CWIs Flashcards
Indications for SGA
N/A
Contras for SGA
- gag reflex or resistance to insertion
- trismus or strong jaw tone
- epiglottitis or upper airway obstruction
- use of sedation to insert
Precautions for SGA
- pt with high airway pressures, obese, pregnant, respiratory disease, asthma
- kids less than 14 yrs due to enlarged tonsils
- unable to prepare in sniffing position
- vomit in airway
- do not prevent passive regurgitation or gastric distension
Indications for Quikclot
- uncontrolled haemorrhage from non-compressible wound site
- any traumatic haemorrhage that is not controlled by basic haemorrhage control measures such as direct pressure with pad and bandage
- severe limb wounds not controlled by 2 tourniquets
- multiple casualty scenes where patient numbers dictate that simple haemorrhage control cannot be individually applied
Contras for Quikclot
- bleeding that can be controlled using basic first aid
- ocular trauma
- not to be used for haemorrhage where they are unlikely to contact the point of bleeding such as PV or PR haemorrhage, or posterior epistaxis
Precautions for Quikclot
nil
Things to listen for when auscultating
- air entry
- lung sounds normal
- do left and right sound the same
- wheeze
- crackles
- fine or course crackles
Indications for back blows
conscious adult, child or infant with severe foreign body airway obstruction with ineffective cough and unable to speak
Contras for back blows
- newborns, suction preferred
- unconscious pt
Precautions for back blows
nil
Indications for Laryncoscopy
pt in altered conscious state, without gag reflex, requiring inspection of the airway
Contras for laryngoscopy
nil
Precautions for laryngoscopy
- epiglottits
- croup
Indications for magills
foreign body airway obstruction with altered conscious state
contras for magills
nil
precautions for magills
nil
Indications for y suction catheter
suction may be required when a pt is in altered conscious state and unable to protect their own airway from secretions, vomit, bile
Contras for y suction catheter
nil
Precautions for y suction catheter
- croup
- epiglottis
- upper airway obstructions
Indications for NPA
unconscious pt presenting with trismus, when an OPA cannot be inserted
Contras for NPA
- middle third facial fracture - intrusion of brain tissue
- nasal trauma - induce gag increasing ICP
- TBI or neuro event when airway patent and TV adequate despite trismus
Precautions for NPA
- basal skull fractures and CSF from nares or ears - possibility of intrusion into brain tissue
- may need to be removed for intubation attempts
Indications for IPPV
- apnoea or hypoventilation
- ventilation of adult pts with CO use PEEP
Contras of IPPV
-PEEP in paeds and cardiac arrest
Precautions of IPPV
nil
Indications for Triple airway
pt requiring airway management
Contras for Triple airway
injury or anatomy prevents
Precautions for triple airway
- spinal immobilised pts
- children and infants may require modified position
Precautions for IN admin
-rhinitis, rhinorrhea, facial trauma
Indications for IV insertion
IV medication admin is required in line with CPGs
Contras for IV insertion
nil
Precautions for IV insertion
- do not cannulate arms which show evidence of contamination, if so clean thoroughly
- do not cannulate pts with renal failure in same arm as arteriovenous fistula
Indications for IM injection
medications required to be administered via IM route as per CPGs
Contras for IM injections
nil
Precautions for IM injections
- safety, ensure correct technique, anatomical location and disposal of sharps
- larger volumes may be painful, avoid dilution
Indications for valsalva
- atrioventricular re-rentry tachycardia
- AV nodal re-entry tachycardia
Contras for valsalva
- SBP under 90
- unstable or rapidly deteriorating pt
- AF or atrial flutter
Precautions for valsalva
nil
Indications for TPT decompression
suspected TPT including in traumatic arrest
Contras for TPT decompression
ARS may not be appropriate for paeds/small pts, use 14g or 16g
Precautions for TPT decompression
- requires regular practice to maintain familiarity
- right side decompressed first to minimise risk of puncturing heart
- if air escapes, air and blood or no air/blood, leave in situ. If copious blood, remove cannula and cover
- risk of body fluid being expelled under pressure
- procedure monitored through limited occurrence screening process
Indications for CPAP
pt presenting in cardiogenic pulmonary oedema and SOB that is severe or unresponsive to nitrates
Contras for CPAP
Pneumothorax Active vomiting Hypoventilation Facial trauma Life threatening arrhythmias Airway secure GCS under 13
Precautions for CPAP
hT
COPD
Indications for SAM splint
open book fracture of pelvis
Precautions for SAM splint
- traction splint creating difficulty closing legs and hence pelvic injury
- adult size splints should not be applied to children
Indications for CT6
- middle third femur fractures
- upper 2 third tibia fractures
Contras for CT6
- pelvic trauma
- knee or ankle/foot trauma
Indications for Tourniquet
- uncontrolled haemorrhage from limb despite direct pressure
- multiple casualty scene where pt numbers dictate that simple haemorrhage control cannot be applied
Contras for tourniquet
Bleeding can be controlled using basic measures
Precautions for tourniquet
- do not apply over a wound or joint
- once applied, must be kept visible