CWI’s Infield

Question 1

CAT Tourniquet Contraindications

Answer 1

Bleeding that can be controlled using basic first aid measures

Question 2

CAT Tourniquet Indications

Answer 2

• Uncontrolled haemorrhage from a limb despite direct pressure
• Multiple casualty scenes where patient numbers dictate that simple haemorrhage control measures cannot be individually applied

Question 3

CAT Tourniquet Precautions DOTT

Answer 3

D: Do not apply the tourniquet over a wound or a joint

O: Once applied the tourniquet must be visible - it cannot be covered by any clothing or other bandages

T: This piece of equipment will be deployed in critical situations and requires regular practice to maintain familiarity and skill at quickly applying it whilst under stress

T: The primary reason for failure of the CAT is excess slack in the strap when first applied. Other reasons for sub-optimal results are too few turns of the windless and failure to correctly work the buckle strap mechanism

Question 4

Control of External Bleeding to Limb Contraindications

Answer 4

None

Question 5

Control of External Bleeding to Limb Indications

Answer 5

External bleeding to a limb

Question 6

Control of External Bleeding to Limb Precautions

Answer 6

None

Question 7

PEEP contras

Answer 7

Adult and Paediatrics in cardiac arrest “NO PULSE NO PEEP”
PEEP is indicated in neonatal cardiac arrest to establish and maintain lung volume and improve oxygenation

Question 8

Peep Indications

Answer 8

• All patients receiving intermittent IPPV w/cardiac output
• All neonatal patients receiving IPPV

Question 9

PEEP precautions

Answer 9

H: Hypovolaemia / severe hypotension

E: Elevated intracranial pressure

R: Right ventricular failure

T: Tensión pneumothorax (current or post chest decompression)

Question 10

Quikclot Contraindications

Answer 10

Ocular Trauma

Question 11

Quikclot Indications

Answer 11

U: Uncontrolled haemorrhage from a non-compressible wound site

U: Unable to control haemorrhage by other means including direct pressure or CAT

Question 12

Quikclot Precautions

Answer 12

Dressing unable to contract point of bleeding

Question 13

Valsalva Manoeuvre Contraindications USA

Answer 13

U: unstable or rapidly deteriorating patient

S: systolic blood pressure <90mmHg

A: atrial fibrillation or atrial flutter

Question 14

Valsalva Manoeuvre Indications

Answer 14

A: Atriventricular re-entry tachycardia (AVRT)

A: AV nodal re-entry tachycardia (AVNRT)

Question 15

Valsalva Manoeuvre Precautions

Answer 15

None