Emergency Final Flashcards

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1
Q

OODA

A
  • Observe
  • Orient
  • Decide
  • ACT
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2
Q

The Five Keys

A
  1. Size up Scene: safety, MOI, # of people
  2. Call
  3. Secure scene
  4. Identify Objectives
  5. Complete the next task
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3
Q

Patient Assessment Sequence

A
  1. Scene Size-up
  2. Primary Assessment
  3. PE: identify non-life/threatening concerns
  4. PMH
  5. On-going Assessment
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4
Q

Scene Size Up

A
  • Scene Safety
  • BSI
  • Type of incident
  • # of people
  • MOI
  • Additional resources
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5
Q

Primary Assessment

A

1 Goal: is it life threatening

  • 1st impression?
  • Establish LOC
  • ABC’s (Sx3)
  • Chief Complaint
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6
Q

AVPU

A
  • Alert: person, place, time, event
  • Verbal - reaction to verbal commands
  • Pain: Clavicle, webspace, earlobe
  • Unresponsive
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7
Q

ABC’s and Sx3

A
  • Airway, Breathing, Circulation
    1. Severe Bleeding
    2. Shock: rapid, but weak HR, drop in BP, pale, disoriented
    3. Spinal Cord Injury
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8
Q

Physical Exam

A
  • S&S’s
  • Vitals: Respiration Rate, Pulse, BP, Temp
  • Head to Toe exam
  • Cap refill, pupils, skin color
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9
Q

Respiratory Rate

A
  • 1 minute = 12-20 for normal

- Quality: shallow, deep, labored?

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10
Q

Pulse Rate

A
  • Normal PR = 60-90 resting
  • Tachycardia = above 100bpm
  • Bradycardia = below 60 bpm
  • Bounding = Strong
  • Thready = scarce
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11
Q

Blood Pressure

A

-Sphygmomanometer and Stethoscope
-Systolic = 120-130 mmHg
-Diastolic = 60-80 mmHg
Pump 30mm past loss of pulse

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12
Q

PEARL

A
  • Pupils
  • Equal
  • And
  • Reactive
  • to Light
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13
Q

Possible Spinal Injury: Extremities

A
  • One at a time
  • Encircle and Squeeze
  • Pulse
  • Motor
  • Sensation
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14
Q

Patient’s Medical History

A
  • Age

- SAMPLE: Signs, Allergies, Meds, PMH, Last oral intake, Event

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15
Q

On-Going Assessment

A
  • Vitals every 15 mins
  • Vitals every 5 mins if unstable
  • Repeat physical exam as needed
  • Monitor interventions: O2, Splints
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16
Q

Artherosclerosis

A

1 cause of death in U.S.

  • Arteries narrow
  • Limits blood flow through coronary artery
17
Q

Angina Pectoris

A
  • Unstable= RED FLAG
  • lasts greater than 30 minutes
  • Not relieved by rest or nitro
18
Q

Myocardial Infarction

A

-Heart attack
-90% arterio sclerotic heart disease
-Coronary artery spasm
-Embolization
S&S: radiating pain, dyspnea, nausea, excessive sweating