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Emirates > GMT Management > Flashcards

GMT Management Flashcards

1
Q

Partial Blockage

A

Encourage casualty to continue coughing, as this will help to dislodge the obstruction.
Reassure do not leave casualty unattended.

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2
Q

Total Blockage

A

If the adult becomes weak or stops coughing
Give Abdominal/chest thrusts in adults/children
Give 5 back slaps and 5 chest thrust to babies

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3
Q

Alcohol intoxication

A
  1. Offer non-alcoholic drinks i.e. water, soft drinks, etc.
  2. Delay and dilute alcoholic drinks.
  3. Distract by conversation.
  4. Omit alcohol if possible.
  5. If casualty becomes unconscious, maintain airway opened and place in the recovery position – check A.B.C.
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4
Q

Air sickness

A
  1. Recline seat.
  2. Loosen clothing at the neck and waist.
  3. Open air vent for fresh air.
  4. Advise the casualty to breathe deeply and slowly and to look at a fixed object.
  5. Have an air sickness bag available.
  6. Stugeron can be given on flights over 4 hours. Not for children under 5, pregnant, recent alcohol, less than 4 hours to destination and allergies.
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5
Q

Anaphylactic reaction/allergic shock

A
  1. Gain a history from the casualty.
  2. Ask casualty if he has his own medication (Epipen), if so encourage him to
    administer it
  3. If the casualty has a history of Anaphylactic reaction but does not have his Epipen
    with him he can be given the Epipen from the EMK and administer it himself (or a
    family member or friend trained to do so). Permission will not be required for this.
  4. Inform the SCCM and Captain.
  5. Contact Medlink.
  6. Monitor ABC.
  7. Sit casualty upright.
  8. Administer oxygen.
  9. Treat for Shock.
  10. Advise the casualty to consult a physician at the end of the flight.
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6
Q

Appendicitis

A
  1. Give nothing to eat or drink and no medicine.
  2. Let casualty assume most comfortable position.
  3. Keep casualty warm.
  4. Contact Medlink-Case for Diversion at Captains discretion.
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7
Q

Asthma

A
  1. Ask casualty if they have a history of Asthma.
  2. Ask casualty to take their own prescribed medication/inhaler.
  3. Give Ventolin inhaler (FAP, FAK) if own medication is not available. Allow the casualty
    to self-administer as many puffs as he/she require as necessary.
  4. Use E-Z spacer (Supplementary EMK). Sub-section 202 page 28.
  5. Reassure and calm casualty constantly.
  6. Advise casualty to sit upright leaning slightly forward to assist breathing.
  7. Administer oxygen (high flow).
  8. Loosen tight/restrictive clothing.
  9. Monitor pulse and breathing rate.
  10. If the casualty becomes unconscious, follow DRSABCD plan and treat as necessary.
    Contact Medlink if:
  11. Casualty has no previous history of asthma.
  12. No improvement after 2 puffs of Ventolin/ Asthavent inhaler.
  13. Casualty cannot complete a sentence.
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8
Q

Colds

A
  1. Keep casualty warm.
  2. Give Panadol tablets for adults, Calpol/Adol for babies and children. See Sub-
    Section 202 page 24 for dosage and administration.
  3. Give plenty of fluids to drink.
  4. Use Otrivin/ Xylolin spray if necessary.
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9
Q

Deep vein thrombosis

A
  1. Monitor ABC.
  2. Give Oxygen.
  3. Rest and elevate affected leg.
  4. Contact Medlink.
  5. Medical Professional may prescribe medications to prevent more clots from forming.
  6. Case for Diversion at Captain’s Discretion.
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10
Q

Hypoglycemia

A
  1. Give sweet drinks or sugar, honey.
  2. Give more substantial food, e.g. a meal, sandwich.
  3. If unconscious, treat as the unconscious casualty.
  4. Contact Medlink
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11
Q

Hyperglycaemia

A
  1. Encourage casualty to take own Insulin.
  2. Encourage the casualty to drink plenty of water.
  3. If unconscious, treat as unconscious casualty.
  4. Contact Medlink.
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12
Q

