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GAP 2018 > CWIs > Flashcards

CWIs Flashcards

1
Q

Indications for SGA

A

N/A

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2
Q

Contras for SGA

A
  • gag reflex or resistance to insertion
  • trismus or strong jaw tone
  • epiglottitis or upper airway obstruction
  • use of sedation to insert
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3
Q

Precautions for SGA

A
  • 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
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4
Q

Indications for Quikclot

A
  • 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
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5
Q

Contras for Quikclot

A
  • 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
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6
Q

Precautions for Quikclot

A

nil

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7
Q

Things to listen for when auscultating

A
  • air entry
  • lung sounds normal
  • do left and right sound the same
  • wheeze
  • crackles
  • fine or course crackles
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8
Q

Indications for back blows

A

conscious adult, child or infant with severe foreign body airway obstruction with ineffective cough and unable to speak

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9
Q

Contras for back blows

A
  • newborns, suction preferred

- unconscious pt

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10
Q

Precautions for back blows

A

nil

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11
Q

Indications for Laryncoscopy

A

pt in altered conscious state, without gag reflex, requiring inspection of the airway

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12
Q

Contras for laryngoscopy

A

nil

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13
Q

Precautions for laryngoscopy

A
  • epiglottits

- croup

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14
Q

Indications for magills

A

foreign body airway obstruction with altered conscious state

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15
Q

contras for magills

A

nil

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16
Q

precautions for magills

A

nil

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17
Q

Indications for y suction catheter

A

suction may be required when a pt is in altered conscious state and unable to protect their own airway from secretions, vomit, bile

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18
Q

Contras for y suction catheter

A

nil

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19
Q

Precautions for y suction catheter

A
  • croup
  • epiglottis
  • upper airway obstructions
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20
Q

Indications for NPA

A

unconscious pt presenting with trismus, when an OPA cannot be inserted

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21
Q

Contras for NPA

A
  • 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
22
Q

Precautions for NPA

A
  • basal skull fractures and CSF from nares or ears - possibility of intrusion into brain tissue
  • may need to be removed for intubation attempts
23
Q

Indications for IPPV

A
  • apnoea or hypoventilation

- ventilation of adult pts with CO use PEEP

24
Q

Contras of IPPV

A

-PEEP in paeds and cardiac arrest

25
Q

Precautions of IPPV

A

nil

26
Q

Indications for Triple airway

A

pt requiring airway management

27
Q

Contras for Triple airway

A

injury or anatomy prevents

28
Q

Precautions for triple airway

A
  • spinal immobilised pts

- children and infants may require modified position

29
Q

Precautions for IN admin

A

-rhinitis, rhinorrhea, facial trauma

30
Q

Indications for IV insertion

A

IV medication admin is required in line with CPGs

31
Q

Contras for IV insertion

A

nil

32
Q

Precautions for IV insertion

A
  • 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
33
Q

Indications for IM injection

A

medications required to be administered via IM route as per CPGs

34
Q

Contras for IM injections

A

nil

35
Q

Precautions for IM injections

A
  • safety, ensure correct technique, anatomical location and disposal of sharps
  • larger volumes may be painful, avoid dilution
36
Q

Indications for valsalva

A
  • atrioventricular re-rentry tachycardia

- AV nodal re-entry tachycardia

37
Q

Contras for valsalva

A
  • SBP under 90
  • unstable or rapidly deteriorating pt
  • AF or atrial flutter
38
Q

Precautions for valsalva

A

nil

39
Q

Indications for TPT decompression

A

suspected TPT including in traumatic arrest

40
Q

Contras for TPT decompression

A

ARS may not be appropriate for paeds/small pts, use 14g or 16g

41
Q

Precautions for TPT decompression

A
  • 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
42
Q

Indications for CPAP

A

pt presenting in cardiogenic pulmonary oedema and SOB that is severe or unresponsive to nitrates

43
Q

Contras for CPAP

A 
Pneumothorax 
Active vomiting
Hypoventilation 
Facial trauma 
Life threatening arrhythmias 
Airway secure 
GCS under 13
44
Q

Precautions for CPAP

A

hT

COPD

45
Q

Indications for SAM splint

A

open book fracture of pelvis

46
Q

Precautions for SAM splint

A
  • traction splint creating difficulty closing legs and hence pelvic injury
  • adult size splints should not be applied to children
47
Q

Indications for CT6

A
  • middle third femur fractures

- upper 2 third tibia fractures

48
Q

Contras for CT6

A
  • pelvic trauma

- knee or ankle/foot trauma

49
Q

Indications for Tourniquet

A
  • uncontrolled haemorrhage from limb despite direct pressure
  • multiple casualty scene where pt numbers dictate that simple haemorrhage control cannot be applied
50
Q

Contras for tourniquet

A

Bleeding can be controlled using basic measures

51
Q

Precautions for tourniquet

A
  • do not apply over a wound or joint

- once applied, must be kept visible

GAP 2018 (13 decks)

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