ERDN Flashcards
To eliminate or reduce the intensity of hazardous event
Mitigation
To enhance ability to respond to disaster
Preparedness
To provide emergency assistance to victims
Response
To restore the normal level of functioning of the community
Recovery
Prevention
Mitigation
Trainings and drills
Preparedness
Short term
long term needs
Response
Recovery
Phases sa pre disaster
Mitigation Preparedness
Phases sa Post-disaster
Response Recovery
Emergency kits what phase
Preparedness
Seminar about fire prevention
Mitigation
Temporary shelter
Recovery
Greatest good for the greatest number
Utilitarianism
Philippine DRRM Act of 2010
RA 10121
provides LEGAL IMMUNITY to individuals performing immediate attention involving a sudden and
impending threat to life or safety of a person.
Good Samaritan Act
Best grp or role of nurses in disaster
Triage
Primary ass? Secondary ass?
βA irway
βB reathing
βC irculation
βD isability
βE xpose/ env. factors
βF ull set VS
βG ive comfort
βH x taking
Airway mngt
- Speak
- Open airway
Breathing mngt
Look- rise and fall ng chest
Listen
Feel
Circulation mngt
Carotid or radial pulse
Capillary refill <2 sec
Bleeding
Disability mngt
Abt neuro to
LOC AVPU
AVPU
Alert (eye opening)
Verbal
Pain (earlobe, supraorbital, nails, trapezius)
Unresponsive
Expose/ env
Remove clothing
Warm blanket pag may shock
DISASTER TRIAGE
β¨ Derived from french, trier which means __
To sort out
Used for primary triage in adults
SIMPLE TRIAGE AND RAPID TX (START)
Gold standard for Mass casualty incidents (MCI)
SIMPLE TRIAGE AND RAPID TX (START)
Used for primary triage in children <8 years old
JUMPSTART
Used for secondary triage in adults
SAVE- Secondary Assessment of Victim Endpoint
Used for triage sa filed na di pa natatransport
SAVE- Secondary Assessment of Victim Endpoint
Triaging: can walk
Green
Triaging: no breathing
Blck
Triaging: less than or equal 30-2-can do
Abnormal?
Yellow
Red
Color Priorities in sequence
Red
Yellow
Green
Black
Status expect to deteriorate within 60 mins
Immediate red
Status expect to deteriorate several hrs
Delayed yellow
Status expect to deteriorate in days
Minor green
Status expect to deteriorate unlikely to survive
Expectant black
BLS gagawin (in order)
Scene size up
DABC
Call for help
CPR
defib
Suspected SCI what maneuver
Jaw thrust
Pag tumatawag ng help ano consideration mo
Wag iiwan ang pt
Pag mag-isa ka lang tas may unresponsive ano gagawin
Open ung call i loud speaker while starting mag CPR
CPR: Do not pause for _____________ to check for breathing and pulse.
> 10 sec
CPR Compression rate
100-120
CPR Ventilation rate:
10-12 bpm
CPR Ratio:
30 compressions: 2 breaths
placement of hands:
Adult-
Child-
Infant-
Adult-Heel of dominant hand (non over dominant)
Child- 1 hand
Infant- 2 fingers
CPR DEPTH
Adult-
Child-
Infant-
Adult- 2 in
Child- 2 in
Infant- 1.5 in
CPR LOC
Lower half of sternum midchest
DEFIBRILLATION
one pad at the RIGHT 3RD intercostal
the other is placed at the 5TH
intercostal space on the MIDAXILLARY
2 Shockable rhythms:
Vfib
Pulseless vtach
2 nonshockable rhythms
Asystole
Pulseless electrical act
Pulseless electrical act
meron sa ecg, pulse wala
Gagawin Non-shockable rhythms:
CPR AND REASSESS every 2 mins
recovery Position
Left sims
Psychological first aid action principles
Prepare
Look
Listen
Link
Help few days after crisis
Crisis debriefing
Small scale but serious problem requiring immediate action.