Diarrhoea

A
  1. Give Imodium.
  2. Offer constipating food e.g. rice.
  3. Offer fluids.
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13
Q

Drug overdose

A
  1. Place in a comfortable position.
  2. Monitor ABC.
  3. Ask casualty about drug taken, quantity.
  4. Contact Medlink.
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14
Q

Ear distress

A
  1. Yawning.
  2. Swallowing.
  3. “Popping” - hold nose, close lips and force air gently out (also known as the
    Valsalva Maneuver).
  4. Move the jaw out and from side to side.
  5. Infants crying/feeding will help to relieve pain.
  6. Contact Medlink if necessary.
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15
Q

Fainting

Fainting is a brief loss of consciousness due to a sudden drop in blood pressure.

A
  1. Immediately check D.R.S.A.B.C.D.
  2. If the casualty is responsive and has breathing and signs of circulation present,
    elevate legs
  3. Should you find the casualty is unresponsive with breathing and signs of circulation
    present, place in recovery position
  4. Sometimes a casualty may ‘feel faint’; the correct position for this casualty is to lay
    flat and elevate legs.
  5. Give oxygen.
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16
Q

Fits and seizures

A
  1. Protect from injury, i.e. remove sharp objects, and pad with pillows and blankets.
  2. If possible protect the head. Make space around the casualty.
  3. Once fit is over, immediately check A.B.C, place in Recovery position if breathing is
    present and allow casualty to awaken naturally.
  4. Stay with casualty and monitor condition until fully recovered.
  5. Give Oxygen.
    Contact Medlink if
  6. There is no past history of fitting.
  7. Repeated fits occurs.
  8. The fit lasts longer than 5 minutes.
  9. A child has a fit for the first time.
  10. The casualty is pregnant.
  11. The fit occur post head injury.
  12. Casualty does not regain
    consciousness after 10 minutes.
17
Q

Food poisoning

A
  1. Give fluids. (If the passenger can tolerate them)
  2. Have an air sickness bag available.
  3. Buscopan can be given for abdominal cramps. Imodium can be given for diarrhoea if
    necessary. See subsection 202 page 16 for dosage and precautions.
18
Q

Angina
The name means Chest pain of a crushing nature, experienced when narrowed coronary arteries are unable to deliver sufficient oxygenated blood to the heart muscle. The heart is unable to meet the demands of physical exertion, stress, or excitement. This is particularly so as a result of mild Hypoxia associated with cabin altitude.

A
  1. Ask casualty for medical history.
  2. Give oxygen. (High flow).
  3. Encourage casualty to take his/her own medication. If pain is not relieved by
    medication, rest and oxygen after 15 minutes, treat as suspected heart attack.
  4. Reassure.
  5. Monitor closely and encourage casualty to sit upright.
  6. Keep casualty at rest, minimize exertion.
  7. Contact Medlink. Medlink may advise another tablet to be administered.
  8. Inform Captain and SCCM.
19
Q

Heart attack

A Heart Attack occurs when the blood supply to the heart muscle, is suddenly cut off.

A
  1. Ask Casualty for Medical History.
  2. If the casualty is conscious, help the casualty into an up right comfortable position
    with head and shoulders supported.
  3. Ask casualty to take own
    medication.
  4. Reassure casualty.
  5. Give Oxygen (High Flow).
  6. Treat for Shock.
  7. Contact Medlink.
  8. Give aspirin from the FAK or EMK.
  9. Inform Captain and SCCM.
  10. Monitor ABC very closely.
20
Q

Cardiac arrest

This term describes a sudden stoppage of the Heart.

