study session Flashcards
LEGAL AGE verbally or non-verbally that he or she is will to accept treatment
expressed consent
understands who you are / what you want to do & what has happened & allows you to treat them
informed consent
- does not specifically refuse emergency care
- does not hesitate to treat an unconscious patient
- law assumes that if in the right state of mind these people would consent to
emergency care and therefor allows you to treat these people.
implied consent
- are not considered capable of speaking for themselves.
- Emergency treatment must wait until a patient or legal guardian consent to the
treatment. - If permission cannot be quickly obtained, do not hesitate to give appropriate
medical care.
consent for minors ( less than 18 years old)
- If a person appears to be a threat to themselves or others, then this person
should be placed under medical care - Application for an Authorization of Temporary
Involuntary Hospitalization. (may restrain a person)
Consent of Mentally Ill Patients
whose safety is the most important
police officers safety
- most common type of external blood loss
- the blood oozes out
- apply direct pressure to the site
capillary bleeding
a. Second most common type
b. This bleeding has a steady low
c. Apply direct pressure for at least 5 minutes
Venous Bleeding
a. Most serious type of bleeding
b. Arterial blood spurts or surges with each heartbeat
c. Exert direct pressure and maintain pressure until EMS arrives
Arterial Bleeding
a. Place a dry, sterile dressing directly on the wound and press with a gloved hand.
b. Wrap the dressing and wound snugly with a roller gauze bandage.
c. Do not remove the dressing after you apply it.
Direct Pressure
- Occurs when the person’s body temperature drops to less than 95° F (35°C)
- The person’s body is not able to produce enough energy to keep the internal
temperature at a satisfactory level. - People most susceptible, include:
a. Those with poor or wet clothing
b. Individuals who are weakened by illness
Hyporthermia
is the tearing away of the skin.
Avulsions
i. Located
ii. Placed in a clean plastic bag
iii. Kept cool
iv. Taken to the hospital for possible reattachment
Amputations
If an entire body part is torn away, the wound
traumatic amputation
The best defense against hypothermia is to
prevent it before it happens.
- Wear the appropriate uniform/gear for the weather conditions
a. Move the patient to a warm location
b. Remove wet clothing
c. Place warm blankets over and under the patient
hypothermia treatment
how does a police officer deal with a patient having hypothermia?
a. If you do not have access to a building, move the patient to a heated vehicle.
b. To warm the fingers, have the patient place their hands in their armpits or under
clothing.
c. Handle the patient gently
do you CPR a hypothermia patient?
YES:
a. If a patient is unresponsive and a pulse cannot be detected you will need to
begin CPR
b. Always start CPR and use an AED on hypothermia patients even if you believe
they have been dead for several hours.
(1) A patient is NOT DEAD until they are WARM and DEAD
- Occurs when a patient is exposed to temperatures greater than 80°F (27°C)
- Can also occur as the result of vigorous exercise at lower temperatures
Heat Exhaustion
a. Profuse sweating
b. Lightheadedness
c. Dizziness
d. Nausea
e. Weak pulse
f. Low blood pressure
Signs and symptoms: Heat Exhaustion
- Occurs when the body is subjected to more heat than it can handle and the normal
mechanisms for getting rid of excessive heat are overwhelmed. - The patient’s body temperature rises, the brain is affected, and mental status changes will occur.
Heatstroke
a. Flushed, dry skin that feels hot to the touch
b. Semi consciousness or unconsciousness
c. Internal temperature as high as 106° F (41.1 C)
Heatstroke: Signs and Symptoms:
- Remove the patient from the hot environment
- Remove the patient’s cloths down to the underwear and bra.
- Soak the patient with water if possible.
- Cool patient with ice packs in axillary and groin areas.
Treatment: Heatstroke
Can result from parts of the body being exposed to the cold environment.
Frostbite
The best defense against frostbite
to prevent it before it happens.
a. The affected body part becomes numb and then turns bright red in color.
b. Eventually the area loses its color and changes to pale white.
c. There may be a loss of feeling or sensation.
d. Warming the area must be done quickly and carefully.
e. Do not warm the area by rubbing it.
Superficial Frostbite (frostnip)
a. The patient’s skin will be white and waxy.
b. The skin may be firm or frozen.
c. Swelling and blisters may be present
Deep Frostbite
Occurs if the body has enough insulin but not enough blood glucose.
Insulin Shock (Hypoglycemia)
1) Pale, moist, cool skin
(2) Rapid, weak pulse
(3) Dizziness or headache
(4) Confusion or unconsciousness
(5) Sweating
(6) Hunger
(7) Rapid Onset of Symptoms (within minutes)
Insulin Shock (Hypoglycemia): Signs and symptoms
caused by the body’s inability to process and use glucose.
Diabetes
The body produces insulin
which enables glucose to move into individual cells
If the body does not produce enough insulin,
the cells become “starved” for
sugar and diabetes results
A person who experiences insulin shock may appear
drunk
can be classified according to the way it enters the body
Poisoning
- More than 80% of all cases of poisonings are caused by ingestion.
- Chemical burns, odors, or stains may be found around the patient’s mouth
Ingested Poisons
a. Nausea, vomiting and diarrhea
b. Abdominal pain
c. Abnormal or decreased respirations
d. Loss of consciousness
e. Seizures
Ingested Poisons: Signs and symptoms
common causes
- Improperly vented heating appliances
- Smoke (Burning Buildings)
Carbon Monoxide
. Some people may experience an extreme allergic reaction and go into
Anaphylactic Shock.
swelling airway / HIVES
Signs and Symptoms of Anaphylactic Shock
- Caused by sudden episodes of uncontrolled electrical impulses in the brain
Seizures
a. Produce shaking movements
b. Involve the entire body
c. Lasts 1 to 2 minutes
d. Usually leave the patients unconscious
Generalized Seizures
a. Generalized seizures caused by a sudden high fever
b. Occur in infants and young children
Febrile Seizures
a. Results in only a brief lapse of consciousness
b. Patients may blink, stare vacantly, or jerk one part of their body
c. Monitor the patient’s CAB’s.
Absence Seizures
If the form is valid, and the patient is in cardiac arrest, DO OR DONT resusciate
DONT resusciate
If the blocked area is critical, the heart may stop completely causing what??
cardiac arrest
- Complete cessation of the heartbeat is
cardiac arrest