General Revision Flashcards
What is the name of the QLD legislation relating to WH&S?
Work health and safety act 2011
List the components of the VSS?
Blood pressure, pulse, resp rate, blood sugar levels, oxygen saturation, temperature, echocardiogram, skin assessment and Glasgow coma scale.
What is diastolic blood pressure?
The pressure exerted on arterial walls when the heart relaxes
What is systolic blood pressure?
The pressure exerted on arterial walls when the heart contracts
What is the average tidal volume for a healthy adult?
500mL
What is considered the greatest advancement in trauma during world war 1?
The thomas splint
Who was considered the grandfather of advanced life support?
Dr Frank Pantridge
Who wrote the original paramedic textbook?
Dr Nancy Caroline
What does LASN stand for?
Local ambulance service network
What is our primary survey acronym and what are the components?
DRABC, danger, response, airwar, breathing, circulation
What does the secondary survey compose of?
- focused secondary assessment
- physical examination (head to toe)
- patient hx
What are the components of a neurological assessment?
- Level of consciousness (LOC)
- Pupil size and reactions
- Motor function
- sensory function
- verbal capacity
- VSS
What are the components of a perfusion assessment?
- pulse
- blood pressure
- skin assessment
- level of consciousness (LOC)
What are the components of a respiratory status assessment?
- level of consciousness (LOC)
- general appearance
- speech
- ventilatory rate
- ventilatory rhythm
- ventilatory effort
- skin assessment
- pulse
- breath sounds
What GCS score would you give to a patient who uses inappropriate words as their verbal response?
verbal 3 (v3)
GCS score for reacts to speech?
eye opening 3 (e3)
GCS for withdraws from pain?
motor response 4 (m4)
GCS for extension response to pain?
motor response 2 (m2)
List all GCS scores in order from top to bottom
Eye opening:
- spontaneous 4
- reacts to speech 3
- reacts to pain 2
- no response 1
Verbal response:
- orientated 5
- confused 4
- inappropriate words 3
- incomprehensible 2
- no response 1
Motor response
- obeys commands 6
- localises to pain 5
- withdraws from pain 4
- flexion response 3
- extension response 2
- no responsive 1
List the components of a physical status assessment?
- Systematic
- proximal to distal, superior to inferior
- expose, palpate and auscultate
- sensory and motor function
- pain
What are the 3 focused assessments?
- neurological status assessment (nsa)
- perfusion status assessment (psa)
- respiratory status assessment (rsa)
What does DCAP-BTLS
- deformities
- constusions
- abrasions
- punctures and penetrations
- burns
- tenderness
- lacerations
- swelling
what does sample stand for?
- signs and symptoms
- allergies
- medication
- past medical history
- last ins and outs
- events leading up to incident
What do we use OPQRST for and what does it stand for?
- Pain assessment AND - onset/origin - provocation - quality - radiation - severity - timing
what scale can we use to assess pediatric pain?
- wong baker FACES pain rating scale
what does AMIST stand for? and when do we use it?
- Age
- mechanism of injury
- injuries
- signs and symptoms
- time of event and treatment
AND - used in patient hand over
Name two airway adjuncts and their indication for use?
NPA
- potential or actual airway obstruction
OPA
- maintain airway patency and as a bite block for intubated patients
What are the 3 components of the triple airway manoeuver?
- backwards head tilt
- jaw thrust
- jaw support/chin lift
what percent of oxygen does a BVM (bag valve mask) deliver?
98-100%
List the cylinders of oxygen and their corresponding carry capacity?
- b 200L
- c 400-490L
- d 1500L
Define shock?
- acute circulatory failure with inadequate or inappropriately distributed tissue perfusion resulting in generalised cellular hypoxia
Define tidal volume?
the volume of air inspired or expired in a single resting breath
Define the key difference between hypoxia and hypoxaemia?
- hypoxia is oxygen deprivation on a cellular level
- hypoxaemia is oxygen deprivation in the arterial blood
List 4 types of shock?
- hypovolemic
- cardiogenic
- obstructive
- anaphylactic
- disruptive
What are 3 types of haemorrhage?
- arterial
- venous
- capillary
List the 4H’s and 4T’s
H’s
- hypoxaemia
- hypovolaemia
- hypo/hyperthermia
- hypo/hyperkalaemia and metabolic disorders
T’s
- tamponade
- tension pneumothorax
- toxins, poisons, drugs
- thrombosis pulmonary and coronary
CPR ration for a child with 2 officers?
30 compressions to 2 breaths
Name of a pain receptor?
nociceptor
strength of 1 paracetamol tablet
500mg
side effect of paracetamol?
nausea
contraindications for methoxyflurane?
- known severe allergic reaction
- less than 1 year old
- hx of liver or renal disease
- malignant hyperthermia
total weekly dose of methoxyflurane?
15mL
minimum age for methoxyflurane?
- greather than 1 year old
