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Paramedics > Study Notes > Flashcards

Study Notes Flashcards

1
Q

What is the primary survey for the conscious?

A 
Danger 
Response (AVPU)
Airway (patent)
Breathing 
Circulation
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2
Q

What is the primary survey for the unconscious?

A 
Danger
Response (AVPU) 
Circulation 
Airway (patent/c-spine issues) 
Breathing (above 10/min)
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3
Q

What comprises the secondary survey?

A

History Taking
Vital Signs
Head to toe

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4
Q

What are the 3 focussed assessments?

A

Perfusion status
Neurological status
Respiratory status

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5
Q

What is a triple airway manuovere?

A

A patient not suspecting a c-spine injury. Includes:

Head tilt
Jaw thrust
Looking down airway

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6
Q

What is a double airway manuovere?

A 
Suspected C-spine injury 
Includes: 
NO HEAD TILT 
Jaw thrust 
Look down airway
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7
Q

What do you do when checking for a response?

A

AVPU
Alert
Voice - can you hear me, open your eyes

Pain - sternum rub or pinch under shoulders
Unconscious - no response

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8
Q

How do you assess breathing?

A

Look, listen, feel
Rise and fall of the chest
Normal or Abnormal

Talking = breathing

Normal breathing rate = 12-18/min

BVM to the rescue if not breathing adequately!

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9
Q

What is the normal breathing rate?

A

12-18/min

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10
Q

How do you assess circulation?

A

If conscious - radial pulse
Unconscious - carotid pulse

CPR if no pulse is found
Compressions first!

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11
Q

How do you suction an airway?

A

Head tilt
Only go as far as you can see
Place airway in and BVM on

Children don’t need a head tilt

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12
Q

What are the 2 airway suction catheters?

A

Yankeur - rigid plastic & used to remove secretions from oropharynx or nares under direct vision.

Y Suction - FG12 & FG8 used in endotracheal tubes can clear nares, nasopharynx, oropharynx, stomas or other airway devices.

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13
Q

How do you insert an OP airway?

A

It’s to help maintain a patent airway -

  • size from centre of the lips to side of the jaw
  • full head tilt
  • triple airway manuovere
  • enter OP airway
  • continue BVM
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14
Q

How do you insert a Nasopharyngeal airway?

A

Size up correctly from tip of nose to the earlobe

Lubricate outside of airway

Through right nostril preferably/angle towards the septum

Wiggly slowly

Patency achieved
Remove gently if vomit or gagging occurs

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15
Q

How do you apply BVM?

A 
Head tilt (no c spine) 
Triple manuovere 
Insert OP airway 
BVM over nose and mouth 
Inflate
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16
Q

What is considered as a good blood glucose level?

A

4-6mmol/L or up to 8 after a meal

17
Q

How do you conduct a BSL test?

A 
Check expiry
Insert 3 black lines 
Twist cap on the lancet 
Prepare swab or bandaid 
Set lancet depth affording to skin softness 
Press into skin and push lancet button 
Dispose 
Touch blood onto strip 
BSL reading
Dispose strip 
Cover wound as appropriate
18
Q

What comprises the vital signs survey?

A 
Blood Pressure 
BSL 
Respiratory rate 
ECG 
SpO2 
Temperature 
GCS 
Pulse
19
Q

History taking comprises what 2 mnemonics?

A

SAMPLED & OPQRST (pain)

20
Q

What does SAMPLED stand for?

A 
S - signs and symptoms 
A - allergies 
M - medications 
P - past history 
L - lists of lasts (GP, food, water, toilet) 
E - events leading up to it 
D - health care directives?
21
Q

What does OPQRST stand for?

A

O - onset
P - provocation (what makes it better or worse)
Q - quality (how would you describe the pain?)
R - radiate (does your pain radiate)
S - severity (scale 0-10)
T - Time (how long ago did the pain start?

22
Q

What contains VSS?

A 
BP 
BSL 
SPO2 
GCS 
ECG 
Temp 
Respiratory assessment
23
Q

What contains the neurological status?

A

GCS

Pupils - size, reactivity & equal

Motor & Sensory - strength, tone, sensation, abnormalities

24
Q

What contains GCS?

A

EYES - 4 spontaneous, 3 voice, 2 pain, 1 no response

VERBAL - 5 orientated, 4 confused, 3 inappropriate, 2 moans and groans, 1 no response

MOTOR - 6 obeys commands, 5 localises with pain, 4 withdrawals to pain, 3 flexion, 2 extension, 1 response

25
Q

What contains respiratory status?

A 
Conscious state 
Appearance 
Skin 
Speech 
Sounds 
Pulse rate 
Rate (breathing)
Rhythm 
Effort
26
Q

What contains the perfusion status?

A

Pulse
Blood pressure
Skin
Conscious state

Paramedics (4 decks)

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