerve agent
2 mg atropine500mg pralidoxim 10mg avizafone
Give 5-15 minute intervals with auto injector

63
Q
Oxygen cylinder sizes 
CD 
D
F
HX
A

CD 470
D 340
F 1360
HX 2300

64
Q

Packaging considerations

A

Safety
Climatic
Tactical

65
Q

Definition of shock

A

Serious of signs and symptoms which occur as a result of reduced tissue perfusion with blood the result of inadequate delivery of oxygen and nutrients to all parts of the body

66
Q

4 stages of shock

A

Initial
Compensatory
Progressive
Refractory

67
Q

Occupational health vaccines

A

Hep B
Rubella
Varicella

68
Q

High risk vaccines

A
Japanese encephalitis
Typhoid
Rabies
Tick borne encephalitis 
Anthrax 
Cholera
69
Q

Types of waste

A

Domestic waste
Non clinical dangerous waste
Clinical waste