General Patient Management Flashcards
What hospital is medical control for all pediatric patients?
Children’s National Medical Center (H02)
In cases of lightening strikes, what process should be used?
Reverse triage process, those in cardiac arrest should be treated first
What does AVPU used for and mean?
Assessing a Pt’s mental status
- A - Alert
- V- Responsive to verbal stimulus
- P - Responsive to painful stimulus
- U - Unresponsive
When assessing the air way, what should be done if cervical trauma is suspected?
Manually stabilize the spine.
What shall “sucking wounds” be sealed with?
Occlusive dressing
What shall “flail segments” be splinted with?
Heavy Bulky Dressing
If a Pt has been intubated with a King Airway or Endotracheal Tube, what should also be applied?
A cervical collar with the intent of stabilizing the head and neck
What does the mnemonic “DCAPBTLSIC” stand for?
D-Deformities, C-Contusions, A-Abrasions,P-Penetrations/Punctures, B-Burns, T-Tenderness, L-Lacerations, S-Swelling/Edema, I-Instability, C-Crepitus
What does the mnemonic “OPQRST-I” stand for?
O-Onset, P-Provocation/Palliative, Q-Quality, R-Region/Radiation/Referral, S-Severity, T-Timing, I-Interventions
What does the mnemonic “SAMPLE” stand for?
S-Signs/Symptoms, A-Allergies, M-Medication, P-Past Medical History, L-Last Oral Intake, E-Events leading up to injury or illness
How often should vital signs be monitored?
Every 5 minutes for critical patients, every 15 minutes for all other patients
For children 1-10 years old, how can you determine the lower limit of an acceptable blood pressure reading?
Minimal Systolic BP = 70 + (2 x age in years)
Where should major trauma and burn patients 15 years of age or older should be transported to?
A trauma or burn center capable of handling adult patients
Where should patients with isolated eye trauma be transported to?
Howard University Hospital
Where should Adult Sexual Assault Patients with minor or no trauma be transported to?
Washington Hospital Center (H13)
Where should Patients with LVAD’s be transported to?
Washington Hospital Center (H13)
If cervical spine trauma is indicated, what will be used to open the airway?
Modified Jaw Thrust
What are Adult, Child and Infant suctioning time limits?
Adult - 15 seconds
Child - 10 seconds
Infant - 6 seconds
What are artificial ventilation rates for Adults, Children and Infants using BVMs?
Adult - 1 breath every 6-8 seconds
Child - 1 breath every 3-5 seconds
Infants - 1 breath every 3-5 seconds
When administering supplemental O2, what SPO2 rate must be maintained?
greater than 94%
What hospitals are STEMI/ROSC
- Howard (H-5)
- GW (H-8)
- Washington Hospital Center (H-13)
What hospitals are STROKE centers?
- Howard (H-5)
- Georgetown (H-7)
- GW (H-8)
- Providence (H-10)
- Sibley (H-12)
- Washington Hospital Center (H-13)
What hospital has hyperbaric capabilities?
George Washington University Hospital (H-8)
What hospital is the Adult Sexual Assault Center?
Washington Hospital Center
What hospitals handle eye trauma?
- Medstar (H-4)
- Howard (H-5)
- George Washington (H-8)
What hospital is the LVAD center?
Washington Hospital Center (H-13)
What hospitals handle adult psychiatric patients?
- United Medical Center (H-1)
- George Washington (H-8)
- Providence (H-10)
- Washington Hospital Center (H-13)
What hospitals handle pediatric psychiatric patients?
- Children’s National Medical Center (H-2)
2. Psychiatric Institute of Washington (H-6)