Subdural haemorrhage case Flashcards
What are the 3 main manoeuvres that can be used to relieve upper airway obstruction?
Head tilt
Chin lift
Jaw thrust
What would make you choose a nasopharyngeal airway over a oropharyngeal airway
If the patient has increased consciousness and therefore cannot tolerate and oropharyngeal airway
How do you grade GCS?
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What manoeuvres should be used to maintain the airway in a patient you are suspecting may have a C spine injury.
Jaw thrust or chin lift in combination with manual-in-line stabilisation of the head and neck by an assistant
How do you size up an oropharyngeal adjunct?
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How do you size up a nasopharyngeal adjunct?
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What things in the history may be suggestive of a spinal injury?
Victim has fallen from a great height, victim has been struck on the head or neck, victim has been recues after diving into shallow water
What are some indications for an urgent CT head (within 1 hour)?
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What are some indications for a CT head within 8 hours?
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If a patient has - for example been in a fight or suffered a fall or trauma what is important in the A-E assessment?
It is important with gloved hands to feel the all around the head - and the back of the head for any depressions of the skull or and sites of bleeding
What are some risk factors that can increase a patients risk for an extradural haemorrhage?
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What medication may you give in order to reduce intracerebral pressure secondary to bleedings?
Mannitol
The patients resp rate is 4 and they still have low O2 saturations on high flow O2. You are awaiting the anaesthetist. What can you do in the meantime?
Bag-mask ventilation.
If the patient has a RR of 4 you add onto this to aim for a RR of approximately 16-20.
When you are ventilating a patient with a bag valve mask what must you check to ensure ventilation is good?
The seal of the mask to the face
That there is good expansion of the chest
What is surgical emphysema suggestive of?
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