Medical Emergency Flashcards
1
Q
List of medical emergencies
A
- Anaphylaxis
- Faint (Vaso- vagal syncope)
- Asthma attack
- Hypoglycaemia
- Epileptic Seizure
- Angina
- Hearth attack
- Stroke
2
Q
Basic life support - Dr. ABC
A
- Danger- Make sure no danger around pt and you
- Response- Check for response
- Airways- Open the airways
- Breathing - 10 sec look listen and feel for breath - If breathing is absent . Call 999 on speaker or ask someone to call . DO NOT Leave Victim
- Circulation - Compression should not be more than 6mm deep
3
Q
Adult -Basic life support
A
- Unresponsive/ not breathing
- Call 999 for ambulance
- 30 chest compression
- 2 rescue breath
- Asa Automated External Defibrillator arrived ,Turn on follow instructions
4
Q
Child - Basic life support
A
- Unresponsive
- Shout for help
- Open airways / Breathing normally yes observe
- No breathing 5 rescue breath
- Infant - Mouth to nose
- Child - Mouth to mouth
- if no sign of life - 30 compression 2 breath
- Sign of life yes - Keep same position and wait for ambulance
- Sign of life no - Carry on 30/2 until ambulance come
5
Q
Anaphylaxis - Sign
A
- Hives / flushing
- Urticaria
- Sweat on brow and eyelid
- Swelling of neck and mouth
- Vomiting and diarrhoea
- Low BP
6
Q
Anaphylaxis- Symptoms
A
- May feel dizzy
- Sense of impending doom
- Difficult to breath
- wheezing
- Stomach ache
- Itchiness
7
Q
Anaphylaxis- Management
A
- Removed source of Allergen if possible
- Call 999
- Supine position
- To restore BP - Loose tight cloth
- ADM: Adrenaline 1:1000lm
- Oxygen : 15/L /min
- Repeat after 5 min if need
- Pt must admit in hospital given Steroid, antihistamines, monitor
8
Q
Epileptic Seizure - Sign
A
- Absent seizure ( don’t remember) 15 sec
- May cry out
- Loss of consciousness
- Jerking movement of limb
- Urinary incontinence
- Frothing of mouth
- Cyanosis ( purple skin lack of oxygen)
9
Q
Epileptic- Symptoms
A
- Anxiety
- Sudden weakness
- Aura ( partial seizure sense)
- Auditory
- Visual - may see colour wave
- Smell
- Somato sensory motor
10
Q
Epileptic- Management
A
- Note the time
- Prevent injury
- Do not retrain Patient
- Don’t put finger in pt mouth retrieve appliance
- Midazolam 10g/1ml into buccal sulcus
Child 1-4yrs : 5mg, 5-9yrs 7.5mg , 10-17yrs 10mg - Oxygen with Hudson mask
- Monitor and reassure
- No breathing - CPR ( Cardiopulmonary resuscitation
11
Q
Epileptic - when it become emergency
A
- When Seizure continue after 3-5 min
- Repeat seizure again
- Hypoxia
- Patient injured
- First seizure
12
Q
Hypoglycaemia - Sign
A
- Normal blood sugar level - 4.0mmol / L
-Aggression - Clumsiness
- Shivering
- Confuse
- Sweating
- Loss of consciousness
13
Q
Hypoglycaemia - Symptoms
A
- confusion
-Tired - Aggression
- Hunger
- Dizziness
14
Q
Hypoglycaemia- Management
A
- Check blood sugar level
- If Pt conscious - Glucose drink, carbohydrates
- If Pt unconscious-
Recovery position, Glucagon 1ml 25kg person - Response in 10 mins
- Then IV Glucose Administration
15
Q
Vaso vagal syncope ( Faint)
- Predisposing sign
A
- Anxiety
- Pain
- Fatigue
- Low Bp
- Fasting
- Temperature high
