primary assessment Flashcards
how deep do you need to go for chest compression and how many per min
5cm and 100-120 min
défib need to be administer in the first _ min
3min
what are the 3 common route of admnistration for naloxone during respiratory arrest
intravenous, intramuscular, intranasal
in which direction do we displace the uterine during CPR on a pregnant women
left
when does SPo2 is now taken
SpO2 is now taken right after primary assessment in situations where a secondary assessment is indicated
order of assessment and treatment
ABC
treat: CABd
explain how do you do the treat portion
C if pulse absent, commence 30 compressions right away
A airway is opened (if/when accessible)
B 2 breaths are given after 30 compressions (once airway open) d defib as soon as available, continue CPR until ready to analyze
if pulse is present how many breath per sec
1 breath every 6s
explain GCS scoring for eye opening
4 = spontaneous 3 = to voice
2 = to pain
1 = no response
explain GCS scoring for motor responses
6 = obeys commands 5 = localizes pain
4 = flexion/withdrawal 3 = flexion/abnormal 2 = extension
1 = no response
explain GCS scoring for verbal response
5 = oriented and converses
4 = disoriented and converses 3 = inappropriate words
2 = incomprehensible sounds 1 = no response
which score of GSC require aggressive resuscitate
<8
T/F
Unless there are several rescuers present, actual GCS
score is not determined until end of secondary survey.
T
GSC is taken as part of the vital if you are alone T/F
T
if pulse is absent what do you do
30 compression / 2 vents (110-120/min)
when do you remove a mask if the athlete has one
once compression is commenced
A survival rate as high as _% has been reported when defibrillation is achieved within the _ min of collapse. Every minute that passes reduces the chances of survival by _ %
90, first, 7-10%
you should have access to open the airway (without neck movement) ideally within _ sec
30
Airway must be opened/ after before checking for breathing.
before
If ventilations must be provided, equipment obstructions should be removed: within _ s
30s
airway management if non-spinal
head-tilt, chin lift
airway management if spinal suspect
trauma jaw thrust, trauma chin lift
what to do if head is not aligned
place in-line
monitor pulse every _min
2
order of treatment in secondary survey
DEFG
what are the 4 vitals signs
pulse, vent. rate, BP, pulse oxiometry
can we take rectal thermal temp if the person is unconscious
yes
contraindication of rectal therm
cardiac condition, rectal surgergy, diarrhea
under which GCS you should intubated
<8
what is the lowest score possible GCS
3
pulse location with adult athlere respnsive
radial
where do you take pulse if it an adult athlete unresponsive
carotid pulse < ou = 10
where do you take athlete child pulse if responsive
brachial or radial pulse
where do you take athlete child pulse if unresponsive
carotide pulse (femoral head may be used)
trauma chin lift can be used when
Athlete wearing helmet
Athlete with enlarged tongue
we DO NOT do cross-finger/open mouth to visualize unless possibility of
- Facial trauma
- Oral debris
- Mouth guard
- Situation dependent
f applying OPA in cases of CPR, apply it (before/after) you’ve done one set of breaths, not before you’ve attempted breaths – you (need/dont need) to have done one set of breaths to make sure there was no obstruction
after, need
Can be used if OPA cannot be used due to gag reflux or trismus (lock-jaw)
NPA
PRECAUTION of NPA
facial trauma
contraindication NPA
skull fx
