SAM Quizzes Flashcards
Barotrauma causes injury to…
-lungs
-nasal sinuses
-ears
Pulmonary overpressurization occurs when
Holds his or her breath during ascent
What is the pathophysiology of decompression sickness
An imbalance of nitrogen in the tissues and alveoli due to rapid ascent
Examples of passive rewarming
-removing wet clothing
-applying blankets
-encouraging ambulating
What are heat cramps caused by
Sodium loss due to sweating
Nitrogen gas bubbles in the joints or the folds of the intestinal tract are called…
The bends
When frozen tissues thaw slowly
Partial refereeing of melted water may cause greater tissue damage
Classic heatstroke
Typically affects older people and and is not associated with exertion
Altitude sickness is caused by
Hypoxia due to low atmospheric pressure
Heat loss
Thermolysis
Low wind chill factor increases heat loss through
Convection
What is the most predominant sign of acute mountain sickness
A throbbing headache and fatigue
Production of heat by the body
Thermogenesis
Examples of active external rewarming techniques
-hot packs
-heated blankets
-bairhugger
High-altitude pulmonary edema
A high-altitude illness that presents with hyperpnea, crackles, rhonchi, tachycardia and cyanosis
What is HACE caused by?
Cerebral vasodilation from hypoxia
When can a diagnosis of heatstroke be made
-core temperature of >40C and an altered mental status
If a patient is in hypothermic arrest you should
Attempt a single shock for V-fib or V-tach
What temperature does a heat stroke patient need to be cooled to in order to restore their own natural cooling mechanisms
38.8
Any diver who loses consciousness immediately following a dive should be assumed to have experienced
An air embolism
What is the most invasive form of rewarming
Active internal
In a cold environment, the body produces heat through these mechanisms
-thermogenesis
-shivering
-vasoconstriction
Nitrogen narcosis
A condition where nitrogen readily displaces oxygen in the brain, resulting in feelings or euphoria and disorientation
Example of convection
A person blowing on hot food to cool it down
High humidity
Decreases the body’s ability to eliminate excess heat through evaporation
Exertional heat stroke
Affects young healthy people
Osborne wave
An upward flextion immediately following the QRS complex
Why does nitrogen cause decompression sickness
On ascent because of the bubbles the form on reduction or pressure
Where is the body’s thermoregulation centre
The hypothalamus
Passive rewarming
An intervention that promotes heat retention it is different from other forms of rewarming in that it relies on the bodies existing energy and thermogenic mechanisms
The first step in treating a patient with a heat emergency is to
Move the patient to a cooler area
POPS occurs
On ascent
What are the two forms of heat exhaustion
Water-depleted and sodium depleted
Prehospital treatment for mild hypothermia
Warm IV fluids and heat packs
Conduction
The transfer of heat from a hotter object to a cooler object by direct physical contact
Acute mountain sickness
Results from ascent in a high altitude the present with tachycardia, increased respiratory rate and ataxia