CTASs Flashcards

1
Q

Adult Prehospital CTAS

Pt is in cardiac arrest

A

CTAS 1

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2
Q

Adult Prehospital CTAS

Pt is at LESS than 90% with severe respiratory distress

A

CTAS 1

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3
Q

Adult Prehospital CTAS

Pt has burns GREATER/EQUAL then 25% BSA

A

CTAS 1

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4
Q

Adult Prehospital CTAS

Pt has hypothermia with severe symptoms

A

CTAS 2

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5
Q

Adult Prehospital CTAS

Pt is in pre arrest

A

CTAS 1

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6
Q

Adult Prehospital CTAS

Pt obtained a ROSC

A

CTAS 1

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7
Q

Adult Prehospital CTAS

Pt has a STEMI

A

CTAS 1

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8
Q

Adult Prehospital CTAS

Pt has chest pain w/ cardiac features AND w/ sign of shock

A

CTAS 1

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9
Q

Adult Prehospital CTAS

Pt has severe end organ distress

A

CTAS 1

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10
Q

Adult Prehospital CTAS

Pt has chest pain w/ cardiac features borderline perfusion

A

CTAS 2

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11
Q

Adult Prehospital CTAS

Pt has chest pain non-cardic features so ripping or tearing

A

CTAS 2

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12
Q

Adult Prehospital CTAS

Pt has experienced syncope with new dysrhythmia

A

CTAS 2

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13
Q

Adult Prehospital CTAS

Pt with chest pain non-cardiac features AND acute onset

A

CTAS 3

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14
Q

Adult Prehospital CTAS

Pt has a chemical burn GREATER/EQUAL then 25% BSA

A

CTAS 1

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15
Q

Adult Prehospital CTAS

Pt has frostbite/cold injury such as a cold pulseless limb

A

CTAS 2

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16
Q

Adult Prehospital CTAS

Pt experiences a chemical exposure to the eye

A

CTAS 2

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17
Q

Adult Prehospital CTAS

Pt has major chemical burns to their hands

could also be their feet, groin, or face

A

CTAS 2

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18
Q

Adult Prehospital CTAS

Pts experiencing an allergic reaction

they’ve have hx of severe reaction

A

CTAS 2

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19
Q

Adult Prehospital CTAS

Pt has 5-25% % BSA burns

A

CTAS 3

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20
Q

Adult Prehospital CTAS

Pt has hypothermia with moderate symptoms

A

CTAS 3

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21
Q

Adult Prehospital CTAS

Pt has a frostbite/cold injury w/ blanching of the skin

A

CTAS 3

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22
Q

Adult Prehospital CTAS

Pt has less then 5% BSA burns

A

CTAS 4

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23
Q

Adult Prehospital CTAS

Pt has mild hypothermia with normal vital signs

A

CTAS 4

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24
Q

Adult Prehospital CTAS

Pt has laceration/punture(s) - sutures required

A

CTAS 4

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25
Q

Adult Prehospital CTAS

Pt has an upper extremity injury

A

CTAS 4

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26
Q

Adult Prehospital CTAS

Pt has minor bites

+/- mild pain less than 4

A

CTAS 5

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27
Q

Adult Prehospital CTAS

Pt has violent/homicidal behaviour - imminent harm to self or others OR they’re having specific plans

A

CTAS 1

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28
Q

Adult Prehospital CTAS

Pt has uncontrolled bizzare behaviour

A

CTAS 1

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29
Q

Adult Prehospital CTAS

Pt has depression/suicidal/violent behaviour with attempted suicide

There’s a clear plan or they’re a flight risk

A

CTAS 2

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30
Q

Adult Prehospital CTAS

Pt has hallucinations with acute phychosis

A

Severe

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31
Q

Adult Prehospital CTAS

Pt has anxiety/agitation

A

CTAS 2

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32
Q

Adult Prehospital CTAS

Pt is a safety/flight risk

A

CTAS 2

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33
Q

Adult Prehospital CTAS

PT has depression/suicidal/violent behaviour but no plan

A

CTAS 3

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34
Q

Adult Prehospital CTAS

Pt has moderate anxiety

A

CTAS 3

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35
Q

Adult Prehospital CTAS

Pt has depression - with no suicidal ideation

A

CTAS 4

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36
Q

Adult Prehospital CTAS

Pt has mild anxiety

A

CTAS 4

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37
Q

Adult Prehospital CTAS

Pt is in active seizure

A

CTAS 1

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38
Q

Adult Prehospital CTAS

Pt is unconscious with GCS 3-9

A

CTAS 1

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39
Q

Adult Prehospital CTAS

Pt has a cerebrovascular accident (stroke) onset of LESS than 6h

A

CTAS 2

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40
Q

Adult Prehospital CTAS

Pt has a headache with sudden, severe, worst ever, and visual acuity disurbances

A

CTAS 2

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41
Q

Adult Prehospital CTAS

Pt is post-ictal with altered LOA

A

CTAS 2

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42
Q

Adult Prehospital CTAS

Pt is in seizure - resolved, normal level of alertness

A

CTAS 3

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43
Q

Adult Prehospital CTAS

Pt has experienced a CVA (sroke) greater than 6h ago it’s resolved

A

CTAS 3

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44
Q

Adult Prehospital CTAS

Pt has chronic confusion - no change from their usual state

A

CTAS 4

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45
Q

Adult Prehospital CTAS

Pt is pregnat GREATER/EQUAL then 20 weeks and presenting with fetal parts or prolapsed cord

