Module 2 Flashcards
secondary survey
1. history - SAMPLE
2. vital signs
3. head to toe
4. first aid for non life-threatening injuries/illness
Perform a secondary survey when:
medical aid is delayed
need to transport a casualty
unsure if medical help is required.
Perform a secondary survey when:
SAMPLE
Symtoms - nausia? what do they feel?
allergy - what allergy? especially to what med?
Medication - currently taking?
Past medical history - have been treated for a illness or injury recently? chronic condition?
Last oral intake - eat and drink last and how much
Events - leading to the incident. what happened to the recent past?
a: history of the casualty
b: assess vital signs
b: assess vital signs
secondary survey
- level of consciousness - eye opening, verbal & motor response?
- breathing - rate per minute, rythem, depth. number of breath in 30 seconds
- pulse - rate per minute, rythem, strength. number of beats in 30 seconds
- skin condition and temperature - moist or dry? cold or hot? colour?
c: head to toe examnination
head - neck - both collar bone -
shoulder and arms - hands - finger -
ask to take deep breath to exam chest
abdomen -
pelvis and buttocks -
legs, ankles and feet
Pre-Flight Checks
First Aid Kit
- Accessible
- secured in brackets
- sealed with a green or yellow seal.
After Use:
- seal first aid kit with yellow seal found in the kit
- Make an entry in the cabin defect log and specify the location.
First Aid Kit Components:
- Variety of bandages and dressings - including burn dressings
- gloves
- scissors
- splints
- rescue breathers
- universal Precaustions Kit
- yellow seals and forms
Universal Precautions Kit
FAM 6.1.3.3
- P.A.W.S skin wipes - bacteria, virus and fungus
- sanizide plus - germicidal disinfectant for surfaces
- Red-Z (turn liquid to gel)
- Protective Equipment PPE
- Red bio hazard bag
Medications Kit
found in the flight satchels
no pre-flight checks required by CC
- Acetaminophen
- adhesive bandages
- antiseptic wipes
- benadryl
- gloves
- gravol
- masks
FAM 4.10.4
AMK
Aircraft Medical Kit
FAM 4.10.6
Pre-Flight Checks
* accessible
* locked stowage compartment
* functional, ie expiry date of the kit
* sealed either green or yellow seal.
both incharge and PIC has the key to open AMK
If, after using AMK, the consumable contents fall below minimum requirements, you should seal the kit with ….
a red seal
Croup
6 months to 3 y.o.
FAM. 6.6.31
Vital infection cause inflammation of the airway.
Signs and Symptoms:
* Harsh barking cough
* Noisy Breathing
* Rapid Breathing
———————————
* Calm the baby/toddler
* Have them sit up to reduce the stress on the respiratory system
administer O2 and seek medical attention if :
* Continuous difficulty in breathing
* baby/toddler unable to swallow
* blue lips toenails or fingernails
* sternum is pulling in when s/he takes a breath.
Degrees of airway obstruction:
Good Air Exchange
FAM 6.6.5.2
monitor closely!
Severe obstruction
- infant cannot cough forcefully or cry.
- call for medical help and begin first aid for choking.
- no air exchange
coughing, breathing and cry impossible
* call for medical help
* begin first aid for choking
Death on board
Only a licensed physician can pronouce death
obtain physician’ name, address and phone number of the physician making the delaration
- CC must communicate promptly with the flight crew to ensure that the appropriate authorities are contacted as any death, apparent death, or person with suspected communicable illness on board must be reported.
- Canada or USA: Canadian or US quarantine station
- Australia: Australian quarantine and inspection service (AQIS) must be contacted at top of decent or at least 30 mins before arrival
- Do not disembark Pax until authorization is received from the applicable quanrantine authority.
FAM 6.6.33
If a casualty appears to be dead, the in-charge must….
FAM 6.6.33.1
- advise PIC the pax appears to be dead (cold, no breathing, no pulse or any other obvious sign)
- determine location (seat number)
- attempt to obtain assistance of on board physician and contact medlink
- Complete Telemedicine checklist
- Note time when the apparent death was reported
- Keep the family informed of your next steps and get consent before touching the apparent casualty.
- Use UPK and all pPE available when handling the casualty avoid any contact with blood or body fluid
- relocate pax seated next to the apprent casaulty (if possible)
- make sure the casualty’s seat belt is fastened and seat is reclined to prevent him/her from falling forward. seat may remain in the reclined position for landing
- cover the casualty with a blanket up to the neck, and surround him/her by pillows for padding
- cover the pax eyes with eye shades
- if willing, have the family sit with the pax.
Head/spinal injury
Should always suspect a head/spinal injury when a casualty has:
- Fallen from height
- received a blow to the head, spine or pelvis
- bloor or straw-coloured fluid coming from mouth, nose or ears
- been found unconscious and the history is not known
Concussion
- partial or complete loss of consciousness
- shallow breathing, nausea or vomiting
- possible loss of memory
- severe headache