IEC Flashcards

1
Q

3 Principles of IEC

A

Preserve life
Prevent deterioration
Promote recovery

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2
Q

Consent is to check and act unless refused
Capacity to consent requires them to know:

A

Time
Place
Person

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3
Q

Test of capacity:

A

Communicate info

Retain info

Communicate back

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4
Q

5 Principles of Capacity

Mental Capacity Act 2005

A

• A presumption of capacity

• The right to be supported when making decisions

• An unwise decision cannot be seen as a wrong decision

• Best interests must be at the heart of all decision making

• Any intervention must be with the least restriction possible

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5
Q

Unequivocal sign of death (no CPR):

A

• decomposition
• decapitation
• incineration (95%)
• massive cranial deconstruction

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6
Q

If you find someone who has drowned:

A

5 rescue breaths
CPR 1 minute
Get help

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7
Q

When in doubt

A

Oxygen and reassurance

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8
Q

When to press the child button of AED?

A

8 and under

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9
Q

Patient assessment:

A

Danger
Response
Catastrophic bleed
Airway
Breath and chest movement
Circulation
Disability
Expose and Examine

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10
Q

If mild choking?

A

Encourage coughing

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11
Q

If severe choking?

A

5 black slaps
5 abdominal thrusts

If unconscious start CPR

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12
Q

Where does clinical waste go?

A

Ambulance service

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13
Q

How long is the casualty form kept for?

A

7 years by law

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14
Q

From the patient assessment, what is AVPU?

A

AVPU is a systematic approach relating to Response;

Alert
Verbal
Pinch
Unresponsive

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15
Q

How often do you check on a patient?

A

Every 1 minute

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16
Q

Chain of survival:

A

Early recognition
Early CPR
Early defibrillation
Early advanced care (hospital)

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17
Q

Oxygen in the cylinder is?

A

15L

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18
Q

NP and OP stand for what?

A

NP = nasopharyngeal
OP = oropharyngeal

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19
Q

Can’t use an NP when?

A

Basal fracture
Children (under 12)

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20
Q

Can’t use an OP when?

A

There is no jaw
Trismus has occurred
If conscious

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21
Q

How to measure up an OP and NP?

A

OP = hard to hard (bottom of jaw to front tooth)
NP = soft to soft (bit in front of ear to tip of nose)

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22
Q

COPD stands for?

A

Chronic
Obstructive
Pulmonary
Disease

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23
Q

How many lobes do the lungs have?

A

3 on the right
2 on the left

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24
Q

Oxygen breathed in?
Oxygen breathed out?

A

21% in
16% out

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25
Q

The only vein that carried oxygenated blood?

A

Pulmonary vein

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26
Q

External respiration takes place in the?
Internal respiration takes place in the?

A

External = lungs
Internal = tissues

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27
Q

Assessing patients breathing (secondary assessment):

A

Rate
Effort
Sounds
Position
Sats

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28
Q

Assessing patients breathing (primary assessment):

A

Look for chest movement
Listen to breathing
Feel for chest movement

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29
Q

Red blood cells are called?

A

Erythrocytes

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30
Q

Hypoxia is?
Symptoms are?

A

Lack of oxygen
• Euphoria
• Blue skin

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31
Q

The normal oxygen range for someone with COPD?

A

88% - 92%

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32
Q

The normal oxygen range is?

A

95% and above

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33
Q

Breathing is a function of the?

A

Diaphragm
and
Intercostals

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34
Q

The normal respiratory rate is?

A

12 to 20 breaths per minute

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35
Q

Signs of respiratory arrest for babies are?

A

Grunting
Chest sucking
Use of accessory muscles

36
Q

Signs of smoke inhalation:

A

Scorched facial hair
Blisters
Difficulty breathing
Soot in or around the nose
Coughing; possibly bringing up blackened sputum

37
Q

Asthma can be affected by?

A

Weather
Cold
Heat

38
Q

How to recognise airway obstruction?

A

Snorting
Swelling

39
Q

Hyperventilation is?
Symptoms are?

A

Too much oxygen
• tingly
• sweaty
• high heart rate

40
Q

Where to take the pulse for;
Adult?
Child?

A

Adult = radial
Child = brachial

41
Q

The two types of oxygen masks are?

A

BVM (bag-valve-mask)
None rebreather

42
Q

CPR

A

Cardio Pulmonary Resuscitation

43
Q

Heart attack

A

Myocardial infarction

44
Q

If no oxygen, brain damage occurs within?

