Roles and Responsibilites Flashcards
What are the main aims of a first responder?
Preserve life
Prevent the situation from worsening
Promote recovery
What are the responsibilities of a first responder?
Protect from danger Identify the illness or injury Decide on priorities of care Ensure dignity Effective communication with patients, helpers and other medical professionals Accurate documentation Understanding of relevant legislation Prioritise treatment
How can harmful pathogens enter the body
Mouth, Nose, Eyes, reproductive organs or open wounds.
CPR - Mouth to mouth what equipment would you use?
Use a pocket mask, face shield or BVM.
What are the definitions of consent
Voluntary
Informed
Capacity
Implied
When is triage needed
When the number of casualties exceeds the number of resources
What would classify as casualty as P1?
Catastrophic bleed
Respiratory rates <10 or >30
Of capillary refill is >2 seconds and pulse is >120 bpm
What would classify a P2 casualty
Patients in normal parameters in both breathing and circulation
What would classify a P3 casualty
Walking wounded
What are the 4 T’s that could cause blockage of airway?
Tongue
Teeth
Tissue
Trauma
What should you be cautious of when using o2?
Electricity
Fire
Oil
Petroleum
What are the indications for using o2?
Significant illness and/or injury/trauma
What are contraindications for o2
Explosive environments
Cautions when using o2?
Oxygen can increase the fire hazard at the scene of an accident
Defib - ensure pads are firmly placed to reduce spark hazard
What is the chain of survival
Early recognition - call for help
Early CPR
Early defib
Post resus care
What is the difference between cardiac arrest and heart attack
Cardiac arrest - electrical problem
Heart attack - circulation problem
Early recognition of cardiac arrest
Loss of consciousness
No breathing / agonal breathing
No heartbeat / pulse
Pale due to no circulation
What does CPR do?
Mimics the pumping of the heart
Reduces cerebral hypoxia
Increases duration of ventricular fibrillation
Improved chance of successful defib
What rate should CPR be carried out?
100 - 120 per min
What depth should CPR go?
5-6 cm for adult & 1/3 chest depth for paediatric
What ration should CPR be carried out?
30:2 changing every 2 mins of possible
What are the two shockable heart rhythms?
Ventricular fibrillation / tachycardia
Where should AED pads be placed for 1-8 year olds?
Front and back of the chest
What should you do when the AED analyses the heart rhythm?
Stop CPR and ensure no one touches the casualty
If patient starts breathing normally but is < 10 breaths per min what should you do?
Give 10 breaths per min via a BVM (once every 6 seconds)
What are AED safety considerations?
Electric shock - make sure no one is touching casualty when shock delivered
Highly flammable atmosphere
Jewellery - can conduct electricity and burn the casualty
Medication patch - remove before shocking
Implanted devices - avoid placing pads on these
Inappropriate shock
How should CPR be delivered to pregnant women?
They should be positioned to the left
