EMR Flashcards
Symptoms of Anaphylaxis
-Rash & itching over parts or all over body
-Raised red lumps
-Weakness
-Rapid pulse & breathing
-Nasea & stomach cramps
EpiPen Procedures
-Lay patient flat
-Remove items from pockets
-Remove cap (blue to sky, orange to thigh)
-Upper outside thigh
-Press and hold for 3 sec minimum, record time administered
-Can be repeated after 5 min with new dose if required
EpiPen is 300mg
EpiPen Jnr 150mg
Asthma Factors and Triggers
Factors: Broncho constriction, swelling of lining, excess mucus production
Triggers: Exercise, stress, allergies, pollen, dust & dust mites
Asthma
Metered Dose Inhaler + Spacer
-Stop activity, give reassurance and sit person down
-Call for assistance to get medication and action plan
-Follow action plan, otherwise follow 4x4x4 emergency asthma procedure
-Shake puffer -1 puff-4 breaths-repat 4 times-wait 4 min
-Wait 4 min for meds to work, if no improvement administer another round
BVM
Ineffective breathing
Not breathing
Primary Survey
Purpose: Identifies & manages immediate life threatening injuries
DRSABCD
Secondary Survey
A systematic glove to skin examination of the body from top of the head to the bottom of the feet and all that lies in between.
Detects secondary injuries needing prioritising treatment when time permits, but are not immediately life threatening. Mostly looking for injuries through patterns of injuries. Communicate with casualty if conscious
Recording Pulse
Rate
Rhythm
Strength
EPIC Handover
Event
Problem with pt
Intervention given
Conclusion (improved, stabilised, deteriorated)
Needle/Sharps Injury @ EMR event
-Immediately clear the area, treat exposure
-Notify Chain of Command & check with BMO
-Follow up with BMO/Doctor
-Clean or discard any infected PPE
-Document via FRV Safe + PCR
-Contact peer support (if required)
Vital Signs Survey
AVPU for conscious state
Respiratory status assessment for breathing
Perfusion status assessment for circulation
Skin condition - sweaty, pale
Function of the Heart
To [ump oxygenated blood and nutrients to the body. Right side of heart receives deoxygenated blood from body, this blood is then pumped to lungs to remove CO2 and then reoxygenated
IPPV
APPV
BIT
Intermittent Positive Pressure Ventilation (in between breaths)
Assisted Positive Pressure Ventilation (1 to 4, complete breathing for patient)
Battery Insertion Test
Ventricular Fibrillation
Irregular, uncoordinated electrical and mechanical activity that will not support a pumping or effective blood circulation
Ventricular Tachycardia
Fast abnormal heart rhythm originating from the ventricles. HR above 150 bpm. Can’t refill heart efficiently causing blood pressure to decrease
Cardio Pulmonary Resuscitation (CPR)
CPR artificially pumps blood around the body to maintain organ systems
Artificially reoxygenates the body
Artificially restarts the heart back to normal rhythm
Heart Attack
Heart still pumping but no oxygen being delivered
Sudden death of heart muscles, may be due to blood clot or fat in coronary artery.
Treatment: DRSABCD, rest patient comfortably, call AV, reassure and calm patient, start CPR if going into cardiac arrest
Cardiac Arrest
Occurs when heart is not beating & there is no pulse
Treatment: Start CPR and Defibrillation
SAED Considerations
Visual check - no patient or equipment contact
Verbal Warning - stand clear, all clear
Environmental - no wet area, metal surfaces, gases/vapours
ECG on SAED
Used to determine whether the rhythm is shockable or not and displays results
PCR
Ensure all necessary details are included with as much detail as possible
Scan & email form to EMS Department
Send original PCR to EMS Department through confidential medical DX envelope
Heat Stroke
Hot flushed, dry skin
Strong pounding pulse but reduced blood pressure
Agitated, confused staggering due to cerebral effects
Possible seizures, collapse and death
Hypothermia
Below 35 degrees
Shivering
Blue
Disorientated and uncoordinated
Slurred speech
Shallow breathing
Hyperthermia
Above 38 degrees
Excessive sweating
Exhaustion
Flushed red skin
Muscle cramps
Headaches
Nausea
Management of Heat Stroke
Prepare casualty - ask casualty to stop activity and to move to cool area
Wear PPE
Cool casualty - remove excessive clothing, apply cool packs to armpit/groin/neck, give fluids in small amounts
Monitor status - check temp
Triage
To sort or prioritise patients
Burns
Running water for 20 minutes
Burns dressings, wet them and shiny side to burn
