TG/PP Flashcards
What are the five types of injuries in a blast?
- Primary – blast shockwave hits body (Over and under)
- Secondary – ballistic wounds (Projectiles)
- Tertiary – crush injuries from structural damage (propulsion into another object)
- Quarternary – other injuries such as burns (heat and flames)
- Quinary – additives from bacteria and radiation (radiation, chemicals, bacteria
What is the GCS Scale?
Scale used to determine LO
A core temperature less than __ indicates hypothermia.
95°F
What is passive rewarming?
Allowing patients to rewarm on their own
What is active external rewarming?
The application of exogenous heat to the body surface.
In general, what is the body temperature range for mild Hypothermia?
89.6°-95°F
A body temperature below ___ indicates a risk for cardiac dysthymia in a hypothermia.
86°F or 30°C
What wave shows as a slow, positive deflection at the end of the QRS complex and is often associated with hypothermia?
The Osborn (J) wave
What are the three major types of shock?
- Hypovolemic
- Distributive
- Cardiogenic
Sympatholytic Syndrome s/s
- The blood pressure and pulse rate are decreased
- Body temperature is low.
- The pupils are small or even pinpoint
- Peristalsis is usually decreased
- Patients are usually obtunded or comatose
What are some s/s of Sympathomimetic Syndrome?
- Elevated HR and B/P/
- Temp is often elevated.
- Dilated pupils and sweaty skin, w/ dry mucous membranes.
- Pt usually agitated, anxious, or frankly psychotic.
Think Fight or Flight
Barbiturates, benzodiazepines and other sedative hypnotics, GHB, clonidine and related antihypertensives, ethanol, opioids. are associated with what type of overdose?
Sympatholytic Syndrome
Cholinergic Syndrome s/s
- bradycardia
- Miosis (excessive constriction of the pupil)
- Sweating
- Hyperperistalsis (hyperactive bowel movment)
- Bronchorrhea (production of voluminous watery sputum greater than 100 mL/d)
- Wheezing
- Excessive salivation
- Urinary incontinence
Think of SLUDGE
Carbamates, nicotine, organophosphates (including nerve agents), physostigmine are associated with type of poisoning?
Cholinergic Syndrome
Anticholinergic Syndrome s/s
- Tachycardia with mild hypertension is common
- Body temperature is often elevated.
- Pupils are widely dilated.
- The skin is flushed, hot, and dry.
- Peristalsis is decreased, and urinary retention is common. Patients may have * myoclonic jerking or choreoathetoid movements.
- Agitated delirium is frequently seen
- Severe hyperthermia may occur.
Atropine, scopolamine, other naturally occurring and pharmaceutical anticholinergics, antihistamines, tricyclic antidepressants.
Anticholinergic Syndrome
