introduction Flashcards

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1
Q

the international federation for emergency medicine defined emergency medicine as?
(1991)

A

a field of practice based on skills and knowledge to manage, diagnose and prevent acute and urgent illness/injury of patients from all ages physically or mentally

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2
Q

what is the goal of emergency medicine?

A

asses patients rapidly/accurately
equips drs with skills and knowledge for urgent needs
resuscitate and stabilize patients according to priority

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3
Q

what is an emergency?

A

an unexpected, difficult and dangerous accident which happens suddenly and requires quick action

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4
Q

what is the goal of an emergency response procedure?

A

diminish the impact of an accident to people and the environment

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5
Q

what is a traffic incident?

A

a collision involving two or more vehicles/ moving objects

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6
Q

how many people die each year as a result or road traffic accidents?

A

1.3 million people

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7
Q

how are traffic accidents managed?

A

by ABCD manner

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8
Q

when do electrical burns happen?

A

electrical burns happen when a source of electrical power makes contact with someone and a current is transmitted through their body

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9
Q

what are lifesaving measures for patients with burn injuries?

A

stop the burning process
ensure the airway and ventilation are adequate
manage circulation by gaining intravenoud access

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10
Q

what is a common cause of death?

A

drowning

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11
Q

what is the most important detrimental consequence of drowning?

A

hypoxia

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12
Q

what is the secondary event/consequence of downing?

A

cardiac arrest

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13
Q

what is a critical factor in determining a drowning patients outcome?

A

the duration of hypoxia

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14
Q

what should be restored asap in a drowning victim since hypoxias duration is a critical factor?

A

oxygenation, ventilation and perfusion

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15
Q

how is a drowning patient managed?

A
WATER is used 
watch
airway
talk
exit air
rescue breaths
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16
Q

in major incidents what should be done?

A

preparation, triage and abdc

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17
Q

patients treatment priorities are established based on what?

A

their injuries, vital signs and injury mechanisms

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18
Q

during the primary survey, life threatening conditions are identified and treated in a prioritized sequence based on what?

A

the effect of injuries on the patients physiology

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19
Q

a patients vital signs must be assessed in what way?

A

a quick and efficient way

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20
Q

what is a primary survey?

A
ABCDE
airway
breathing
circulation
disability
exposure
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21
Q

what is the secondary survey and what does it include?

A

its a survey that begins after the primary survey is completed after resuscitation and vital function improvement is done and it includes history, AMPLE and physical examination

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22
Q

what is important in 1st aid poisoning?

A

type of poisoning and management

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23
Q

what are slings used for?

A

supporting an injured arm or wrist
immobilizing fractures
elevating to control external bleeding

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24
Q

what is a common complaint in the ED?

A

seizures

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25
Q

the diagnosis of a seizure has significant implications for an individual in terms of what?

A

lifestyle, employment, driving, insurance and medication

26
Q

because the diagnosis of seizures effects the patients whole lifestyle, work, driving, medication …. etc. it should only be done when?

A

there is certainty

27
Q

what is key to distinguishing between a seizure and a collapse?

A

history taking

28
Q

fracture and dislocation

A
type of fracture
site
type of joint
type of dislocation
management
29
Q

injuries and fractures

A

primary survey
adjuncts to the primary survey
secondary survey
definitive treatment

30
Q

burns

A

type of burn
degree of burn
management
complication

31
Q

bites and stings

A

ER

first aid

32
Q

head injury

A

type of injury
mechanism
management

33
Q

what does AED stand for?

A

automated external defibrillator

34
Q

what is an AED?

A

a lightweight, portable device that delivers an electrical shock through the chest and heart
it can stop a irregular heart beat (arrhythmia) and allow a normal rhythm to resume following a cardiac arrest (SCA)

35
Q

electrical incident is managed by what?

A

ABCDE

36
Q

what is the life saving step in a burning incident?

A

to stop the burning process

fluids are imp too because skin will be dehydrated and tight

37
Q

since drowning patients may have spine injuries because they might have hit their heads how is Airway managed?

A

jaw thrust

38
Q

how is CPR in drowning?

A

rescue breaths first then chest compressions

39
Q

what is a major incident?

A

a group of people

40
Q

primary survey is?

A

rapid and fast to stabilize the patient

41
Q

D in ABCD is divided into?

A

ALS and traumatic
ALS is random blood sugar + GCS
traumatic is only GCS

42
Q

secondary survey is more?

A

detailed (from head to toe)

43
Q

what is not to be done on a poisoning patient?

A

make them drink something or make them throw up because may cause aspiration pneumonia

44
Q

gastric lavage is only done if?

A

the patient is brought to the hospital within the first hour of non liquid poison (liquid instantly gets absorbed)

45
Q

what is activated charcoal?

A

a poison antidot

46
Q

greenstick for fractures is used in?

A

children

47
Q

what is a seizure?

A

abnormal body movement

48
Q

what are the 2 seizure guidelines?

A

dont put anything in mouth

put them in left lateral position

49
Q

what type of fracture bleeds alot?

A

femoral fractures

50
Q

why is facial injury dangerous?

A

becuase of the airway

51
Q

intubation is done in?

A

ASL

52
Q

in a very bad face injury what is done instead of intubation?

A

Tracy ostomy

53
Q

what is the most dangerous type of chemical burns?

A

alkaline burns aka basic chemical burns

54
Q

what are the degrees of burns?

A

3 degrees
sunburn
superficial and deep areas of skin muscle and shit
qurbasar

55
Q

what is the parkland formula?

A

4ml x TBSA (%) x body weight (kg); 50% given in first eight hours; 50% given in next 16 hours

56
Q

in bites and stings?

A

u should get away from danger

dont suck nor cut

57
Q

what is acceleration head injury?

A

a type of head injury that causes concussion and post traumatic amnesia

58
Q

what to do in head injury?

A

airway and oxygen
CT scan
dont move head due to possible spine injury

59
Q

AED should be?

A

portable

60
Q

ambulance equipment?

A
oxygen
splinter
spinal board
suction
monitor..... etc.