Part 5: Leadership, Safety And Rescue Flashcards

1
Q

Name the 7 steps for an effective emergency response when responding to an accident.

A

1) take charge of the situation
2) approach the patient safely
3) perform emergency rescue and urgent first aid
4) protect the patient
5) check for other injuries
6) make a plan
7) carry out the plan

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2
Q

When should you move a patient?

A

Move a patient only if there is imminent danger to the patient or rescuers.

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3
Q

What are a patients CAB-B vital indicators?

A

Circulation: Is pulse present?
Airway: Is airway clear?
Breathing: Is patient breathing?
Bleeding: Does patient have any heavy bleeding?

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4
Q

When might a first responder withhold or terminate CPR?

A

The first-aid provider may withhold or terminate CPR if any of these conditions occur: ​
There is unacceptable risk to the rescuer. ​

The rescuer is exhausted. ​

The environment is one in which CPR is impossible.

Injuries are incompatible with life. ​

The patient’s body is frozen solid. ​

The avalanche victim is pulseless with obstructed airway and was buried for more than 35 minutes. ​

There is no return of a heartbeat after 30 minutes of CPR (except for a hypothermic patient).

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5
Q

What symptoms might a patient in shock suffer?

A
The patient may experience these symptoms: ​
Nausea ​
Thirst ​
Weakness ​
Fear and/or restlessness ​
Sweating ​
Shortness of breath
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6
Q

What signs might indicate a patient is going into shock?

A
Observers may note these signs: ​
Pulse rapid but weak ​
Breathing rapid and shallow ​
Skin cool and clammy ​
Lips and nail beds blue ​
Restlessness ​
Face pale ​
Eyes dull ​
Pupils dilated ​
Unresponsiveness (a late sign)
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7
Q

What is hyponatremia and what is the cause?

A

Relatively uncommon (EAH) is generally caused by drinking too much water, which decreases blood sodium levels for up to 24 hours after prolonged activity.

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8
Q

What is heat stroke?

A

Heatstroke, also called sunstroke, is a life-threatening emergency. In heatstroke, the body’s heat gain is so substantial that body core temperature rises to dangerous levels: 105 degrees Fahrenheit (41 degrees Celsius) or more.

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9
Q

What are the signs and symptoms of heat stroke?

A
  1. Altered mental state: confusion or uncooperativeness, advancing toward unconsciousness ​
  2. Rapid pulse and respiratory rate ​
  3. Headache ​
  4. Weakness ​
  5. Flushed, hot skin (wet with sweat or sometimes dry) ​
  6. Seizures ​
  7. Loss of coordination
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10
Q

If a patient is suffering from heat stroke what should you do?

A

Treatment of heatstroke must be immediate.
- Move the patient to the shade.
- Cool the head and body by packing them in snow or through evaporative cooling by splashing on water and vigorously fanning the person.
- Remove clothing that retains heat.
- Add ice packs (snow) to the neck, groin, and armpits, where large blood vessels are located near the body surface.
- Once body temperature has dropped to 102 degrees Fahrenheit (39 degrees Celsius), the cooling efforts can be stopped.

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11
Q

Define Windchill

A

The windchill index provides a mathematical measure of how wind can accelerate the rate of cooling from exposed skin compared with the ambient temperature. For a given temperature, as wind speed increases, it draws more heat from exposed skin.

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12
Q

Define Hypothermia

A

Hypothermia, a cold-related illness that affects the entire body, occurs when cold overcomes the body’s ability to maintain a normal temperature. Usually hypothermia occurs after prolonged exposure to a chilly environment rather than exposure to extreme cold and requires more immediate treatment then frostbite or immersion foot due to the global nature of the condition.

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13
Q

What are some of the early signs of Hypothermia

A

In early hypothermia, symptoms include;
- intense shivering,
- fumbling hand movements,
- stumbling,
- dulling of mental functions, and
- uncooperative or isolative behavior.

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14
Q

What might be a sign that Hypothermia is progressing from early to more severe stages?

A
  • A continued more violent shiver that eventually stops.
  • A continued imparement of cognitive and motor functions and an eventual loss of consciousness.
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15
Q

What core body temperature is considered cold stress?

A

95 - 98.6 degrees

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16
Q

What core body temperature is considered mild hypothermia?

