Enviromental Emergenices + CBRNE Flashcards
What is the homeostasis in temp in the body
36.9
What makes freezing worse
Freezing and thawing then refreezing
Ice crystals form damaging
Blood vessels
Forstbite
Extremity will look white and waxy
When rewarded will turn purple or burgundy and swelling will start
Can turn black over time
Nelcrosis
Turns black
Treat forstbite
Treat hypo first
Don reheat in feild
Bulky splinting
Hospital will warm with 40.c water and liberal opioids
What is hypothermia
Core temp less than 35.c
3 causes of hypo
Cold water
Cold weather
Urban hypo ( pt indoootb, but thermal auto regulation is decreased )
Who at higher risk
Burns
Alcohol
Cns deoressants
Shock
Diabetes
HT 1 treatment
Remove wet clothes
Provide warm environment
Warm sweet drinks
Blanket
Encourage active movement
H2-h3 treatment
Handle gently
Keep horizontal
Active rewarding in trunk only
Mandoratory Olmc
Considering transport to encourage / CPB facilities
H4 treatment
Remove from cold environment
Rewarm core
Trans to Ecmo/ CPB
Maintain horizontal
CPR and defibrillation ( max 3 shocks until warm ) ( if Rosc occurs maintain hypo in head only
HT 5 treatment
Don’t attempt resuscitation
Warm the pt up ?
Slowly do the heart can keep up
Get your pt _ has it the best way to keep them warm
Shivering
Conduction
Losing body heat to near by objects by touching them
Covection
Loading heat to air
Radiation
Lost of body heat to object by not touching it