Skills Flashcards
Cat placement
5 cm above directly to skin
Pull band tight tight
twist the windlass rod and secure
time and date
pain relief
Cat removal
60 minutes from application
call csp in soc to help facilitate removal
Pelvic binder contras
Pts under 23 kgs
isolated hip fracture
fall from standing
TPOD application
Direct to skin unless light underwear
Center of binder at the level of the greater trochanter
Cut to have 15-20cm gap
Apply pully system
Slow tension until snug and anatomical alignment
Do not over tension- edges should not meet
Ensure 2 fingers can fit between device and pt
Time and date
Needle thoracentesis indications
traumatic cardiac arrest with torso involvement- unable to ventilate
Equipment needed for NT
ETOH/Betadine swab
ARS needles or 14 g angiocath
10 ml syringe
NaCL
Steth
Landmarks for NT
Mid clavicula
2nd intercostal space
roll superior 3rd rib on insertion
Procedure for NT
Locate landmark
clean
connect 10 ml syringe to ARS syringe
insert needle at 90 degrees
while inserting aspirate
resistance is felt until it enters the pleural space
remove needle leave cannula insitu
rpt on opposite side
re evaluate chest
rpt laterally if re-tensions
Quik clot contras
sucking chest wounds
eye or airway injury
exposed organs
Quik clot procedure
expose and identify source of bleeding
apply direct pressure
pack quikclot directly into the wound at the bleeding source
firmly pack
apply consistent pressure for 3 minutes
reassess and once ceased apply pressure bandage
Do Not remove if bleeding ceased
if bleeding continues and dressing soaked through- remove and apply fresh pack
Slishman traction splint indications
proximal 1/3 and mid shaft femur fractures
Slishmas procedure
attach ankle strap
end cap lateral and facing up
attach groin strap
female buckle on anterior thigh
apply coarse traction
extending the distal pole, insert to ankle strap, extend until resistance felt
apply fine traction
open red clamp and pull traction cord, close red clamp
