skills assessment Flashcards
CT-6
Indications:
- middle third femur fractures
- upper two third tibia fractures
Contraindications:
- knee trauma
- ankle/foot trauma
SAM splint
Indications:
- suspected pelvic fracture
- patient complaining of lower pain
- unconscious with significant mechanism of injury
- traumatic arrest
Contraindications:
- penetrating trauma affecting application
Anatomical splint
Indications:
- suspected noff
- foot trauma
- supporting pelvic splint
Formable splint
Indications:
- ulna, radial, humerus
- ankle, lower leg and knee
- shoulder
Standard arm sling
Indications: ulna, radius and wrist
High arm sling
Indications: hand,
Collar and cuff sling
Indications: shoulder, clavicle
Quick-clot bandage
Indications:
- Haemorrhage with inadequate response to simpler methods
Contraindications:
- Can be controlled by simpler methods
- Inaccessible haemorrhage (internal abdomen)
- Occular trauma
CAT tourniquet
Indications:
- Haemorrhage that can’t be controlled with simple methods
OPA
Indications:
- need for airway support by moving tongue anteriorly
Contraindications:
- trismus
- gag reflex
- suspected TBI or neurological injury
NPA
Indications:
- need for airway support with OPA/SGA contraindicated
Contraindications:
- Significant nasal trauma
- Middle third facial fracture
- TBI
SGA
Indications:
- airway maintenance with need for ventilation support >10 minutes
Contraindications:
- trismus
- upper airway obstruction
- gag reflex
Airway manoeuvres
Indications:
- insertion of airway device
- opening of airway
Contraindications:
- suspected spinal injury
Paracetamol indications/contraindications
Indications:
- pain
- headache
Contraindications:
- hypersensitivity
- <1 month old
- administered in last 4 hours
- max dose administered in last 24 hours
- chest pain with suspected ACS
Paracetamol presentation/dose
Presentation:
500mg tablets, 120mg in 5mL
Dose:
Adult: 1000mg (2x tablets)
E/F: 500mg (1x tablet)
Paeds: 15mg/kg oral
Methoxyflurane indications/contraindications
Indications:
- pain relief
Contraindications:
- hypersensitivity
- concurrent use of tetracycline antibiotics
- past/family history of malignant hyperthermia
- muscular dystrophy
- administered in the last 24 hours
- renal impairment
Methoxyflurane presentation/dose
Presentation:
3mL glass bottle
Morphine indications/contraindications
Indications:
- pain relief
- sedation for intubation
Contraindications:
- hypersensitivity
- late second stage labour
- renal impairment/failure
Morphine presentation/dose
Presentation:
10mg in 1mL
Dose:
Adult
IV: 5mg (0.5mL), 5/60, consult 20mg
IM: 10mg (1mL), 15/60 once, E/F: 0.1mg/kg, no repeat
Fentanyl indications/contraindications
Indications:
- pain relief
- sedation for intubation
Contraindications:
- hypersensitivity
- late second stage labour
Fentanyl presentatin/dose
Presentation:
100mcg in 2mL
Dose:
Adult
IV: 50mcg (1mL), 5/60, consult 200mcg
IM: 100mcg (2mL), 15/60 once, E/F: 1mcg/kg, no repeat
IN: 200mcg (4mL), 50mcg 5/60, 400mcg max
IN E/F: 100mcg (2mL), 50mcg 5/60, 200mcg max
Paeds IN 10-17kg: 25mcg 18-39kg: 25-50mcg -> repeat initial dose up to 3 times
Ketamine indications/contrainindications
Indications:
- pain relief
- sedation for intubation or agitation
Contraindications:
- non-traumatic brain injury with severe hypertension (SBP >180mmHg)
Ketamine presentation/dose
Presentation:
200mg in 2mL
Dose:
IN: 75mg (0.75mL + 0.1 space), 50mg 20/60
E/F: 50mg (0.5mL + 0.1 space), 25mg 20/60
no max
IV - consult
Ondansetron indications/contraindications
Indications:
- nausea + vomiting
- stabilisation for SCI or TBI
Contraindications: - Hypersensitivity - Concurrent apomorphine use - Long Q-T syndrome - Hypokaelemia + hypomagnesium -
Ondansetron presentation/dose
Presentation:
4mg tablets. 8mg in 4mL
Dose:
Oral: 4mg, 4mg 5-10/60
IV: 8mg in 4mL, single dose
Prochlorperazine indications/contraindications
Indications:
- Nausea + vomiting
- Vertigo
- Ondansetron contraindicated
- Air evacuation
- Travel sickness
- Headache
Contraindications:
- Hypersensitivity
- <21 years old
- Pregnancy
- circulatory collapse
- CNS depression
Prochlorperazine presentation/dose
Presentation:
12.5mg in 1mL
Dose:
IM: 12.5mg in 1mL
Normal saline indications/contraindications
Indications:
- Volume TKVO when administering drugs
- Blood volume to increase perfusion and circulation
- Flush or dilute other drugs
Contraindications:
- none, but be cautious of hypothermia etc
Normal saline presentation/dose
Presentation:
10mL polyamp, 500-1000mL soft pack
Dose:
Traumatic arrest: 20mL/kg
