Mod 1 Flashcards
Healthcare Governance
A system through which medical organisations are accountable for continuous improvement in the quality of their services and safe guarding high standards of care by creating an environment where clinical excellence will flourish
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Giving of information
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Defence medical group
Responsible for ensuring That medical personnel are able to meet operational exercise and that they are placed into the nhs to maintain clinical skills.
RCDM QE Birmingham
DMRC HEADLEY COURT
DMG South West Deriford Plymouth
DMG South East Frimley Park Surrey
Medical support (overseas)
Acute care teams
Minimal host nation support
Maximal host nation support
Defence medical policy and operational capability
Responsible for the care outputs of DMS including research and development that are implemented accross the armed forces
3 pillars
Defence medical operational capability
Medical policy and personnel
Medical directorate
Values
Excellence Respect Integrity Commitment Teamwork and leadership
3 parts of OP spectrum
Ops during peacetime
Ops other than war
War fighting
Symbols for medics
Red Cross
Red cresecent
Red crystal
4 pillars
Defence medical group
Defence primary healthcare defence health and education
Future health
Common assurance framework
The CAF document updates regularly and provides a risk register of standards to be measured and achievement where by all areas will receive a colour coded grade
Army medical services provides
Provides army medical and vetenary policy operational capability healthcare advice assurance in order to enhance and sustain the operational effectiveness of the army
Defence primary healthcare
Primary healthcare in the Uk and overseas to UK services personnel and either dependants
Also responsible for Rehab
Mental Healthcare
Director of Healthcare delivery and training
Responsible for all healthcare including primary HC which includes rehabilitation mental health the placement of secondary care assistants personnel in NHS facilities and medical education and training compromised of 4 pillars
Clinical audit
CA is a way to find out if the services provided is upto standard and where can be improved 5 steps Identify Set criteria and standards Observe practice Compare performance with criteria Implement change
Quality improvement
Risk management Near miss reporting Audits Research Education
Effective communication
Empathetic Encouragement Paraphrasing Open questions Summarising
Composition of blood
45% cells
44% red
1% white
55% plasma
4 functions of blood
Transport O2 and CO2
Transport nutrients
Transport heat
Protective suntanned antibodies
Types of blood cell
Red erythrocytes
White leukocytes
Platelets thrombocytes
5 blood vessels
Veins Arteries Capillaries Venuoles Arterioles
3 layers of blood vessel
Intra
Media
External
Contra indications for NPA
Nasal trauma Nasal polyps Bleeding conditions Nose bleed Nasal skull fracture
Contra indications for OPA
Trismus
Facial trauma
Consciousness
Inspiration
Medulla oblongata signals diaphragm to flatten and intercostal muscles to contract resulting in the thoracic cavity to expand and cause negative pressure
Expiration
Nerve endings sensing stretch in the lung tell the pneumotoxic centre to stop inhaling to relax the intercostal muscles and diaphragm causing positive pressure
Layers of pleural cavity
Parietal pleura
Plural cavity
Visceral pleura
When to not perform CPR
Effective enemy fire Massive cranial cerebral disruption Hemicorperoctemy Decaptiation Incineration 95%^ Decomposition Right Mortis
Parts of brain control breathing
Medical oblongata
Pins varolii
Medulla oblongata
Controls
Respiratory centre involuntary respiration sets basic times rate for inspiration
Pond varolii apneustic area
When PCo2 rises the apneustoc area will increase depth of inspiration therefor inspiration will be prolonged
Pond varolii pneumotoxic area
Will stop kings from over inflating and bursting by starting expiration and relaxing thoracic muscles
Lymph system
Tissue drainage
Small intestine absorption
