Pathways Flashcards
Describe MAJOR blood loss in the 4 age groups and time frames
Adult: 2+ mugs - 2 hours
Child : 1 + mug - 30 mins
Toddler: 1/2+ mug - 30 mins
Infant: 1/4+ mug - 30 mins
Describe SIGNIFICANT blood loss in the 4 age groups and time frames
Adult: 1+ mugs - 2 hours
Child: 1/2+ mug - 30 mins
Toddler: 1/4 mug - 30 mins
Infant: Egg cup + - 30 mins
What age range is pregnancy considered a possibility?
11-55
What are the 4 age groups and ages?
Neonate: 0 - 1 hour Infant: 1 hour - 1 year Toddler: 1 - 5 Child: 5 - 16 Adult: 16+
When should ‘Other Symptoms’ Pathway be used?
When there is no symptom-specific pathway available
How does Pathways deal with ‘Not Sure’ answers?
Balance of Risks
After how many ‘Not Sure’ answers does call need to be transferred to a clinician?
More than 2
Name the 2 elements of a disposition
Skillset
Timeframe
What does a capital letter question mean?
Inferred question - Answer likely to be obvious
When is the ‘declared screen’ shown?
When a non-trauma route is taken
When should ‘pre-determined management’ pathway be used?
K nown Condition
F irm plan from HCP
C urrent symptoms/problem
Examples of when ‘pre-determined management’ pathway might be used (4)
Terminal Illness
Patients receiving cancer treatment
Recent hospital discharge
Patients with medical devices fitted
What is a complex call?
When call handler is working at or beyond the limits of their knowledge and/or experience
List 8 reasons for Early Exit
Emergency - unco, fit, choke on call - situatuon deteriorates
Phone line went dead
Crew arrived
PT terminates call
Triage not possible
Transfer to clinician
Ambulance cancelled
Wrong service called
List 5 reasons why ‘Triage Not Possible’ would be selected
Contact is about dead/dying person
Contact is child who is unable to answer qs
Remote observer
Person on fire
Other
List 6 reasons why ‘Transfer to Clinician’ is appropriate
Local Policy
Caller refuses disposition
More than 2 not sure answers
Caller can’t prioritise a main symptom
Medication of procedure enquiry
Complex call
Describe CAT 1 Ambulance Response
7 mins response time
Immediate treatment at scene
Potentially life-threatening conditions
High mortality rate
Describe CAT 2 Ambulance Response
18 mins response time
Potentially serious condidions
Type of response differs
Who receives a CAT 1 Ambulance for unconsciousness?
Under 16s only
List 3 reasons an under 5 will receive CAT 1 response when someone older may not
Major blood loss
Potential shock
Severe respiratory distress
Unconsciousness
Describe CAT 3 Ambulance Response
Condition not immediately life threatening
Relieve suffering
Mortality rates low or zero
Describe CAT 4 Ambulance Response
PT does not require urgent response
May require transport
List the 4 types of Clinician disposition?
Speak to Clinician: Immediately Within 30 mins Within 2 hours For home management advice
When would Symptom Management Advice be given and by who?
Through cold and flu pathway
Given by call handler
Who gives Home Management Advice?
Clinician
List the 4 Local Service Dispositions
Contact local service (ideally face to face)
Speak to a local service
Get in touch with local service (if PT has persistent or recurring symptoms)
MUST contact local service (even if symptoms improve)
Name the 4 categories of Trauma/Injury
Mechanical
Thermal
Electrical
Chemical
What are the 2 types of care advice and when are they given?
In-line: Mid-assessment to alleviate immediate symptoms
Interim: PT deals with symptoms until further assessment or care achieved
When is the ‘fever’ pathway selected?
When there are NO OTHER symptoms
List major traumas (15)
Gunshot or stabbing Thrown from vehicle Vehicle roll Corrosive substance attack Fall of 5m+ (3m+ child) Major burn Massive force Major wound or amputation (not 1 finger or toe) Suicide attempt Electrical injury Multiple major injuries Drowning incident within 24h Strangulation, Suffocation or Hanging by neck Knocked by blast Lightning strike
Criteria for MAJOR burn
Large area - entire limb, most of front/back torso, combined Right around body Soot or swelling around nose or mouth Inhalation of hot fumes/smoke Any radiation burn
Examples of MASSIVE FORCE (in relation to major trauma)
Thrown from horse/motorbike
Crush injury
Collision with large, heavy or fast moving object
Situations where a head injury needs emergency ambulance (4 )
Loss of lack of full consciousness Penetrating head injury Suspected skull fracture Seizure since injury (there are more)
Situations where a head injury needs transportation to Emergency Department by own means (4)
'Knock out' where PT has recovered Memory problems Persistent headache Vomiting Altered behaviour (there are more)