A
  1. Start C.P.R.
  2. Start defibrillation.
  3. Perform rescue breaths with the oxygen attached to the pocket mask. See Sub-
    Section 205 page 1
  4. Contact Medlink.
  5. Inform Captain and SCCM.
21
Q

Heat exhaustion
This condition occurs due to loss of fluid and salts from excessive sweating, caused by exposure to excessive heat and humidity. It is gradual in onset

A
  1. Lay person flat in a cool place, elevate the legs.
  2. If the casualty is ‘fully conscious’ give small sips of fluids to re-hydrate him/her.
  3. If the casualty falls unconscious, check A.B.C. and place in recovery position if
    breathing is present.
  4. Careful attention should be given to the casualty with heat exhaustion, since this can
    develop into a ‘heat stroke’ - a more critical condition.
22
Q

Heat stroke

A condition caused by exposure to high ambient temperature/humidity and is sudden in onset.

A
  1. Use cool compresses e.g. wet towels.
  2. Keep head cool.
  3. Give cool drinks.
  4. Open air vent.
  5. Remove excess clothing.
  6. If the casualty is conscious, place in a half sitting position with head and shoulders
    supported.
  7. If the casualty becomes unconscious, check A.B.C. and place in recovery position if
    breathing is present.
  8. Give oxygen.
  9. Contact Medlink.
23
Q

Hyperventilation

A
  1. Ask casualty to breathe slowly in and out to control breathing rate.
  2. Reassurance plays a big part in the management of hyperventilation since the
    casualty may be very anxious, which in turn, increases the hyperventilation.
  3. Administer oxygen if the casualty complains of tingling and spasm in the hands
    and feet and is still hyperventilating, as prolonged hyperventilation maybe a
    sign of hypoxia.
  4. If the symptoms persist and hypoxia is suspected, contact the captain
    immediately and inform him of the situation.
24
Q

Hypoxia

A
  1. Maintain an open Airway.
  2. Treat the cause if possible.
  3. Give oxygen, high flow.
  4. Contact Medlink.
25
Q

Hysterical attacks

A
  1. Monitor situation.

2. Do not give more attention than necessary.

26
Q

Indigestion

A

Offer Maalox, Gastro gel tablets. See subsection 202 page 21 for dosage and precautions.

27
Q

Medical Shock
Described as a reduction in the amount of circulating blood volume. This can be the result of a sudden fall in blood pressure or loss of blood and bodily fluids.

A
  1. Reassure the casualty, Speak quietly and act calmly.
  2. Lay casualty flat and elevate the legs to assist blood flow to the vital organs
    especially the brain.
  3. Prevent further loss of blood volume by:
    • Controlling any bleeding.
    • Cooling burns.
  4. The casualty may feel cold, cover with a blanket, do not artificially heat or overheat
    the casualty.
  5. Monitor closely.
  6. Contact Medlink.
  7. Give nothing to eat or drink.
  8. If the casualty is unconscious and they are breathing, monitor ABC and give
    oxygen place in the recovery position.
28
Q

Stroke

A bleeding artery or blood clot in the brain. Usually affects middle-aged or elderly.

A
  1. Reassure.
  2. Nothing to be given by mouth
  3. Lay casualty flat and raise head slightly if possible.
  4. Give oxygen, high flow.
  5. Monitor closely.
  6. Contact Medlink.
29
Q

Hypothermia

A
  1. Prevent the casualty losing more body heat.
  2. Re-warm the casualty slowly by covering with blankets (cover head for additional
    warmth) .
  3. Offer warm drinks.
  4. Contact Medlink if necessary.
  5. Administer Oxygen.
  6. Do not over heat.
30
Q

Febrile convulsions

A

To protect the child from injury
To cool the child’s body temperature down
1. During the fit:
- Position pillows around the child/ baby to protect from injury.
- Ask the parents to remove excess clothing and blankets leaving only
underpants or nappy.
- Sponge the child with tepid (Luke warm) water, starting at the forehead,
moving downwards.
- Contact Medlink.
- Ensure you that you do not restrain the child/ baby and avoid over-cooling.
2. Once seizure has stopped:
- Keep the airway open by placing the child in recovery position or holding the
baby on their side.
- Monitor child/ baby and reassure parents/ guardians.
- When baby is fully conscious, administer Calpol/ Adol (see subsection 202,
page 24 for dosage and precautions).
- Arrange for Medical Assistance on ground.

Emirates (17 decks)

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