Medical Emergencies Flashcards

1
Q

What are Identifying signs?

A

Skin colour [pink, grey, red, pale, blue]
- Pace of breathing
- Suddenness of any collapse
- Actions before collapse
- Condition of pulse

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2
Q

What are Identifying symptoms?

A
  • Pain and location of pain
  • Nausea
  • Drowsiness
  • Difficulty breathing
  • Dizziness
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3
Q

Vasovagal syncope

A

Signs: pale and clammy skin, weak and thready pulse, loss of consciousness

Symptoms: Dizziness, tunnel vision, nausea

Treatment: Unconscious – Leg elevation, water, Loosen tight clothes

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4
Q

Asthmatic attack

A

Signs: Breathless with wheezing on expiration, cyanosis (blueness of lips), restlessness

Symptoms: Difficulty in breathing, feeling of suffocating or drowning

Treatment: Administer Salbutamol, give oxygen, 999 if recovery isn’t rapid

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5
Q

Anaphylaxis

A

Signs: Rapid face swelling, formation of a rash, gasping, collapse

Symptoms: sudden-onset breathing difficulties, becoming severe, tingling of extremities

Treatment: 999, Administer intramuscular adrenaline, give oxygen, Bls if necessary

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6
Q

Epileptic fit

A

Signs: sudden loss of consciousness (tonic – ridged and convulses)

Symptoms: Altered mood (aura), dazed, sleepy, no memory of fit

Treatment: If not recovered in 5mins call 999

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7
Q

Myocardial infraction

A

Signs: Congested facial appearance, chest clenching, Grey, possible collapse

Symptoms: Chest pain not relieved by GTN spray

Treatment: call 999, administer aspirin tablet, give oxygen, BSL if necessary

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8
Q

Angina

A

Signs: Like myocardial infraction, irregular pulse, shallow breathing

Symptoms: Crushing chest pain may travel into left arm or jaw, nausea, breathlessness

Treatment: Administer Glyceryl trinitrate (GTN) spray, give oxygen, call 999, begin BLS

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9
Q

Hypoglycaemia and diabetic coma

A

Signs: Trembling, cold and clammy skin, irritable to the point of aggression, drowsy, slurred speech, may appear drunk

Symptoms: Confusion, disorientated, blurred or double vision

Treatment: Glucogel tube (if conscious) administer intramuscular glucagon (unconscious)

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10
Q

Stroke

A

Signs: Sudden weakness of the face or limbs on one-side, difficulty speaking, sudden loss of balance/fall (fast- face, arms, speech, time 999)

Symptoms: numbness of face or limbs, sudden headache/visual disturbance, confusion, dizziness

Treatment: give oxygen, call 999

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11
Q

Adrenal crisis

A

Signs: Low blood pressure (hypotension)

Symptoms: Nausea, Abdominal pain, Feeling lethargic and weak

Treatment: Call 999, lay patient supine, oxygen, BLS and defibrillation

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12
Q

Chocking

A

Signs: Sudden coughing/wheezing, laboured breathing, inability to speak, blue lips

Symptoms: Breathing difficulties, dizziness

Treatment: lean forwards and encourage coughing, 5 back slaps, abdominal thrusts (Heimlich manoevuvre), 999 is unsuccessful

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13
Q

Assessment of unwell patient follows?

A

A [airway] B [breathing] C [circulation] D [disability] E [exposure]

[D - level of consciousness to indicate brain functionality]

[E – opening/removing items of clothing to carry out an assessment ]

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14
Q

Pulse oximeter

A

Measures pulse and oxygen saturation levels are taken using a finger probe

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15
Q

Fundamental aims of BSL

A

Rescue breathing [provide oxygen to lungs]

External chest compressions [circulate the oxygen to the body tissues

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16
Q

Diagnosing/determination of death:

A

Absence of spontaneous breathing [independent breathing]

Absent Heartbeat

Absence of Pupillary response [indicates brain death]

17
Q

DRS ABC

A

D [danger] R[response] S [shout for help] A [airways] B [breathing] C [circulation]

18
Q

ACVPU

A

Assesses response

Alert - ability to communicate [are they conscious]

Confused - can they give details of what happened? A name, the date?

Verbal - can they verbally communicate?

Painful - do they respond to pain?

Unresponsive - cannot be roused

19
Q

Chest compressions

A

30 compressions following 2 rescue breaths at the rate of 100 per minute 4-5 cm chest compressions

20
Q

BSL immediately prompted if:

A

Unconsciousness: can indicate that the heart has stopped beating [asystole] or is beating inefficiently [fibrillation]

Abnormal breathing: indicated compromised airways and possible lack of oxygen to the brain [hypoxia]