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Retention > EMR > Flashcards

EMR Flashcards

1
Q

Symptoms of Anaphylaxis

A

-Rash & itching over parts or all over body
-Raised red lumps
-Weakness
-Rapid pulse & breathing
-Nasea & stomach cramps

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2
Q

EpiPen Procedures

A

-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

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3
Q

Asthma Factors and Triggers

A

Factors: Broncho constriction, swelling of lining, excess mucus production

Triggers: Exercise, stress, allergies, pollen, dust & dust mites

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4
Q

Asthma
Metered Dose Inhaler + Spacer

A

-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

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5
Q

BVM

A

Ineffective breathing
Not breathing

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6
Q

Primary Survey

A

Purpose: Identifies & manages immediate life threatening injuries

DRSABCD

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7
Q

Secondary Survey

A

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

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8
Q

Recording Pulse

A

Rate
Rhythm
Strength

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9
Q

EPIC Handover

A

Event
Problem with pt
Intervention given
Conclusion (improved, stabilised, deteriorated)

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10
Q

Needle/Sharps Injury @ EMR event

A

-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)

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11
Q

Vital Signs Survey

A

AVPU for conscious state
Respiratory status assessment for breathing
Perfusion status assessment for circulation
Skin condition - sweaty, pale

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12
Q

Function of the Heart

A

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

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13
Q

IPPV
APPV
BIT

A

Intermittent Positive Pressure Ventilation (in between breaths)

Assisted Positive Pressure Ventilation (1 to 4, complete breathing for patient)

Battery Insertion Test

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14
Q

Ventricular Fibrillation

A

Irregular, uncoordinated electrical and mechanical activity that will not support a pumping or effective blood circulation

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15
Q

Ventricular Tachycardia

A

Fast abnormal heart rhythm originating from the ventricles. HR above 150 bpm. Can’t refill heart efficiently causing blood pressure to decrease

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16
Q

Cardio Pulmonary Resuscitation (CPR)

A

CPR artificially pumps blood around the body to maintain organ systems
Artificially reoxygenates the body
Artificially restarts the heart back to normal rhythm

17
Q

Heart Attack

A

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

18
Q

Cardiac Arrest

A

Occurs when heart is not beating & there is no pulse

Treatment: Start CPR and Defibrillation

19
Q

SAED Considerations

A

Visual check - no patient or equipment contact
Verbal Warning - stand clear, all clear
Environmental - no wet area, metal surfaces, gases/vapours

20
Q

ECG on SAED

A

Used to determine whether the rhythm is shockable or not and displays results

21
Q

PCR

A

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

22
Q

Heat Stroke

A

Hot flushed, dry skin
Strong pounding pulse but reduced blood pressure
Agitated, confused staggering due to cerebral effects
Possible seizures, collapse and death

23
Q

Hypothermia

A

Below 35 degrees
Shivering
Blue
Disorientated and uncoordinated
Slurred speech
Shallow breathing

24
Q

Hyperthermia

A

Above 38 degrees
Excessive sweating
Exhaustion
Flushed red skin
Muscle cramps
Headaches
Nausea

25
Q

Management of Heat Stroke

A

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

26
Q

Triage

A

To sort or prioritise patients

27
Q

Burns

A

Running water for 20 minutes
Burns dressings, wet them and shiny side to burn

Retention (3 decks)

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