A

3 minutes

45
Q

AED is used to treat?

A

VF = ventricular fibrillation
VT = ventricular tachycardia

  • Must be unconscious
46
Q

How far must you push when doing CPR?

A

5 - 6cm or ⅓ of chest

47
Q

CPR ratio and compressions in a minute?

A

30:2
100/120 per minute

48
Q

ROSC

A

Return
Of
Spontaneous
Circulation

49
Q

Sign of cardiac arrest?

A

None-purposeful movements

50
Q

Swap CPR every X minutes?

A

2 minutes

  • AED does analysis every 2 minutes
51
Q

CPR on pregnant women

A

Lump to left at 30° (something under right hip)

52
Q

Drowning patient

A

5 rescue breaths first before CPR

53
Q

CPR ratio for infants and children

A

15:2

  • Infant 0-1
    Child 1-18
54
Q

Every minute heart not pumping, how much dies?

A

10%

55
Q

AED commands

A

“stand clear, oxygen away”

56
Q

Pregnant women have ?% more blood and can lose ?% of blood before hypovolemic shock

A

50%

35%

57
Q

ATMISST for LAS transfer

A

Age
Time
Mechanism of injury
Injury
Signs
Symptoms
Treatment

58
Q

Oxygen for baby

A

Woft mask to avoid burns to skin and eyes

59
Q

5 types of shock:

A

Hypovolemic
Cardiogenic
Neurogenic
Septic
Anaphylaxis

60
Q

Babies head during CPR

A

Head must be neutral
Put something under head

61
Q

Lateral impact

A

Possible damage to pelvis, head, and spine

62
Q

Peha-haft

A

Dressing that sicks to itself, ideal for head injuries and direct pressure

63
Q

Positional asphyxia

A

Stopping chest rising and falling

64
Q

Contrecoup

A

Head injury

65
Q

What is the most critical chest injury?

A

Tension (pneumo/haemo) thorax

66
Q

MILS

A

Manual
In
Line
Stabilisation

67
Q

Pulmonary Embolism

A

Blockage in the lung artery

68
Q

SAMPLE

A

Signs and Symptoms
Allergies
Medication
Past medical history
Last time they ate/drank
Event

  • Symptoms = can’t see
    Signs = can see
69
Q

A seizure is an…

A

… electrical disturbance in the brain

  • Always time a seizure. 5 minutes until LAS administrator drugs
70
Q

Fainting is

A

A loss of oxygen (blood pressure) to the brain.
I.e. transient loss of consciousness

71
Q

Myocardial infarction (MI) symptoms are

A

Chest pain
Pale/clammy
Respiratory rate up
Nausea/vomit

72
Q

Angina

A

Narrow arteries - spray GTN
Same signs and symptoms of an MI

73
Q

Hyperglycaemia

A

Sugar too high
• pear drop breath
• fidgety
• sweaty
• high heart rate
• urination

74
Q

Hypoglycemia

A

Sugar too low
• angry
• headache
• tired
• irritable
• confused

75
Q

Stroke

A

Blockage of blood flow to the brain or bleed in the brain

76
Q

Stroke check
FAST and PEARL

A

Face
Arms
Speech
Time

Pupils
Equals
And
Reactive to
Light

77
Q

T.I.A.

A

Transient ischemic attack (mini-stroke)

78
Q

Stroke patient needs to be seen within

A

10 hours

79
Q

Heat stroke
Heat exhaustion
Normal range
Hypothermia

A

Organ shutdown 41°c - 42°c
Heat stroke 40°c
Heat exhaustion 38°c and above
Normal range 36.5°c - 37.5°c
Hypothermia 35°c and below
Shivering stop at 34°c ~

80
Q

Burn types

A

Superficial - sunburn
Partial thickness - down to dermal layer
Full thickness - nerve ending damage

81
Q

How to treat burns

A

Cool burn for 20 minutes with tepid water
• can cool a burn for up to 3 hours after
• cling film - prevent dirt and hides nerves

82
Q

60% full thickness burn =

A

Death (likely due to infection)

83
Q

How to measure a burn

A

Their palm = 1%

Rule of 9:
Back = 18%
Chest = 18%

84
Q

Chemical burns

A

Don’t clingfilm

85
Q

Ten Second Triage (TST)

A

P1 immediate
P2 urgent
P3 delayed/walking
P4 not breathing

86
Q

Necrosis

A

Death of body tissue