emergencies

Question 1

why do we do needle decompression

Answer 1

in an emergency setting to buy you some time before inserting a chest drain

Question 2

needle decompression

Answer 2

done in 2nd intercostal space mid clav

Question 3

chets drain

Answer 3

done in 5th itercostal mid axiallary

Question 4

so where is the first rib

Answer 4

you wont be able to feel it as its bascially under the clavicle so the first rib you feel is the 2nd rib

Question 5

why is a atnesion penumothorax a emergency

Answer 5

as the mediastinal shift occurs it causes a sn obstructive shock compressing the vana cava and not alloweing blood to reach the heart

Question 6

so what are the 3 signs that would alert you to a tension pneumor

Answer 6

1. TACHY + HYPO (SIGNS OF SHCOK)
2. ABSENT BREATH SOUNDS
3. DYSPNEAC

JVP AND TRACHEAL SHIFT ARE MUCH LATER SIGNS

Question 7

which do you treat with a 3 way dressing

Answer 7

OPEN

Question 8

PRIMARY PNEUMO

Answer 8

HAPPNES WITHOUT ANY CHEST PROBLEMS UNDERLYING DISEASE

Question 9

how to avoid hitting the nerves and vessels

Answer 9

when in the space always go over the bottom rib as the bundle is underneth the top rib!

e.g 2nd intecostal space is between 2nd and 3rd rib so lie the needle over the 3rd rib .

Question 10

DESCRIBE RECOVERY POSTION

Question 11

MNEUMOIC FOR ALTERNED MENTAL STATUS

Answer 11

A- ALCOHOL, ACIDOSIS, AMMONIA , ARRYTHMIAS
E- EPILESY
I- INFECTIONS
O - OVERODES, OXYGEN, OPIATES
UR-UREMIA