Skills sign off

Question 1

Suction Indications

Answer 1

Significant amount of blood, vomit that threaten airway patency

Question 2

Suction contras

Answer 2

Suction of saliva or pulmonary oedema fluid

Question 3

Suction Potential complications/cautions

Answer 3

Damage to oropharanx
Hypoxia
Stimulation of gag/cough relfex
Braydicardia/hypotention due to vagal nerve stimulation

Question 4

How to use suction

Answer 4

turn to max
Place catheter inside no futhur than you can see
Suction while withdrawing from mouth and in a circular motion
Do it no longer than 10 secs at a time

Question 5

OPA Indications

Answer 5

Routinely placed in all patients requiring airway support

Question 6

OPA contras

Answer 6

Patients who are conscious with gag relfex

Question 7

OPA cautions

Answer 7

gagging, vomiting, aspiration, trauma to mouth, Dental injury, Inadequate airway

Question 8

NPA indications

Answer 8

airway needs to be maintained but patient has trismus, mouth cavity been damaged OPA cant be placed

Question 9

NPA Contras

Answer 9

Nasal trauma Maxillofacial trauma

Question 10

NPA Cautions

Answer 10

Epistaxis, Ulceration, Sinusitis, gag relfex

Question 11

BVM Indications

Answer 11

Administration of Hi flow
PEEP
Assisting ventilations

Question 12

BVM Contras/cautions

Answer 12

Contras: None
Cautions: Active Vomiting, insufficient breathing to open duck bill valve

Question 13

BVM Complications

Answer 13

Hyper/hypo ventalation, gastric inflation, intrathoratic pressure, barotrauma, asphxiation due to duckbill valve not opening

Question 14

Cardboard splint Indications

Answer 14

Fractures disslocations of
Ankle
Tib/fib
Hand, wrist, radius, ulna
ElbowC

Question 15

Cardboard splint contras

Answer 15

None

Question 16

Cardboard splint cautions

Answer 16

Time critical

Question 17

Cardboard splint complications

Answer 17

Pain during splinting
To small/tight can cause ischemia
to large dont provide enough support

Question 18

Cat tourniquet Indications

Answer 18

Servere bleeding despite direct pressure
Bleeding that is immediatley life threatening
Crush injury that has been going on for more than 60 mins

Question 19

Cat tourniquet Contras/Cautions

Answer 19

None

Question 20

Cat tourniquet Complications

Answer 20

Severe pain
Tissue damage
Limbs with two bones may limit pressure able to apply
Bleeding may be difficult to control if on a thigh or any large limb

Question 21

C spine collar indications

Answer 21

C spine cannot be cleared clinically
Specific posterior midline tenderness
Signs and symptoms of spinal cord injury

Question 22

C spine collar contras

Answer 22

Patients who are unconscious

Question 23

C spine collar cautions

Answer 23

pre excisting c spine abnormalities
Uncooperative patients

Question 24

C spine collar complications

Answer 24

may worsen neck pain
may promote the development of pressure in areas
makes airway management more difficult
may raise ICP

Question 25

What is the different for sniffing position in neonates, children and adults.

Answer 25

Neonates you want to put a towel under their back/shoulders. Children you don't need anything to realign the head. Adults you need to put somthing under their head

Question 26

Do you need to put more towels under an obese person for sniffing position?

Answer 26

YES. You often need to put more towels under their back/ shoulders and their head to align it properly

Question 27

What is aim of sniffing position? It is proffered for intubation?

Answer 27

YES it is the optimal position for intubation. The aim is to have the ears parallel to the sternal notch.

Question 28

Sagar splint indications

Answer 28

Suspected femur fracture involving the shaft. NOT a NOF

Question 29

Sagar splint cautions

Answer 29

Not critical personal with ATP should be present Time critical injury Suspected fracture to pelvis Suspected fracture to foot/ankle

Question 30

What are the 5 R's for medications

Answer 30

Right patient Right dose Right Time Right medication Right Route

Question 31

What are the 4C's for medications

Answer 31

Clarity Concentration (e.g. duilte, label etc) Container Check expiration

Question 32

What are the Indications for a LMA

Answer 32

GCS 3 and poor airway despite OPA/NPA/ maneuvers Cardiac arrest where ETT can't be placed Rescue airway in failed intubation

Question 33

What are the contras/cautions for a LMA

Answer 33

Active vomiting Presence of gag reflex Trismus/restricted mouth opening Upper airway obstruction Distorted airway

Question 34

What are some potential complications for a LMA

Answer 34

Inability to obtain a good seal Regurgitation Aspiration Kinking of the airway tube Laryngospasm Cough Upper airway trauma Gas insufflation Dislodgement

Question 35

What is the acronym for predicting a LMA insertion may be troublesome

Answer 35

R - restricted mouth opening O - Obstruction, obesity, obstetrics D - disrupted/distorted airway S - still lungs (poor compliance) RODS

Question 36

How do you trouble shoot a LMA

Answer 36

D - dislodged O - obstruction P - pneumothorax E - Equipment failure S - stacked breaths

Question 37

What are the indications for Magill Forceps (FBAO)

Answer 37

Foreign body airway obstruction The patient is unconscious and not moving sufficient air The foreign body can not be removed under direct vision with a finger sweep

Question 38

What are the contras/cautions for Magill forceps

Answer 38

Contras: Conscious patient Cautions: None

Question 39

What are the complications for Magill forceps

Answer 39

Gagging Vomiting Foreign body may be difficult to remove Foreign body may be in multiple pieces Damage to the soft tissue of mouth Damage to teeth

Question 40

What are the indications/contras/cautions for IM injections

Answer 40

Indications: Administration of a medication via IM Contras/cautions: Evidence of infection/trauma at the injection site.

Question 41

What are the potential complications for IM injection

Answer 41

Pain at injection site Bleeding at injection site Tissue necrosis Infection