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Emergency Procedures > Final > Flashcards

Final Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

Patient is unconscious, no suspected trauma. How do you open their airway if it’s an adult?

A

Head tilt and chin lift

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2
Q

Patient is unconscious, no suspected trauma. How do you open their airway if it’s a child?

A

Head tilt and chin lift

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3
Q

Patient is unconscious, no suspected trauma. How do you open their airway if it’s an infant?

A

Keep head neutral

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4
Q

Patient is unconscious, no suspected trauma. How do you open their airway if you suspect trauma?

A

Don’t told head. Do modified jaw thrust.

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5
Q

What is the fuel that all cells need?

A

Glucose

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6
Q

A person loses consciousness, but remains upon lying supine. What type of shock?

A

Psychogenic shock (temporary diminished oxygen to the brain)

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7
Q

Which statement about anaphylactic shock is correct?

A

It has a very rapid onset.

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8
Q

Signs and symptoms of anaphylactic shock?

A

Facial swelling (allergic reaction)

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9
Q

In order to compensate for blood loss, what does the heart do?

A

Increases its rate.

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10
Q

Shock due to hemorrhage occurs…

A

When the blood escapes from the normally closed circulatory system.

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11
Q

The MCC of shock is?

A

Hemorrhage

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12
Q

Least serious form of shock?

A

Psychogenic shock.

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13
Q

When shock gets more severe, what happens to respiration?

A

Depression of respiration

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14
Q

What is the earliest and most common symptom of shock?

A

Nausea

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15
Q

What is the most reliable symptom of shock?

A

Blood pressure

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16
Q

Face is pale?

A

Raise the tail (legs)

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17
Q

Face is red?

A

Raise the head

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18
Q

Face is fine

A

Leave them supine

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19
Q

How does oxygen benefit the shock patient?

A

Saturates the reduced number of blood cells.

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20
Q

100% Oxygen tank color?

A

Green

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21
Q

When is an IV contraindicated?

A

High blood pressure, head trauma, or stroke

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22
Q

When a person has an allergic reaction to a bee sting, what is the most commonly used drug in this situation?

A

Epinephrine (causes the bronchial tree to dilate)

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23
Q

Why is it so important to get someone who is internally hemorrhaging or in shock to the hospital?

A

There isn’t much you can do for them in the field.

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24
Q

T or F: Inadequate amount of insulin = Insulin shock

A

FALSE (caused by too much insulin)

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25
Q

Which diabetic is Insulin dependent?

A

Type I diabetes

26
Q

Which type of diabetic is controlled with medication?

A

Type II

27
Q

Best way to treat external hemorrhage?

A

Targeted direct pressure

28
Q

Breech birth

A

Butt first

29
Q

Most commonly used splint

A

Air splint

30
Q

Cells get energy from where if there is no glucose?

A

Fat –> Creates Ketones

31
Q

Burn with red skin

A

1st Degree

32
Q

Burn with red skin and blisters

A

2nd degree

33
Q

Skin is charred down to subcutaneous tissue

A

3rd degree

34
Q

T or F: In emergency birth, you give the child oxygen to induce hypoxia.

A

FALSE; you give it to reverse hypoxia

35
Q

While performing CPR, you hear a pop and think you fractured a rib. What do you do next?

A

Stop, reassess hand position and continue

36
Q

Thing that goes on top of a wound?

A

Dressing

37
Q

Most common dressing?

A

4x4

38
Q

Thing that holds the dressing in place?

A

Bandage

39
Q

What kind of shock is caused by subluxation or insult to supportive anatomy of the spine?

A

Neurogenic

40
Q

During childbirth, you see an arm or leg. What do you do?

A

Load and go (treat with oxygen, treat for shock, get them to the hospital ASAP)

41
Q

AED is used for…

A

V-fib

42
Q

T or F: You cannot tell a difference between cardiac arrest and v-fib?

A

True

43
Q

When should oxygen be given?

A

Cardiac episode, respiratory distress, or trauma

44
Q

During childbirth, the mother starts to hemorrhage. What do you do?

A

Massage the uterus, treat for shock, give oxygen

45
Q

What is the average labor for first child?

A

12-15 hours

46
Q

What is the average labor for having a second child?

A

6 hours

47
Q

What is the average labor for having a third child?

A

3 hours

48
Q

What is the special organ of pregnancy?

A

Placenta

49
Q

Cut with blood spurting?

A

Arterial

50
Q

Cut with blood flowing?

A

Venous

51
Q

Cut with blood oozing?

A

Capillaries

52
Q

Pt. was in a bar fight. He has cuts on his eye with hemorrhage. What do you do?

A

Treat for shock. Apply occlusive dressing…

53
Q

What is an occlusive dressing?

A

A cup with a hole in the middle. Placed over the eye to keep it from moving (stops sympathetic motion of the eye)

54
Q

What do you to for a chemical splash to the eye?

A

Continuously irrigate the eye fro 10-15 minutes while waiting for help to arrive

55
Q

BSA evaluation

  • Approximate %s
  • Remember: Rule of 9 for Adults
A 
Head = 9%
Each arm = 9%
Each leg = 18%
Chest = 9%
Abdominal area = 9%
Back torso = 18%
56
Q

BSA for child or infant

- Approximate %s

A 
Head = 18%
Front torso = 18%
Back torso = 18%
Each arm = 9%
Each leg = 14%
57
Q

You come upon a burn victim w/ clothes that are still smoking. What do you do?

A

Immediately undress them to prevent inhalation of toxic fumes.

58
Q

Consciousness scale:

A 
I = Drowsy, confused
II = Unconscious, but responds to mild stimulus
III = Unconscious, but responds to severe/painful stimulus
IV = Unconscious and unresponsive
59
Q

Describe a primary survey

A

Make sure scene is safe for you, search out all life-threatening conditions, and treat them.

A = Airway, B = breathing, C = circulation, and then loss of consciousness

60
Q

Describe a secondary survey

A

Looking for all other injuries, non-life-threatening. Head-to-toe examination.

Emergency Procedures (3 decks)

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