Second Year Flashcards
What the intracranial nerves (12)
OOOTTAFVGVAH
and how to test
O- OFACTORY = ask about smell
O- OPTIC = read something, pheriphay vision
O- OCCUMOTER- pearl + accomodation
T- TRIGEMINAL - close eyes feel tongue on face
T- TROCHEAL - up and down
A- ABDUCENCE- side 2side
F- FACIAL fast
V- Vestibular - hearing
G- GHLOSPHARYGEAL - swallow
V - VAGUS - aaahhhh
A- ACCESSORY - neck arms
H- HYPIGLOSSAL - tongue wiggle
What are the test for appendicitis and how to conduct
Rosvnghs - rebound tenderness
Muphys - 1/3 rd up
Posowas - right leg raise
Obtorators sign - 90° internal rotation
Cough
Jumping - kids
What is the TST algorithm ( major incident)
Waking - yes (p3)
Cat hem - yes (P1)
Talking then check
Penetrating torso - (yes P1)or (no = P2)
Not talking - breathing ( yes p1) no = dead
What is IO - what is the basic landmark for IO in WMAS
Intraosiois access - drilling into bone marrow -non collapsible vein.
2) humerous head, proximal tibia and distal femur ( Peds only)
What is the indication for IO
Emergency access - 2× failed IV or Impossible to IV
What are the conta indicator for Io
Bone disease
Infection - limb - cellulitis
Insertion in same site within 48h
Prosthetics
What is the procedure of location and insertion of proximal humorous io
1) location - internal rotation of arm so thumb point down or palm out or 2) arm across abdomen
2) find the greater tomberocity - side of hand in armpit grove other on end or arm bone - feel arm where your thumbs meet - lumpy bit is tumberocity
3) site is 1cm up and 3 cm towards chest
4) insert @45 degree angle
5) rotate - arms thumbs 1cm 3 cm 45 degrees
How do you find and insert a proximal tibia IO and angle
Find knee cap
4cm down - 2cm towards inner
90 degrees
What size io needed for different sites in the body
Red - max 40kg
Blue - 3kg + (kid and majority of adults)
Yellow - 40kg + ( large adult + p
How does a clinican confirm placement of an Io
Aspirating bone marrow - 5ml
Flush with saline - 10-20ml ( shouldn’t tissue
What is the procedure of IO insertion and prep
1) gather equipment
2) prime 3 way tap
3) select correct needle
4) locate correct placement
4)insert till bones felt
5) 5mm ( black line) visable - correct sizing
5) drill - till pop/ give felt
6) confirm placement - aspirate + flush
What are the contraindications or IV
Infection
Fractures
Previous iv sites
What are the different site availability for IV
Hand
Forearm - houseman / Celicac
ACF
What are the different IV sites ( based on colours
20 - pink
18 - green
16- gray
14 - oranges
How does a clinician do an IV
1) apply tourniquet
2) find vein - bouncy - not on joint, spliter or an artery (check pulse)
3) clean
4) put bleed sheet underneath - white up
5)prep cannula
6) insert max 30 degree angle
7) observe primary flashback
8) push 2mm further
9) retract needle - observe secondary flashback
10) advance
11) hold vein above cannula and cap off
11) flush for patiently
