Enviromental Emergenices + CBRNE Flashcards

1
Q

What is the homeostasis in temp in the body

A

36.9

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2
Q

What makes freezing worse

A

Freezing and thawing then refreezing

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3
Q

Ice crystals form damaging

A

Blood vessels

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4
Q

Forstbite

A

Extremity will look white and waxy
When rewarded will turn purple or burgundy and swelling will start
Can turn black over time

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5
Q

Nelcrosis

A

Turns black

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6
Q

Treat forstbite

A

Treat hypo first
Don reheat in feild
Bulky splinting
Hospital will warm with 40.c water and liberal opioids

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7
Q

What is hypothermia

A

Core temp less than 35.c

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8
Q

3 causes of hypo

A

Cold water
Cold weather
Urban hypo ( pt indoootb, but thermal auto regulation is decreased )

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9
Q

Who at higher risk

A

Burns
Alcohol
Cns deoressants
Shock
Diabetes

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10
Q

HT 1 treatment

A

Remove wet clothes
Provide warm environment
Warm sweet drinks
Blanket
Encourage active movement

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11
Q

H2-h3 treatment

A

Handle gently
Keep horizontal
Active rewarding in trunk only
Mandoratory Olmc
Considering transport to encourage / CPB facilities

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12
Q

H4 treatment

A

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

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13
Q

HT 5 treatment

A

Don’t attempt resuscitation

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14
Q

Warm the pt up ?

A

Slowly do the heart can keep up

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15
Q

Get your pt _ has it the best way to keep them warm

A

Shivering

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16
Q

Conduction

A

Losing body heat to near by objects by touching them

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17
Q

Covection

A

Loading heat to air

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18
Q

Radiation

A

Lost of body heat to object by not touching it

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19
Q

Evaporation

A

Loss by perspiration

20
Q

Travis of death

A

Hypothermia low body temp
Acidosis Latin acid in blood
Coagulapathy blood cloying promblem

21
Q

Heat cramps

A

Caused by excessive loss of Salt or water
Pain in abdomen or lower extremities due to hydration over acceleration in a hot environment
Muscle twitching
Diaphoresis
Nv
Spams

22
Q

Treatment for heat cramps

A

Remove to cold environment
Iv
Oxygen
Give electrolytes only to non-throwing up patient

23
Q

Heat exhaustion

A

More severe cramps with more fluid loss
A form of absolute hypovolaemic shock
Weak, pale skin
Nausea, vomitiw
Hypotension

24
Q

Treatment for heat exhaustion

A

Remove to cold envro
Iv
Nothing Orly

25
Q

Heat stroke

A

Complete failure of bodies temp to regulation can be chronic or acute

26
Q

Classic heat stroke

A

Dry skin
Likely to happen in very old and very impatient
May take hours or days
Hi mortality rate

27
Q

External heat stroke

A

Sweaty skin
Acute rise in temperature due to them bodies cooling becomes in effective very common in young fit people/athletes and firefighters

28
Q

Signs and symptoms of heat stroke

A

Kussmaul
Lack of sweating

29
Q

Treatment for heat stroke

A

Remove all clothing
Cool environment
Ice packs to groin and axillary armpits, but no ice on dark skin
Do all of this while assessing the primary and managing ABC’s

30
Q

What drug causes see you the ability not to sweat

A

Anti-histamines

31
Q

Heat cramps are

A

Electrolyte imbalances

32
Q

Heat exhaustion is

A

Absolute hypovoemia

33
Q

Heat stroke is

A

Hyperthermia failure of comp mechanisms

34
Q

Kids are at higher risk for

A

Febrile seizures because they have problems regulating the temperature

35
Q

All drownings in Alberta are considered

A

Cold or freshwater, drowning

36
Q

Drowning

A

It’s due to a vaccination and does not have to be water

37
Q

Near drowning

A

The process of August drowning, but being interrupt reversed prior to death

38
Q

What percent of John involve alcohol

A

75%

39
Q

Dry drowning

A

10 to 20% of the time
Laryngeal spasm stop water
Best chance of rehabilitation

40
Q

Wet drowning

A

80-90% of the time
panic and lungs, but with water

41
Q

Secondary drowning

A

Respiratory pulmonary oedema liquid in the lungs occurs minutes to days after the event

42
Q

CBRNE

A

Stands for chemical biological radioactive nuclear an explosive

43
Q

Triage rule

A

Treat black as read

44
Q

Class A to class B

A

Clase is the least protection with just a filter mask to level d is full scoop up with a fully enclosed suit

45
Q

Biological

A

A bacterium virus or partisan, parasite or fungus example anthrax
Signs and symptoms are nausea bottle thing, respiratory distress, blistering, skin, irritation, bronco spasms, and Sluggo

46
Q

Radioloical

A

Acute, long-term, alpha, beta gamma
Remove from warm zone, property decontaminate
Signs and symptoms of dizziness, headache diarrhea, Burns, and death