Emergency Flashcards
components of primary survey (5) with details A B C D E
Airway - responsiveness, cervical spine Breathing-breathsounds and pattern, effort, 02 Circulation- 2 large bore IV, fluids Disability- LOC with AVPU and GCS Exposure- remove clothing
components of primary survey (5) with details A B C D E
Airway - responsiveness, cervical spine Breathing-breathsounds and pattern, effort, 02 Circulation- 2 large bore IV, fluids Disability- LOC with AVPU and GCS Exposure- remove clothing
secondary survey (6)
vital signs assess injuries comfort measures history and head to toe- AMPLE Tetanus diagnostic tests
s/sx of heat exhaustion (13)
fatigue light headed mild confusion dilated pupils increased RR ashen color decreased BP increased HR increased temp 99.6-104 profused sweating n/v diarrhea feeling of impending doom
interventions for heat exhaustion(5)
-cool area
-remove clothing
-moist sheet
oral fluids or iv fluids
replace electrolytes
heat stroke interventions(8)
ABC remove clothing wet sheets large fan immerse in ice water bath cold iv fluids lavage with cool fluids iv chlorpromazine for shivering
patho and causes of heat stroke
hypothalamic dysfuction
vasodilation, increased sweating and respiratory rate deplete f/e
core temp of >104
hypothermia temp is
severe hypothermia temp is
mild hypothermia temp is
93.2-96.8
moderate hypothermia temp is
86-93
treatment for mild hypotermia
passive or active external rewarming
treament for moderate to severe hypothermia
active core rewarming
main treatment goal for all hypothermias (5)
ABC rewarm correct dehydration correct acidosis treat dysrhythmias
risks for rewarming (3)
dysrhythmias, hypotension, further decreased in temp
rewarming can be stopped when core temp reaches
95
treatment goal for submersion injury
ABC mechanical vent correct hypoxia correct fluid imbalance basic physiologic fx rewarming monitor deterioration- cerebral edema, hypoxia, acidosis
complications of animal bites
infection
tissue destruction
type of wound in cat bites involving these structures (2)
deep puncture wounds involving tendons and joint capsules
increased risk for these types of infections with animal bites
septic arthritis, osteomyelitis, tenosynovities
infection risks with human bites (2)
hepatitis virus
oral bacterial flora
initial treatment for bites
copious irrigation debridement tetanus analgesic antibiotic rabies puncture wound left open lacerations loosely sutured wounds over joints splinted
treatment for
1puncture wound
2lacerations
3wound on joints
1 leave open
2 loosely sutured
3 splint
chemical poisoning severity depend on (3)
type, concentration, route
to decreased absorption of poison (3)
gastric lavage, activated charcoal, cleansing/irrigiation
