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NCMB 418 (CU 15) Flashcards

1
Q

old French word “trier” means

A

to sort

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2
Q

Used in:
* hospital emergency rooms
* on battlefields
* disaster sites when limited medical resources must be allocated

A

Triage

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3
Q

number of victims is < 100

A

Multiple

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4
Q

number of victims is > 100; MCI

A

Mass

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5
Q

immediately affected by the event

A

Direct Victim

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6
Q

family member or friend of the victim or a first responder

A

Indirect Victim

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7
Q

evacuees of the disaster

A

Displaced

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8
Q

a group of people who have fled their home or even their country as a result of famine,
drought, natural disaster, war or civil unrest

A

Refugees

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9
Q

Starts the process by clearing
the ‘walking wounded’ using
verbal instructions

A

MASS

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10
Q

M -
A -
S -
S -

A
  • Move
  • Assess
  • Sort
  • Send
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11
Q

S
A
L
T

A

*Sort
*Assess
*Life-threatening intervention(s)
*Treat and Transport

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12
Q

minor - “walking wounded”

A

Green

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13
Q

expectant (deceased)

A

Black

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14
Q

client needs immediate treatment within the hour but has a chance of survival

A

Red

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15
Q

client not in immediate danger; treatment may be delayed for an hour

A

Yellow

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16
Q

Immediate
Delayed
Minimal
Expectant

A

Immediate = red
Delayed = yellow
Minimal = green
Expectant = black

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17
Q
  • Identification of patients who should not wait to be seen
  • Prioritization of incoming patients
A

Emergency Department Triage

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18
Q

life- or limb-threatening

A

Severity

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19
Q

immediate treatment is needed to alleviate symptoms

A

Acuity

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20
Q

A -
B -
C -
D -

A

A – Requires immediate LSI
B – high risk situation
C – number of resources needed
D – danger zone

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21
Q

high risk instability criteria

A

ESI level 1 or 2

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22
Q

evaluates expected resource needs

A

ESI level 3, 4, or 5

23
Q
  • failure of the heat regulating mechanisms of the body
  • body’s temperature rises rapidly, the sweating mechanism fails, and the body is unable to cool down
A

Heat Stroke

24
Q

Assessment of heat stroke

A
  • CNS dysfunction
  • Headache, dizziness, nausea, vomiting and confusion
  • Elevated body temperature
  • Hot, dry skin; and usually anhidrosis
  • Tachypnea, hypotension, and tachycardia
25
mgt for heat stroke
* Stabilizing oxygenation * Remove patient’s clothing * Ice applied to the neck, groin, chest,
26
* Survival for at least 24 hours after submersion into liquid (usually water)
Near-Drowning
27
mgt of drowning
* Immediate CPR * Ensure an adequate airway and oxygenation * ET intubation * Rectal probe * ECG monitoring * Indwelling urinary catheter * NGT
28
is any substance when ingested, inhaled, absorbed, applied to the skin, or produced within the body in relatively small amounts, injures the body by its chemical action
Poisoning
29
Stinging Insects: Management
* Stinger removal * Wound care with soap and water * Ice application * Oral antihistamine and analgesic * Epinephrine * Desensitization therapy
30
Cause swelling and tissue damage wherever you’ve been bitten
Cytotoxins
31
Disrupt the blood vessels.
Haemorrhagins
32
Prevent the blood from clotting
Anti-clotting agents
33
Cause paralysis or other damage to the nervous system.
Neurotoxins
34
Break down muscles
Myotoxins
35
not applied as initial first aid at the site of the snake
ice or a tourniquet
36
med for snake bite
- Corticosteroids (contra. in first 6-8 hours) - Parenteral fluids - Vasopressors - Antivenin (antitoxin)
37
Most effective if administered within 12 hours after the snake bite.
Antivenin
38
antivenin is premedicate with
diphenhydramine and cimetidine
39
Before administering antivenin and every 15 minutes thereafter, the circumference of the affected part is measured proximally.
true
40
The most common cause of allergic reaction to the antivenin is
too-rapid infusion
41
Corrosive poisons include alkaline and acid agents that can cause tissue destruction after coming in contact with mucous membranes
Ingested (Swallowed) Poisons
42
* Iye, drain cleaners, toilet bowl cleaners, bleach, non-phosphate detergents, oven cleaners, and button-shaped batteries
Alkaline agents
43
toilet bowl cleaners, pool cleaners, metal cleaners, rust removers, battery acid.
Acid products:
44
* to induce vomiting in the alert patient
Syrup of ipecac
45
for the obtunded patient Gastric aspirate is saved and sent to the laboratory for testing (toxicology screens)
Gastric lavage
46
if poison is one that is absorbed by charcoal
Activated charcoal administration
47
is never induced after ingestion of caustic substances or petroleum distillates
vomiting
48
a sudden illness that occurs after ingestion of contaminated food or drink
FOOD POISONING
49
is a serious form of food poisoning that requires continual surveillance.
Botulism
50
– take sips of weak tea, carbonated drinks, or tap water
Mild nausea
51
diet for food poisoning
low-residue, bland diet
52
* may occur as a result of industrial or household incidents or attempted suicide * exerts its toxic effect by binding to circulating hemoglobin and thereby reducing the oxygen-carrying capacity of the blood
CARBON MONOXIDE POISONING
53
mgt for carbon monoxide poisoning
o Expose to fresh air immediately o Loosen all tight clothing o Initiate CPR o Prevent chilling o Oxygenation
54
the amount and duration of exposure of the skin to the chemical.
Skin Contamination / Poisoning (CHEMICAL BURNS)

Med (45 decks)

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