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MCA Master 3000 (Y) > Medical Care At Sea > Flashcards

Medical Care At Sea Flashcards

1
Q

Medical reporting considerations

A
  1. MGN564 MAIB accident reporting and investigation
  2. Maritime declaration of health
  3. MSN 1850 MLC health and safety reporting
    4.MSF 4159 Occupational disease reporting
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2
Q

What are standard vital signs you expect to see?

A

Adult:
Pulse = 50-100/min
Respiration = 12-20/min
Temp = 36.0 - 37.5 degrees C
Bloody pressure = 90-140mm Hg
Systolic and 60-90 Hg diastolic
Saturation of oxygen = 94-100%

Child:
Pulse = 70-130/min
Respiration = 20-30/min

Baby:
Pulse = 100-160/min
Respiration = 30-50/min

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3
Q

Catastrophic hemorrhage checklist?

A
  1. Raise alarm
  2. PPE
  3. Lie casualty down, elevate legs
    4.Pack and pressure (haemostats 3-5min) or
  4. Tourniquet time?
    6.Medical assistance confirmed and ETA?
  5. Oxygen non rebreather 15LPM
  6. IV/IO Access Fluids
    9.Pain relief
  7. Cover and support wound
  8. Stretcher
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4
Q

Responsibilities when 1st on scene of incident?

A
  1. Address mechanism of injury (MOI)
    2.Primary survey:
    Danger
    Response
    Airways
    Breathing
    Circulation
    Disabilities
    Environment/ Exposure
  2. Secondary Survey:
    Head to toe
    Vitals
    History of casualty
    Alert
    Voice
    Pain
    Unresponsive
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5
Q

What would you fill out on TMAS(Telemedical Advice Service) report form?

A

ATMIST:
* Age & name
* Time of Injury
* Mechanism of Injury
*Injuries found it suspected
* Signs(Vitals)
* Treatment given

AMPLE:
* Allergies
* Medication currently being taken
* Previous medical history
*Last oral intake
* Events leading up to injury

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6
Q

Heart Pulse:
1. What can cause your pulse rate to increase / decrease?
2. what else do we need to check besides the rate of the heart beat?

A
  1. Pulse to increase:
    * Fever
    * Bleeding
    * Drugs
    *Anciety
    *Emotion

decrease:
* Drugs

  1. We also need to check the rhythm and the strength of the beat
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7
Q

Define Systolic and Diastolic pressure?

What are normal values for both?

A

Systolic:
* the pressure inside the artery when the heart contracts 90-140mm Hg

Diastolic:
* the pressure inside the artery when the heart is re-filling 50-90mm Hg

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8
Q

What can cause blood pressure to increase and decrease?

A

Increase:
* Pain, Anxiety, Emotion, Coronary heart disease

Decrease:
* Bleeding and damage to heart muscle

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9
Q

What is more serious in the short term - high or low blood pressure?

A

Low Blood pressure

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10
Q

Why is high blood pressure sometimes known as the “silent killer”?

A

Can show no symptoms until it is too late as high blood pressure can slowly damage the heart and the arteries over yeas before causing issues

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11
Q

8 possible symptoms of hypertension(Abnormally high blood pressure):

A
  1. Severe headaches
  2. Nosebleed
  3. Fatigue/confusion
  4. Vision problems
    5.Chest Pain
  5. Difficulty breathing
  6. Irregular heart beat
    8.Blood in urine
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12
Q

What does pulse oximeter measure and what is the normal range in an
Adult?

A

Measure level of oxygen in the blood - range 94-100%

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13
Q

Procedure for a chocking Adult?

A
  1. Check for dangers
  2. Ask casualty if they can breath or cough
  3. Start 5 back slaps with flat hand and check mouth after each slap
  4. if nothing comes out , start 5 abdominal thrusts, checking airways after each
  5. if airway still not clear, 5 more back slaps
    6.if airway still blocked and they collapse and not breathing, commence CPR - 30 chest compressions and 2 breathes, continue until casualty starts to breath or medical assistance arrives
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14
Q

Chocking:
What are exceptional circumstances, do we provide 5 breathes first before compressions?

A
  1. Drawing situation
  2. Children up to 12 years of age
  3. babies up to 1 year of age
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15
Q

What is Angina?
What are the signs & symptoms?
How can we treat Angina?

A

A disorder of the cardiovascular system:
* usually caused by atherosclerosis (Narrow arteries, so reduced blood supply to the heart)
*lack of blood to the heart (therefore lack of oxygen) during exercise or exertion
* it is temporary and normally subsides when resting
* it is a warning that the heart is not getting enough oxygen
* can be triggered by stress, extreme cold and heavy meals

Signs & Symptoms:
* heavy or constricting tightness in the chest, this pain can radiate down the arms, back, neck and jaw
* Mild shortness of breath
*Possible nausea or dizziness
* normally continuous pain
* Occur due to exertion or psychological stress

Treatment:
* sit down and rest
* loosen tight clothing
* give nitrates(glyceryl Trinitrate) or prescriptive medicine
*if pain doesn’t subside after a few min - call EMS or TMAS

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16
Q

What is the difference between a heart attack and cardiac arrest?

A

Heart attack:
lack of blood flow to the heart, therefore a circulation problem.

Cardiac arrest:
an irregular heart beat, therefore an electrical problem

MCA Master 3000 (Y) (1 decks)

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