A

CTAS 1

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46
Q

Adult Prehospital CTAS

Pt has vaginal bleeding in the 3rd trimester

A

CTAS 1

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47
Q

Adult Prehospital CTAS

Pt is pregnant GREATER/EQUAL 20 weeks - in active labour with complex hypertension +/- a headache, edema, or abdo pain

Less than 2min apart contraction = active labour

A

CTAS 2

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48
Q

Adult Prehospital CTAS

A pt in post delivery (either mother or infant)

A

CTAS 2

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49
Q

Adult Prehospital CTAS

Vaginal bleeding heavy +/- pregnancy

A

CTAS 2

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50
Q

Adult Prehospital CTAS

Pt is pregnant GREATER/EQUAL 20 weeks - in active labour and has been leaking amniotic fluid +24h

A

CTAS 3

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51
Q

Adult Prehospital CTAS

Patient has menirrhagia

Means heaving menstration bleeding

A

CTAS 3

52
Q

Adult Prehospital CTAS

Non-pregnant vaginal bleeding-minor/spotting

A

CTAS 4

53
Q

Adult Prehospital CTAS

Patient is in respiratory arrest

A

CTAS 1

54
Q

Adult Prehospital CTAS

Pt is severly SOB - with lethargy or confusion, cyanosis, 1-2 word speech, unable to speak

A

CTAS 1

55
Q

Adult Prehospital CTAS

Pt has a Complete FBAO

A

CTAS 1

56
Q

Adult Prehospital CTAS

Pt has moderate SOB - with increased work of breathing, clipped sentences, significant stridor but airway is protected

A

CTAS 2

57
Q

Adult Prehospital CTAS

Pt has FBAO - with drooling or stridor, hoarsenss, or dysphagia

A

CTAS 2

58
Q

Adult Prehospital CTAS

Pt has mild/moderate tachypnea, SOB on exertion, no obvious increased SOB, full sentences, and mild stridor

A

CTAS 3

59
Q

Adult Prehospital CTAS

Pt has an FBAO with no distress and difficulty swalowing

A

CTAS 3

60
Q

Adult Prehospital CTAS

Soar throat/URTI - with no repiratory symptoms

A

CTAS 5

61
Q

Adult Prehospital CTAS

Pt’s extremity has been amputated

A

CTAS 1

62
Q

Adult Prehospital CTAS

Pt has major trauma - i.e. severe hemodynamic compromise

A

CTAS 1

63
Q

Adult Prehospital CTAS

Pt has neurovascular compromise of an extremity

A

CTAS 1

64
Q

Adult Prehospital CTAS

Pt’s with general trauma - i.e MVC, ejection, rollover, extrication time GREATER/EQUAL then 20min, significant intrusion, passenger fatality

impat GREATER/EQUAL to 40km/h (unchained) or 60km/h (chained)

A

CTAS 2

65
Q

Adult Prehospital CTAS

Motorvehicle collision impact GREATER/EQUAL then 30km/h

A

CTAS 2

66
Q

Adult Prehospital CTAS

Pt had a fall GREATER/EQUAL then 6 meters or 2 stories

A

CTAS 2

67
Q

Adult Prehospital CTAS

Pt has a penetrating injury proximal to elbow and knee

A

CTAS 2

68
Q

Adult Prehospital CTAS

Pt has Head/Neck trauma

A

CTAS 2

69
Q

Adult Prehospital CTAS

Pt has minor contusions, abrasions, or lacerations - not requiring sutures

A

CTAS 5

70
Q

Adult Prehospital CTAS

Pt has dental avulsion

A

CTAS 2

71
Q

Adult Prehospital CTAS

Pt has uncontrolled epistaxis

A

CTAS 2

72
Q

Adult Prehospital CTAS

Pt has eye injury/acute vision loss

A

CTAS 2

73
Q

Adult Prehospital CTAS

Pt has neck pain - neck stiffness/meningismus

headache, neck stiffness and photophobia

A

CTAS 2

74
Q

Adult Prehospital CTAS

Pt has been sexually assulted within the last 2h

A

CTAS 2

75
Q

Adult Prehospital CTAS

Pt has a soar throat - with drooling/stridor, obvious edema/swelling or oropharynx

