Clinical Emergencies

Question 1

Mass Casualty Emergency Plan

Answer 1

Save and protect lives of pt. faculty, public etc
Provide essential services and operations
Manage resources effectively during an emergency

Question 2

Mass Casualty “Know”

Answer 2

Where to go, command post
Who to report to, incident commander
Who to talk to/who not to

Question 3

Child Abduction Emergency Plan

Answer 3

General hospital policy ensuring infant safety
Closed maternity
Locked stairwells near pediatric units
Infants in corridors should be in carrier and new mothers leave in WC
Be alert to bags, large packages
Lockdown/limited access

Question 4

Lockdown/Limited Access Emergency Plan

Answer 4

Threat near location or to isolate event on campus
Evacuate if possible, isolate area or unit if not
Know your institutions policy
Keep identification on you

Question 5

Fire Emergency Plan

Answer 5

R: remove occupants from immediate danger
A: activate the alarm
C: close doors to contain and confine fire
E: extinguish a small fire/evacuate building, vicinity

Question 6

Team Communication ISBAR

Answer 6

Introduction
Situation
Background
Assessment
Recommendation

Question 7

Cardiac Arrest

Answer 7

Call code, initiate BLS
Needs to be leader
Need good clear communication (closed-loop)

Question 8

Pulmonary Embolism

Answer 8

Symptoms - chest pain, sudden cough, rapid HR, rapid breathing and anxiety
Initiate rapid response
If severe, thrombolytic therapy given

Question 9

Respiratory Distress

Answer 9

Recognize it
SOB, rapid HR, Decreased O2 sat
Remember BLS (basic life support) - initiate rapid response, establish airway and supplemental O2

Question 10

Seizure

Answer 10

Note time and characteristics of seizure
Ensure safety, protect head, lower to ground
Ensure open airway

Question 11

Seizure Emergency when

Answer 11

Tonic-clonic lasts more than 10 min
Repeated seizure w/o regaining consciousness
Absence of breathing
If they have diabetes
If first seizure

Question 12

Hypoglycemia Symptoms

Answer 12

Confusion
Visual disturbances
Tremor
Anxiety
Sweating

Question 13

Hypoglycemia Treatment

Answer 13

Oral intake of glucose (15-20g)

Question 14

Orthostatic Hypotension

Answer 14

AKA postural hypotension
Contributor to falls
Caused by gravity induced venous pooling in LE decreases CO decrease arterial pressure
Face is pale: raise the tail

Question 15

Autonomic Dysreflexia

Answer 15

Characterized by severe paroxysmal hypertension (episodic high BP)
Occurs in individuals with spinal cord injury above T6

Question 16

Autonomic Dysreflexia Symptoms

Answer 16

Throbbing headache, sweating, flush, high BP
Identify and remedy trigger (usually bowel or bladder)
Face is red: raise the head

Question 17

Combative Patient

Answer 17

Be prepared
Ex. TBI, dementia, psychiatric involvement, overwhelmed or vulnerable pt.
Prevention, de-escalation, distance, assistance

Question 18

Fall Response

Answer 18

Assess immediate danger
Assist pt. to recovery position
Follow notification procedure
Risk management procedures, documentation, incident reporting