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
Nerve agent signs and symptoms
Pinpoint pupils
Weary skin
Excessive secretions from mouth and nose
Rapid laboured breathing
Treatment nerve agent
BVM with gas cannister
Combo pen max 3
Burn management
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
Types of entrapment
Actual
Physically trapped ensnared
Relative
Trapped by injury or environment
Definition of extrication
Removal or withdrawal of a trapped casualty
Types of extrication
Routine No immediate risk to life Urgent Potential risk to life Emergency Immediate risk to life
Technical rescue skills
Rope Water Search Confined space Fire fighting Heavy Tactical
Rescue equipment
Hacksaw Pliers Screwdrivers Wrecking bar Bolt cutters Extrication devices TED
Timings for trauma death
Instantaneous 0-10 mins
Early approx 10 mins- 2 hours
Late days to weeks later
Chemical Agent definition
A chemical substance which is intended for use in military operations to kill, seriously injure or incapacitate people because of its patho physiological effects
Types of chemical agents
Nerve Blood Chocking Blister Incapacitating
Means of delivering chemical agents
Bursting munitions
Spray equipment
Aerosol generator
Chemical IED
Safety
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
Significant event occurrence in
Patient care
The conduct of medical or dental research
The infrastructure of a facility where care is delivered
Categories and recording SE
Harm events
Non harm events
Unexpected clinical outcome occurrence
Recorded on the ASER platform
Clinical and cost effectiveness
Evidence based practice Fit for role Updating in light of the new evidence Audits Liaison with other agencies partnerships
Governance
Records Maintained archived IAW policies Employment checks Codes of practice Research systems Accountability Use of resources Financial management Promoting equality Staff concerns CPD
Care environment and amenities
Health and safety complaint
Patient privacy
Medical infrastructure maintenance
Public health
Health promotion and education
Patients offered advice and treatment
Occupational health
Correct grading for role Standards for employment Sharing of data Protecting service personnel Protecting the services
Pupils bilaterally fixed and dilated
Dead
Hypoxia
Hypovalemic shock
Atropine and ecstasy
Pupils unilaterally fixed and dilated
Brain injury
Stroke
Pupils bilaterally pinpointed
Irregular pupils
Opiate overdose
Trauma
Eye operation
Stigmatism
Hypoglycaemia
MMol below 3.5
Treatment aims for mother
Prevent infection
Prevent trauma
Relive pain
Treatment aims for baby
Resuscitate
Maintain body heat
Prevent trauma
8 principles of data protection
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
Mental health 7R’s
Recognition Respite Rest Recall Reassurance Rehab Return
Mental health pies
Proximity
Immediacy
Expectancy
Simplicity
Indications for NG
Prior to intubation to decompress stomach Abdominal injury Suspected intestinal obstruction Suspected peritonitis Pre or post abdominal surgery
Contra indications for NG
Suspected fractured base of skull
Nasal trauma
Intestinal perforation
Abnormal oesophageal tract due to possible structure tumour or trauma
Define nerve agent
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
Signs and symptoms of nerve agent
Difficulty breathing
Running nose and increase salivation
Pinpoint pupils effected vision
Tightness of chest
Nerve Agent Pte Treatment Set
21 tablets 1 every 8 hours
Pyridostigmine Bromide 30mg
Combopen
Post exposure to nerve agent
2 mg atropine500mg pralidoxim 10mg avizafone
Give 5-15 minute intervals with auto injector
Oxygen cylinder sizes CD D F HX
CD 470
D 340
F 1360
HX 2300
Packaging considerations
Safety
Climatic
Tactical
Definition of shock
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
4 stages of shock
Initial
Compensatory
Progressive
Refractory
Occupational health vaccines
Hep B
Rubella
Varicella
High risk vaccines
Japanese encephalitis Typhoid Rabies Tick borne encephalitis Anthrax Cholera
Types of waste
Domestic waste
Non clinical dangerous waste
Clinical waste