A

CTAS 2

76
Q

Adult Prehospital CTAS

Pt has UTI stmptoms (mild dysuria)

A

CTAS 4

77
Q

Adult Prehospital CTAS

Pt needs a dressing change (plus normal vital signs +/- mild pain of LESS then 4)

A

CTAS 5

78
Q

Adult Prehospital CTAS

Pt is vomiting blood or rectally bleeding - either a large amount or actively

A

CTAS 2

79
Q

Adult Prehospital CTAS

Pt is vomiting blood a small amount of - emesis (coffee)

A

CTAS 3

80
Q

Adult Prehospital CTAS

Pt is rectally bleeding melena sm amount

melena - black tary stool

A

CTAS 4

81
Q

Adult Prehospital CTAS

Pt has constipation with a LESS than 4 pain

A

CTAS 4

82
Q

Adult Prehospital CTAS

Pt has a small rectal bleed

A

CTAS 4

83
Q

Adult Prehospital CTAS

Pt has diarrhea - mild with no dehydration

A

CTAS 5

84
Q

Adult Prehospital CTAS

Pt has LESS then 92% with moderate respiratory distress

A

CTAS 2

85
Q

Adult Prehospital CTAS

Patient is 92-94% with mild-moderate respiratory distress

A

CTAS 2

86
Q

Adult Prehospital CTAS

Pt is GREATER/Equal to 94% with no respiratory distress

A

CTAS 4-5

87
Q

Adult Prehospital CTAS

Pt is in shock/end-organ hypoperfusion

What are the signs and symptoms?

A

CTAS 1

Marked pallor
Coold skin
Diaphoresis
Weak/thready pulse
Hypotension
Postural syncope
Significant tachycardia OR braycardia
Ineffecive ventilation or oxgenation
Decreased level of consciousness
Could appear flushed, febrile, toxic - septic shock

88
Q

Adult Prehospital CTAS

Pt is hemodynamically compromised with borerline perfusion

What does that mean in terms of signs and symptoms?

A

CTAS 2

Pale
hx of Diaphoresis
Unexplained tachycardia
hx of postural hypotension
Feeling faint
Supected hyoptension

89
Q

Adult Prehospital CTAS

Pt has vital signs at the upper AND lower ends that are normal as they relate to the presenting complaint - especiallly if values don’t match up with general complaint

A

CTAS 3

90
Q

Adult Prehospital CTAS

Pt has ‘normal’ vital signs

Pt is deceased

A

CTAS 4-5

CTAS 0

91
Q

Adult Prehospital CTAS

Pt is unconscious with GCS 3-9

This usualy means the patient is unable to protect the airway

They respond to pain or loud noise only WITHOUT purpose

Pt could be having continuous seizures OR progressive deterioration of LOC

A

CTAS 2

92
Q

Adult Prehospital CTAS

Pt has an altered LOC meaning GCS of 10-13

They’re respose is inappropriate to verbal stimuli

They’ll have loss of orientation to PERSON, PLACE, or TIME.

They’ll have altered behaviour and a new impairment of recent history

A

CTAS 2

93
Q

Adult Prehospital CTAS

Pt is ‘normal’ with a GCS of 14-15

A

CTAS 3, 4, or 5

94
Q

Adult Prehospital CTAS

Pt is immuno-compromised neutropenia, chemotherapy, immune-suppressive drugs (including steroids)

A

CTAS 2

95
Q

Adult Prehospital CTAS

Pt appears septic

What are the S+S or qualifiers?

A

CTAS 2

There’s evidence of infection

They’re SIRS positive (HR is GREATER/EQUAL to 90bpm AND RR is GREATER/EQUAL to 20bpm)

Ther’s evidence of hemodynamic compromise, respiratory distress, AND decreased level of conciousness

96
Q

Adult Prehospital CTAS

Pt apears unwell with LESS then 3 SIRS positive criteria but looks ill (flushed, lethargic, and anxious or agitated

