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OFA > OFA Chapter 1 > Flashcards

OFA Chapter 1 Flashcards

1
Q

What is the role of the attendant?

A
  • Provide care
  • Positively affect the out come
  • Record and report
  • Decision? RTW or medical aid
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2
Q

What are the 4 stages in the priority action approach?

A
  1. Scene assessment
  2. Primary Survey
  3. Critical Interventions & Transport
  4. Secondary Survey
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3
Q

What are 3 components to scene assessment?

A
  1. Hazards considerations
  2. Mechanisms of injury
  3. Number of injuries
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4
Q

Explain what hazard consideration are while assessing the scene?

A

Evaluate what you already know about the accident site e.g. hazardous substances and location of first aid equipment. What are the hazards to you and your patient? Does the patient have to be moved? Is specialized equipment or emergency personnel required?

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5
Q

Explain mechanism of injury?

A
  • Understanding what occurred during the accident allows you to predict a serious injury that may not be apparent.
  • Ask relevant questions. What happened? How much force was applied? To which part of the body and in what direction was the force applied?
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6
Q

What does RTC mean

A

Rapid Transport Category refers to patients that require transportation to the hospital as soon as possible

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7
Q

What are some of the mechanisms that place patients into a RTC

A
  • Free fall from a height more then 6.5 (20 ft)
  • Severe deceleration in a motor vehicle accident
  • Pedestrian struck at a speed of greater then 30 kp
  • Severe crush injuries
  • Smoke or toxic gas inhalation
  • Decompression illness - Near drowning
  • Electrical injury
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8
Q

What is the second stage of Priority Action Approach?

A

Primary Survey
(is a rapid examination of the patient to discover any immediate life threatening injuries)
(is based on ABC)

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9
Q

What does ABC mean in your primary survey/

A

Airway assessment with C-spine
Breathing
Circulation

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10
Q

What is C-Spine?

A

C-Spine Control is the manual stabilization of the patients head and neck (cervical area of the spine)

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11
Q

In the primary survey it is important to determine if the patient is in cardiac arrest? What should you consider?

A
  • is not responsive
  • not breathing or having only occasional gasps
  • no carotid pulse
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12
Q

Steps to determine if the patient is in cardiac arrest?

A
  1. Approach from front and try to communicate
  2. If no response, open airway and check for breathing
  3. No breathing or only occasional gasps
    (check for carotid)
  4. Only 10 seconds checking breath and pulse
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13
Q

What are the steps when aligning the head?

A
  1. Take C-spine control with elbows braced
  2. Explain what is being done
  3. Tell patients to report pain or resistance
  4. Apply a gentle pull, inline the head
  5. Gently realign to anatomical then neutral
  6. Stop if there resistance
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14
Q

What is the purpose of assessing the breathing?

A

Determine rate, quality and need for interventions

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15
Q

What is dyspnea

A

shortness of breath

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16
Q

How do you determine the rate of breathing?

A

By counting the number of breaths for 15 seconds and multiplying by 4 (one breath includes inhalation and exhalation)

17
Q

When determining the quality of breath, what should you consider?

A

By looking, listening and feeling check for

  • depth or ease of breathing
  • dyspnea
  • chest wall movements, both sides of chest should expand equally
18
Q

What is the final step in the primary survey?

A

Circulatory assessment

19
Q

What are checking for in the circulatory assessment?

A
  1. Determine if the heart is beating
  2. Check for shock
  3. Massive bleeding
  4. Obvious fractures
  5. The nee for critical interventions
20
Q

How can you determine if the patient is in shock?

A

Is indicated by absent radial pulses or cool, pale and clammy skin (check pulse at wrist and feel skin)

21
Q

How often should you reassess your ABC’s for an RTC and non-RTC patient?

A

5 minute RTC

10 minute non-RTC

22
Q

What is the forth stage of priority action approach?

A

Secondary Survey - is a thorough assessment of the patient to discover developing life-threatening conditions and the extent of minor injuries.

  • vital signs
  • history taking
  • head to toe examinations
23
Q

Vital signs are an in depth

A
  • Time

- Res

OFA (3 decks)

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