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WFR > Stable vs Unstable > Flashcards

Stable vs Unstable Flashcards

1
Q

Respiratory Distress

A

Short Sentences
Difficulty Breathing
A
Anxious

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2
Q

Respiratory Failure

A

1 or 2 words
A-, V or P
Lethargic

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3
Q

Respiratory Arrest

A

Not breathing or
inadequate respirations

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4
Q

Limited Concussion Risk

A

No loss of consciousness
but S/Sx of Concussion

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5
Q

Concussion Low Risk

A

Any period only responsive to V or P
with S/Sx of Concussion

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6
Q

Concussion High Risk

A

Any unresponsiveness (U)
with S/Sx of Concussion
Or 2+h altered mental state
Or 65+ Or Blood Thinners
Or inc ICP or Skull Fracture

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7
Q

Concussion Risk Increases

A

High Velocity MOI
Prior History & S/Sx trending up
Additional significant injuries

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8
Q

Concussion Assessment

A

Mechanism + Brain Change = Concussion

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9
Q

Nervous System Principles

A

AVPU & watch trends
ABCs & watch for changes
Position Reassure Oxygen PosPressureVent
Mostly evacuate

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10
Q

Spine Assessment No Risk

A

Passes 6 Spine Assessment Questions
1. Reliable Patient
2. New & Significant Pain
3. Numbness or tingling
4. Palpate for pain along spine
5. Motor Exam
6. Dull/Sharp Sensory Exam

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11
Q

Spine Assessment Low Risk

A
  • Tolerable Pain
  • Move & weight bear with no significant pain incr
  • Pass Numb/Tingle, Motor, Sensory Exam
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12
Q

Spine Assessment High Risk

A
  • Fails Spine Assessment
  • Pain intolerable
  • Unable to move & weight bear easily
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13
Q

Stable Musculoskeletal Injury

A

Distal DSM - Normal
Deformity/Angulation - None
RoM - Near Normal
Weight Bearing - Near Normal
Pain - Limited
Swelling - Slow onset
Feelings of Instability - No

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14
Q

Unstable Musculoskeletal Injury

A

Distal CSM - Decreased
Deformity/Angulation - Any
RoM - Limited or none
Weight Bearing - None
Pain - Moderate to Severe
Swelling - Obvious & quick
Feelings of Instability - Yes

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15
Q

Unstable Musculoskeletal Low Risk

A
  • Successfully immobilized
  • Good CSM
  • Manageable Pain
  • Reduced dislocation
  • No infection risk
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16
Q

Unstable Musculoskeletal High Risk

A
  • Persistent compromised CSM
  • Unstable deformity
  • Open fracture or infection risk
  • Femur or Pelvic fracture
  • Acute swelling and severe pain
17
Q

Wounds Low Risk

A

Dermis & Subcutaneous fat only
Clean straight edges
No devitalized tissue
Low risk of infection

18
Q

Wounds High Risk

A

Deep wounds (fascia, tendons, ligaments, muscles, bone)
Contaminated, crushed or devitalized tissue
Open fractures
Animal bites
Large blood loss
Consider cosmetic or functional impairment

19
Q

Remove all Impaled objects unless

A

Not easy to remove
Will cause significant tissue damage
Will cause significant pain increase
Lodged in the eye

20
Q

Local Infection (low risk?)

A

Pain
Redness
Swelling
Warm to touch
Loss of function

21
Q

Systemic Infection (high risk)

A

Spreading local infection signs
Fever & general malaise
Lymphangitis/red streaks
Severe infection becomes Vascular or Volume Shock

22
Q

Burns No Risk

A

Superficial burns

23
Q

Burns Low Risk

A

Full thickness burns
Partial thickness burns >1% of surface area
Any infected burns

24
Q

Burns High Risk

A

Respiratory burns
Partial or full thickness burns >10% of surface area
Any full circumference burns to limbs

25
Q

Allergy Low Risk

A

Any allergic reaction that is not Anaphylactic

26
Q

Allergy / Anaphylaxis High Risk

A

Possible antigen exposure with
A. Severe Respiratory Distress or Failure
or B. High or Weak Pulse or altered mental state
or 2 of
C. Generalized Hives or Swollen Tongue/lips
D. Mild Respiratory Distress
E. Severe GI symptoms
F. Mild signs of low BP

27
Q

Serious Medical Problems

A

Pain 24h or becoming localized
Pain with Critical S/Sx (i.e., Shock)
Blood in urine, vomit or stool
Pain with vomit or diarrhea for 24h
Persistent fever
Unable to maintain hydration or temperature

28
Q

Non Serious Medical Problems

A

Specific problem with no Red Flags
Vomit or diarrhea wo persistent pain or shock
Pain that comes and goes or relieved by passing gas
No fever
No signs of dehydration

WFR (2 decks)

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