A

CTAS 3

97
Q

Adult Prehospital CTAS

Pt appears well - are comfortable with no distress

A

CTAS 4

98
Q

Adult Prehospital CTAS

Pt has severe (8-10/10) ACUTE pain in the abdomen caused by trauma

A

CTAS 1

99
Q

Adult Prehospital CTAS

Pt has severe (8-10/10) ACUTE pain in the central area

A

CTAS 2

100
Q

Adult Prehospital CTAS

Pt has moderate (4-7/10) ACUTE pain in the central area

A

CTAS 3

101
Q

Adult Prehospital CTAS

Pt has severe (8-10/10) ACUTE pain in the peripheral area

A

CTAS 3

102
Q

Adult Prehospital CTAS

Pt has severe (8-10/10) CHRONIC pain in in the central area

A

CTAS 3

103
Q

Adult Prehospital CTAS

Pt has mild (0-3/10) ACUTE pain in the cenrtral area

A

CTAS 4

104
Q

Adult Prehospital CTAS

Pt has moderate (4-7/10) ACUTE pain in the peripheral area

A

CTAS 4

105
Q

Adult Prehospital CTAS

Pt has moderate (4-7/10) CHRONIC pain in the peripheral area

A

CTAS 4

106
Q

Adult Prehospital CTAS

Pt has severe (8-10/10) CHRONIC pain in the central area

A

CTAS 4

107
Q

Adult Prehospital CTAS

Pt has mild (0-3/10) ACUTE or CHRONIC pain in the peripheral area

A

CTAS 5

108
Q

Adult Prehospital CTAS

Pt has mild (0-3/10) with CHRONIC pain in the central area

A

CTAS 5

109
Q

Adult Prehospital CTAS

Pt has experienced abuse either physical, mental, or high emotional stress

A

CTAS 3

110
Q

Adult Prehospital CTAS

Pt has insomnia - ACUTE

A

CTAS 4

111
Q

Adult Prehospital CTAS

Pt has insomnia - CHRONIC

A

CTAS 5

112
Q

Adult Prehospital CTAS

Bizzare behaviour - CHRONIC or non-urgent

A

CTAS 5

113
Q

Adult Prehospital CTAS

Pt has severe dehydration

marked volume loss AND S+S of shock

A

CTAS 1

114
Q

Adult Prehospital CTAS

Pt has moderate dehydration

dry mucous mmembranes
tachycardia
+/- decreased skin turgor
Decreased urine output

A

CTAS 2

115
Q

Adult Prehospital CTAS

Pt has mild dehydration

Stable vital signs with increased thirst
Concentrated urine
Hx of decreased fluid intake OR increased fluid loss OR both

A

CTAS 3

116
Q

Adult Prehospital CTAS

Pt has potential dehydration

NO symptoms BUT presenting with fluid loss AND/OR ongoing/difficulty tolerating oral fluids

A

CTAS 4

117
Q

Adult Prehospital CTAS

Pt has a BGL LESS than 3mmol/L

confusion, seizure, diaphoresis, behavioural changes, an acute focal deficits

A

CTAS 2

118
Q

Adult Prehospital CTAS

Pt has a BGL of GREATER/EQUAL to 18mmol/L

WITH dyspnea, tachycardia, dehydration, thirst, weakness, and polyuria

A

CTAS 2

119
Q

Adult Prehospital CTAS

Pt has a BGL of LESS then 3mmol/L

WITH no symptoms

A

CTAS 3

120
Q

Adult Prehospital CTAS

Pt has a BGL GREATER/EQUAL to 18mmol/L

WITH no symptoms

A

CTAS 3

121
Q

Adult Prehospital CTAS

Pt has a sytolic BP of GREATER/EQUAL to 220 OR
Pt has diastolic BP GREATER/EQUAL to 130 WITH any other symptoms

i.e. headache, CP, SOB, nausea

A

CTAS 2

122
Q

Adult Prehospital CTAS

Pt has sytolic BP GREATER/EQUAL to 220 OR
Pt has diastolic BP GREATER/EQUAL to 130 WITH no symptoms

A

CTAS 3

123
Q

Adult Prehospital CTAS

Pt has sytolic BP between 200-220 OR
Pt has diastolic BP between 110-130 WITH any other symptoms

i.e. headache, CP, SOB, Nausea

A

CTAS 3

124
Q

Adult Prehospital CTAS

Pt has sytolic BP between 200-220 OR
Pt has diastolic BP between 110-130 WITH no symptoms

A

CTAS 4-5

125
Q

Adult Prehospital CTAS

Pt has congenitial bleeding disorders, severe liver failer, or anticoagulant therapy AND bleeding:
- head/neck
- chest, abdo, pelvis, and spine
- massive vaginal hemorrhage
- Extremity muscle compartments
- Fractures or dislocations
- Deep lacerations
- any uncontrolled bleeding
- iliopsoas muscle and hip (hip flexor joint)

A

CTAS 2

126
Q

Adult Prehospital CTAS

Pt has congenitial bleeding disorders, severe liver failer, or anticoagulant therapy AND bleeding:
- moderate or minor bleeds
- nose bleeds
- mouth bleeding Iincluding gums)
- Joints bleeding (hemathrases)
- Menorrhagia
- Abrasions and superficial lacerations

A

CTAS 5

127
Q

Adult Prehospital CTAS

What do all the levels stand for?

0-5

A

0 - obvioulsy dead

1 - resuscitation - using interventions

2 - Emergency - threat to life/limb/function

3 - Urgent - could progress to serious problems

4 - less urgent

5 - non-urgent