EMERGENCY
CODES:
Cardiac arrest
Bomb
Fire
Violence
Abduction
Hostage
Cardiac arrest BLUE
Bomb BLACK
Fire RED
Violence GRAY
Abduction PINK
Hostage SILVER
2 triaging sa Hospital
3 level and 5 level triage
Level triage based on urgency
3 level triage
3 level triage:
Wait for 2 h
Wait >2h
ABC 15-30 mins
Wait for 2 h: URGENT
Wait >2h: NON URGENT
ABC 15-30 mins: EMERGENT
Also known as EMERGENCY SEVERITY INDEX na pokus is resources
5-Level-Triage
ES1:
ES3:
ES5:
ES2:
ES4:
ES1: ABC
ES3: MANY resources normal VS
ES5: no resources
ES2: severe pain, altered LOC, abnormal VS, HIGH RX
ES4: 1 resource
Ano lang di counted as resources
PO med
used in advanced stages of pregnancy or markedly obese patient
Chest thrust
used in infants for AIRWAY OBSTRUCTION
Backflow
used in unconsious patient for AIRWAY OBSTRUCTION
Finger sweep
Special consideration pag maga finger sweep
Wag gawin if di makita obj
Type of near drown that is caused by osmosis
Salt water aspiration
Type of NEAR-DROWNING thats caused by type 2 alveolar cells
Freshwater aspiration
Gamot for met acidosis
Na Bicarbonate
ECG findings NEAR-DROWNING
V fib
General mngt sa ABC
A:
B:
C:
A: intubate
B: 100% O2
C: CPR
Avulsion
Natuklap balat
Abrasion
Gasgas
Consideration if use tourniquet sto stop bleeding
Only if life limb situation
How to clean wound
Clean gamit isotonic
Topical antibiotics
Wound dressing
Anong phase ng shock where bp lang normal
Compensatory
Anong phase ng shock may oliguria, hypoactive bowel sounds
Compensatory
Anong phase ng shock may lead to lahat absent
Irreversible
San makikita met acidosis sa phases ng shock at saan mas marami to
Progressive at irreversible (mas marami)
Anong type ng shock ang BRADY BRADY tas dry and warm skin
Neurogenic
Position for shock
Modified trendelenburg
Anong fluid at gauge mngt sa shock
PNSS if wala L. Ringers 16 g
SHOCK: Administer___ drugs
vasoactive
Type ng HEAT-INDUCED EMERGENCIES na normal temp tas moist skin
Heat Cramps
Type ng HEAT-INDUCED EMERGENCIES na shock like and profuse sweating
Heat Exhaustion
Type ng HEAT-INDUCED EMERGENCIES na anhidrosis, altered na loc, met acidosis
Heat Stroke
Unang gagawin sa HEAT-CRAMPS
Rest
Unabg gagawin sa HEAT-EXHAUSTION
Move to cool environment and remove all clothing.
HEAT-EXHAUSTION Position
Supine with legs elevated
Heat exhaustion Most effective cooling method: _
Evaporation cooling
HEAT-STROKE MANAGEMENT
Priority goal:
reduce core temperature to 38.9
Ano ang tatlong βicedβ ng core cooling
Iced saline lavage
Iced peritoneal dialysis
Iced chest irritation (last option)
core temperature of the body is __________considered as hypothermia
<35 C or <95 F
Complication ng HYPOTHERMIA
Vfib
Early sx ng hypothermia
Shivering
Diuresis
HPN
Rewarming methods:
a. Passive external rewarming
b. Active external rewarming
c. Active core rewarming
Rewarming methods:
a. Passive external rewarming TANGGAL WET CLOTHES PALITAN NG DRY PLUS WARM-BLANKETS
b. Active external rewarming SUBMERGED SA WARM WATER
c. Active core rewarming CHEST IRRITATION
3 ibibigay sa ingested poison
Activated charcoal
Syrup of ipecac
Antidote
Consideration when giving syrup of ipecac
Bawal if corrosive na ingest
Normal serum carbon monoxide level: ________
<3%
CARBON MONOXIDE POISONING
Treatment of choice:
Hyperbanic chamber
Classic sx ng snakebite
Hemorrhagic blisters
Ano ireremove if may snakebite
Constricting items like rings, tourniquet, ice, sucking out!!
Bat nagbibigay ng vasopressors if may snakebite
Kasi may shock like systemic sx
Kelan Administer antivenin
4-12 after bite
painful, potentially lethal condition caused by sting and envenomation from multiple jellyfish species.
Irukandji syndrome or jellyfish stings
Anong vs tumataas sa jellyfish sting
BP (HPN)
JELLYFISH STINGS MANAGEMENT
Vinegar or baking soda
Hot water 20 mins or as long as masakit parin
Consideration in giving vinegar jellyfish sting
Bawal sa box/ bluebottle jellyfish instead magbigay ka nalang ocean water
Site CPR in infants
Brachial
Triage Principle
- Hosp:
- Disaster:
first tx is severely injured
first tx is less injured
Bandaging
- Spiral used only sa
- Medial to lateral
- Footβs flexed
- Ptβs distal to proximal or nurseβs proximal to distal
knees, elbow