First Aid Flashcards
First Aid
What are some safety factors when handling oxygen equipment?
- No smoking or naked flames near cylinder
- Protect from extreme heat
- Keep free from grease and oils
- Handle with care
- Do not crack open valve (open briefly)
What are the four parts of the Dräger Resuscitator Kit?
- Main Compartment (Resus unit)
- Hard fold out pouch (First Aid equipment)
- Soft fold out pouch (Burns Dressing)
- Orange Soft pouch (Soft neck Collars)
What are the 6 components of the Dräger Resuscitator?
- Oxygen Cylinder
- Pressure Reducer
- Demand Valve (Bag Refill Valve)
- Soft Resus Bag
- Suction
- Ancillary Equipment
What is the purpose of the pressure reducer on the Dräger and what what are some of its features?
- Connects to the Oxygen cylinder via a pin indexed yoke
- Reduces high pressure oxygen to an operational pressure
- Provides Oxygen to three apparatuses simultaneously
Features:
1 - Cylinder contents gauge (max working pressure 200 bar)
2 - Two 5 bar outlet ports (2 HP outlets > demand valve & suction)
3 - One low pressure outlet to Hudson Mask (Oxygen Therapy)
What is the flow rate of the demand valve?
150L/minute
What is the flow rate of the Suction?
15L/min
What is the Operational Testing (Daily Test) check for the Dräger?
- Open Cylinder and ensure cylinder pressure is at least 100 bar
- Check function of oxygen therapy outlet by rotating flow control valve
- Connect demand valve and resus bag - squeeze bag and ensure demand valve refills bag
- Check suction device by pressing operating button while covering suction inlet with finger. Air should come out of suction tube
- Close cylinder
- Release pressure by pressing suction button
- Check all inventory
Three functions of the Dräger?
- Oxygen Therapy (Hudson Mask)
- Oxygen Resuscitation
- Suction
What are some reasons/indications for oxygen therapy?
Breathing spontaneously and:
- Is or has been unconscious for a length of time
- Whose level of consciousness alters
- Is shocked or in danger of becoming shocked
- Complains of chest pain
- Has lost blood
- Has required respiratory resus
- Has required CPR
- Short of Breath
- Suffered from smoke or fume inhalation
- Appears ill or unwell
No harm will come to a patient as a result of being given oxygen
What Oxygen level is being delivered via the Hudson mask
Between 40 to 60%
What are some important safety aspects when providing oxygen therapy?
- Do not leave patient alone after commencing treatment
- Do not allow patient to smoke
- Continue to monitor the patient’s vital signs
- Reassure patient, be positive but do not lie or make unrealistic promises
- Examination by a paramedic is strongly recommended
What are some safety considerations when applying suction to a patient?
- Patients should never be laid on their backs to apply suction as this is considered dangerous and may stimulate vomiting
- Place patient in recovery position
- Do not suction more for 5 seconds at a time
- Suction uses large amounts of oxygen
- Keep collection jar in upright position
What is the procedure for after use of the Dräger?
If Ancillary equipment used:
- Disposed of and replaced by crew using station stores
If Dräger used for resus:
- sent to BA Section for cleaning and restocking
- .Single use items to be diposed of
- place laminated “Resuscitator equipment used” sheet attached to plastic bag.
Infectious/Contaminated Waste:
- bagged in yellow infectious waste bags and ACTFR contaminated tag attached (date, incident number, items)
- BA ute collects:
- in Business hours - disposal at Steri Health in Mitchell
- Outside of business hours - Contaminated waste bins at Fyshwick Station
How often are the Dräger kits checked by the BA Section?
Every 6 months
What does the acronym COWS stand for?
- Can you hear me?
- Open your eyes!
- What’s your name?
- Squeeze my hand!
What do you do if you are in doubt if a casualty is breathing normally?
Treat them as if they are not breathing
What should you do if a casualty is showing any signs of rejecting the oropharyngeal airway?
Remove immediately, check ABCs after first minute and then every 2 minutes
What are some complications with Oropharyngeal airways?
- may not be effective if too small an airway is selected
- may cause obstruction if wrong size or incorrect insertion
- Stimulates gagging if too long or casualty not deeply unconconcious
- may become obstructed with foreign material (vomit, blood)
What points should be noted when filling out documentation (Record of Preliminary Patient Care)?
- Use only ink
- Corrections should be made crossing out with a single line and initialling correction
- never Use correction fluid or dispose of notes already taken
- ensure form is signed and dated (including brigade number)
- Information on forms is confidential
What indicates on the Zoll 3 defibrillator that it is ready for use?
Green Tick in status indicator window
When should you press the “Child button” on the Zoll AED?
If you are using CPR Uni-padz and the patient is less than 8 years old or weighs less than 25kg (55 pounds)
What are some AED Safety considerations?
- Pacemaker Implants
- look for scar on left superior upper region of chest. Keep pad at least 10 cm away from pacemaker
- Piercings - ensure no contact with pads
- Oxygen - Ensure no concentration of O2 around casualty’s chest and remove resus mask when applying shock
- Water/Metal conduction - Do not use AED if casualty or surrounding are saturated with water.
- Do not use if casualty is in contact with metal objects - No contact with casualty when shocking
- Separate the electrodes/connected pads- Ensure pads are not placed over Glyceryl Trinitrate Patch (used to prevent chest pain/angina)
What information can be given to ACTAS/Medical personnel from the AED unit after they arrive?
Shock delivered count (bottom left screen)
Elapsed event time
time (bottom right of display)
Patient event data can also be transferred via USB flash drive if requested by EMS
What is the weight limit of the K.E.D?
227kg
What order are the torso straps fastened?
Yellow - Middle
Red - Bottom
Green - Top Strap
After child birth, what is the procedure for a non breathing newborn baby?
Warm and rub back
Commence EAR
- Expired
- Airway
- Resus
If no response to rescue breaths commence CPR
What is the S.T.A.R.T. procedure in Emergency Triage?
Simple Triage And Rapid Assessment:
- Minor delayed care - can delay up to 3 hours
- Delayed Urgent care - Can delay up to 1 hour
- Immediate care - Life threatening
- Deceased/Expectant - Dead or mortally wounded - no care required
What does the acronym COACHED refer to?
Compressions continue
Oxygen Away
All else clear
Charging
Hands off/I’m safe
Evaluate Rhythm
Defibrillate or Disarm
with CPR swap every 2 minutes
What is the chain of survival?
Early Access
Early CPR
Early Defib
Early Advanced Care