A

90 - 95 degrees

17
Q

What core body temperature is considered moderate hypothermia?

A

82-90 degrees

18
Q

What core body temperature is considered severe to profound hypothermia?

A

<82 degrees

19
Q

Why must you handle a profoundly hypothermic patient carefully?

A

A profoundly hypothermic patient must be handled gently to avoid inadvertently sending cold blood from the surface circulation back to the heart; this “afterdrop” could cause heart rhythm abnormalities such as ventricular fibrillation.

20
Q

What does the saying that “no one is dead until warm and dead.” Mean?

A

Because a profoundly hypothermic person may appear dead, it is essential not to give up on resuscitation efforts until the patient is warm, has received adequately performed CPR, and still shows no signs of life. Severely hypothermic patients have tolerated delayed and interrupted CPR to make full neurologic recovery.

21
Q

What is Raynauds disease?

A

Raynaud’s disease is a chronic, temporary, intense vasoconstriction (constriction of blood vessels) of the tissue in which cold is a frequent trigger.

22
Q

What is Frostnip?

A

Frostnip, commonly mistaken for frostbite, is a superficial nonfreezing cold injury associated with intense vasoconstriction (constriction of blood vessels) in exposed skin—usually fingers, cheeks, ears, or nose.

23
Q

What is frostbite?

A

Frostbite is true tissue freezing; ice crystals form in the body’s internal fluids, leading to tissue dehydration and eventual tissue death. Frostbitten tissue is cold, hard, and pale or darkly discolored and is numb.

24
Q

What is immersion foot?

A

Immersion foot, also called trench foot, occurs when a person’s feet have been wet and cold for a period ranging from several hours to days.

25
Q

Is UV radiation more intense at the beach or in the mountains?

A

The mountains. For every 1,000 feet (305 meters) above sea level, UV radiation increases about 5 to 6 percent.

26
Q

What is snow blindness?

A

Snow blindness (ultraviolet keratitis) is a potentially serious problem that results when the outer layers of the eyes are burned by UV radiation.

27
Q

What is Hypoxia?

A

A deficiency in Oxygen that leads to a lack of properly oxygenated blood reaching the organs. This makes it difficult for organs and tissues to get the oxygen they need for metabolism.

28
Q

What are the signs of acute mountain sickness?

A

People with AMS usually have a headache, plus one of the following: ​
- Insomnia ​
- Listlessness and/or lassitude ​
- Loss of appetite
- Nausea ​
- Vomiting ​
- Lightheadedness or dizziness made worse when in an upright position

29
Q

What is HACE?

A

High-altitude cerebral edema (HACE) usually develops in unacclimatized climbers above 10,000 feet (about 3,000 meters), although it can occur as low as 8,500 feet (2,600 meters). Vessels in the brain respond to the stress of high altitude by becoming leaky, resulting in the brain swelling with increased fluid. Ultimately, the brain swells inside its rigid container of cranial bones.

30
Q

What is ataxia?

A

The loss of full control of the bodies movements

31
Q

What is HAPE?

A

high-altitude pulmonary edema (HAPE), body fluids leak into the lungs to a degree that interferes with respiratory function.

Unlike HACE, this condition can materialize quickly in patients who have otherwise been performing well.

32
Q

What are the goals of wound care?

A

The goals of wound care are to:
- prevent infection
- avoid further trauma
- optimize healing

33
Q

What is the difference between a strain and a sprain?

A

Strains are muscle injuries; sprains are injuries to ligaments.

34
Q

What are the concerns with an overtight splint?

A

Swelling can be expected for hours after a fracture or severe sprain. Take care to avoid applying splints too tightly, which can impair circulation to the affected limb.

35
Q

What is harness suspension trauma?

A

Harness leg straps restrict blood flow, which leads to blood pooling in the legs and lowered core blood pressure. The loss of blood pressure may lead to death within minutes.

36
Q

What are some of the indicators of possible head injuries?

A
  • Blunt force to head or neck
  • Unconsciousness ​
  • Drainage of blood or clear fluid from the ears, nose, or eyes ​
  • Unequal eye pupil size or unequal constricting response of the pupils to light
  • Black eyes
  • Very slow pulse ​
  • Fluctuations in respiratory rate ​
  • Headache ​
  • Disorientation and confusion ​
  • Seizure ​
  • Vomiting