DWS LOOK UPS Flashcards

1
Q

What are the levels of HAZMAT?

A
FATCOC
F - flammable 
A - aerosol containers
T - toxic materials
C - corrosive materials 
O - oxidizing materials 
C - compressed gases
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2
Q

What are the differences between CNS O2 tox and Pulmonary O2 tox?

A

The main difference is the amount of time exposed to O2. CNS can be relatively quick at higher pp

CNS -
(high pressure oxygen tox)
typically occurs when ppO2 exceeds 1.3 ata wet and 2.4 ata dry

Pulmonary -
(low pressure oxygen tox)
can occur anytime the ppO2 is 0.5 aTA or greater

12 hours at 1ata will cause mild symptoms and 4 hours at 2 ata will cause mild symptoms

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3
Q

What are the 6 parts of a neuro?

A
Mental Status 
Coordination 
Motor (Strength)
Cranial Nerves 
Sensory
Deep Tendon Reflexes
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4
Q

Explain the strength scale in a neuro?

A

0 - Paralysis
1 - Profound Weakness (Flicker/Trace)
2 - Severe Weakness (Contration, no gravity)
3 - Moderate Weakness (yes gravity)
4 - Mild Weakness (slight resist examiner)
5 - Normal

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5
Q

What is considered HP and LP?

A

HP - greater than or equal to 1000lb/in2

LP - less than or equal to 150lb/in2

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6
Q

What alternative ways can air be procured when the commercial air source does not have proper documentation that can be verified IAW the Dive Manual CH.4 Table 4-1?

A

Air generated by a non-US Navy owned compressor may be used if the supplier can provide documentation that meets the standards of table 4-1 and is approved by the CO

Air generated by a non-US Navy owned compressor that does not provide documentation that meets the standards of table 4-1 may be used for an INDIVIDUAL MISSION not to exceed 30 days if the CO approves it.

The air source will be evaluated against the requirements of the Non-Navy Compressor Check Sheet.

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7
Q

What is the minimum emergency equipment for the side?

A
  1. Comms capable of reaching help
  2. Fully stocked first aid kit
  3. Portable O2 with enough capacity to reach chamber or planned evacuation location
  4. AED
  5. A BVM that can connect to 100% O2
  6. Stretcher (means of immobilizing an injured diver)
  7. Extraction Line ( means of extraction for unconscious or stricken diver)
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8
Q

Explain the direct & indirect bubble effect?

A

Dive Manual Pg. 3-51

Direct - The effect a bubble has when it forms in a tissue or in the bloodstream.

  • Can occur within minutes to hours
  • Primary Treatment is recompression

Indirect - Bubbles have an indirect effect within the body by acting as foreign bodies (such as a splinter in your hands)

  • Takes place over a longer period of time than direct
  • The bodies immune system starts to attack the bubble leading to health complications (clotting, allergic reaction, shock, Respiratory Distress, etc..)
  • Recompression isn’t enough to treat this
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9
Q

What are symptoms for Type 2 & AGE?

A
U - unconsciousness 
W - weakness
P - paralysis 
N - numbness 
E - Ears, ringing, roar
B - blurred vision 
D - dizziness
F - fatigue 
P - pins and needles
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10
Q

What are the symptoms for Type 1 DCS?

A

P - pain
M - marbling of the skin
S - swelling of the lymph nodes

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11
Q

What are the symptoms for CNS O2 Toxicity?

A
V - vision
E - ears, ringing, roaring
N - nausea
T - twitching, tingling
I -  irritability
D - dizziness
C - convulsions
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12
Q

What are the symptoms of subcutaneous emphysema?

A

Fullness in throat
Change in voice
Difficulty swallowing
Rice Krispies (crepitus)

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13
Q

What are the symptoms of mediastinal emphysema?

A

Substernal chest pain
Tightness or dull ache in chest
Pain radiating to shoulder or upper back
Coughing

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14
Q

What are the symptoms of a pneumothorax?

A
Sudden sharp chest pain 
Shortness of breath 
Labored breathing 
Weak pulse
Increased heart rate
Anxiety
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15
Q

What is mediastinal emphysema?

A

When gas expansion forces gas into the loose mediastinal tissues in the middle of the chest

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16
Q

What is subcutaneous emphysema?

A

Leaked gas from the mediastinum into subcutaneous tissues of the neck

17
Q

What is DCS?

A

A divers blood and tissues absorb additional nitrogen from lungs when at depth

If a diver ascends too fast this excess gas will separate from solution and form bubbles

These bubbles produce mechanical and biochemical effects that lead to DCS

18
Q

A neuro should be completed prior to recompression for:

A
  1. Type 1 DCS
  2. POIS symptoms; to rule out AGE
  3. Asymptomatic Omitted D
  4. During transit to recompression
19
Q

A neuro should not be completed prior to recompression for:

A
  1. Symptomatic Omitted D
  2. Unconscious Diver
  3. Gross Neurological Deficit
20
Q

What are the Air Supply Requirements for a recompression chamber?

A

Primary - enough to press the IL once and the OL twice to 165 fsw and vent during a TT6A for one tender and two patients with max extensions

Secondary - enough to press the IL once and the OL once to 165 fsw and vent for one hour at 70.4 scfm

21
Q

What is a TT5 used for?

A
  1. Type 1 DCS ( except cutis marmorata) with a SAT neuro on surface
  2. Asymptomatic Omitted D
  3. Treatment of unresolved symptoms following in-water recompression
  4. Follow up for treatments for residual symptoms
  5. Carbon Monoxide Poisoning
  6. Gas Gangrene
22
Q

What is a TT6 used for?

A
  1. AGE
  2. Type 2 DCS
  3. Type 1 DCS if relief is not achieved within 10 minutes at 60 fsw or a SAT neuro is not completed on surface
  4. Cutis Marmorata
  5. Severe CO Poisoning, Cyanide Poisoning or Smoke Inhalation
  6. Symptomatic Omitted D
  7. Recurrence of symptoms shallower than 60 fsw
23
Q

What is a TT6A and when is it used?

A

Patient is compressed to depth of relief not to exceed 165 fsw

AGE or DCS when severe symptoms remain unchanged or worsen within 20 min at 60 fsw

24
Q

What is a TT4 and when is it used?

A

When determined patient would receive additional benefit at depth of significant relief, not to exceed 165 fsw

UMO should be consulted

25
Q

What TT is considered a heroic measure?

A

TT7

26
Q

What is the descent rate of a TT8 and what is the depth?

A

as fast as tolerable

225 fsw