CWI Flashcards
- What are the C/I for SGA?
- Intact gag reflex or resistance to insertion
- Strong jaw tone or trismus
- Suspected epiglottitis or upper airway obstruction
- What are the indications and C/I for OPA?
Indications: 1. Uncon pt need to Mx airway 2. Bite block C/I: 1. Trismus 2. Gag reflex 3. TBI with adequate ventilation
- What are the indications, C/I and Prec for NPA?
Indication: Support airway patency in uncon pt - preferable in pts with trismus, oral trauma or gag reflex
C/I: Nil
Prec: Facial # or basal skull #; TBI (fear of stimulating gag reflex)
- What are the Indications and C/I for CT6?
Indications:
• Middle third femur fractures, including compound.
• Upper two-third tibia fractures, including compound.
C/I:
• Knee or ankle/foot trauma: May increase pain and worsen other injuries.
- What are the Indications and C/I for Pelvic binder?
Indications:
• Suspected pelvic fracture.
• An awake patient c/o pain to pelvic area including lower back (sacroiliac joint), groin or hips.
• An unconscious/ALOC pt with significant MOI
• Traumatic cardiac arrest - a pelvic splint should be applied as a matter of clinical priority if
MOI is suggestive of a pelvic fracture.
C/I:
• Impaled object preventing application.
- What are the precautions for i-gel?
- Inability to prepare pt in sniffing position
- Pts who require high airway pressures - advanced pregnancy, obesity, decreased pulmonary compliance, severe asthma (resistance)
- Paed pts with enlarged tonsils
- Vomit in the airway
- What are the indications for Rigid Cervical Collar?
- Major trauma pt following blunt force to head/trunk
- Awake pt c/o traumatic pain to c-spine, unable to cleared from NEXUS
- Uncon/ALOC with significant MOI
- Neuro deficit/changes
- What are the C/I of Rigid Cervical Collar?
- Vertebral column unable to be neutrally aligned to due disease or anatomical deformity
- Application causes increase in pain/neuro Sx
- Unable to size appropriately
- Pt non-compliant
- What are the C/I for CPAP?
Airway: inability to Mx airway (ACS, vomiting, secretions), UAO
Breathing: hypoventilation, untreated TPT
Circulation: Haemodynamic instability (severe hypotension, ventricular arrhythmias
Other: injuries precluding mask application
- What are the precautions for CPAP?
- Hypovolaemia
- Post chest decompression
- Right ventricular failure
Pt with these should be closely monitored for haemodynamic compromise or TPT following CPAP
- What are the indications for Quickclot haemostatic dressing?
- Uncontrolled haemorrhage from a non-compressible wound site
- Any traumatic haemorrhage that is not controlled by basic haemorrhage control
- Severe limb wounds not controlled by two Combat Application Tourniquets
- Multi casualty scenes where numbers require rapid Rx
- What are the C/I of Quickclot haemostatic dressing?
- Bleeding that can be controlled with basic first aid
- Ocular trauma
- Not to be used where unlikely to contact point of bleeding i.e. PV/PR
- What are the indications and C/I of Helmet removal?
Indications:
- Conscious pt with full face helmet and suspected SCI
- Uncon pt with suspected SCI
C/I:
- Penetrating trauma through helmet
- Removal increases neuro deficit
- What are the C/I for soft cervical collar?
- Surgical airway
- Penetrating neck trauma
- Unable to achieve neutral position
- What are the Indications and C/I for Valsalva?
Indications: AVRT or AVNRT
C/I: 1. SBP<90 2. Unstable/rapidly deteriorating pt 3. Af or Flutter
