Week 2/3- Conveyance Flashcards
What are body mechanics?
the way you move during daily activity
helps avoid injury and muscle fatigue
will help increase amount of weight being able to lift
When choosing equipment CONSIDER…
- size of pt
- access and egress
- equipment size/ maneuverability
- try to minimize your lifting!!!! ( longer career)
MOH equipment standards states each ambulance has to have: (5)
portable stretcher
adjustable breakaway stretcher
spinal extrication device
spinal board
quick connect configuration
Why do we do a Rapid Trauma Survey?
dangerous generalized MOI or unconscious
When do we do a Focused Examination?
dangerous FOCUSED MOI suggesting an ISOLATED injury
When do we do a Focused examination based on chief complaint?
NO significant MOI and initial assessment is normal
Who are the HIGH priority/ risk patients?
dangerous MOI
history that reveals: LOC, difficulty breathing, severe pain in head, neck or torso
HIGH RISK groups: young, old, chronically ill with altered mental status, difficulty breathing, abnormal perfusion, any abnormalities from initial assessment
What is DCAP BTLS?
LOOK: Deformities, Contusions, Abrasions, Penetrations
Palpate: Burns, Tenderness, Lacerations, Swelling
What is TIC?
Tenderness, Instability, Crepitus
How do you evaluate MOI?
We will be told, still look & ASK!!
Don’t always trust the dispatch to know EVERYTHING.
Evaluating head & neck
look- DCAP BLS
Distended veins- JVD (tension pneumothorax)
Trachea midline- STRAIGHT not pushed over
COLLAR CAN BE APPLIED NOW:)
Evaluating chest
Look DCAP BLS
Feel for TIC
Auscultate both sides of lungs
Check for symmetry of lung movement
Listen for heart sounds
Evaluating the abdomen
EXPOSE and look at abdomen
LOOK for DCAP BLS
Palpate for tenderness, guarding (pt guarding/holding where it hurts, rigidity
Abdomen should not hurt
Evaluating pelvis
LOOK: DCAP BLS
FEEL: TIC
If pelvis is unstable, do NOT check again !!
Evaluating extremities
Legs first (femurs): DCAP BLS & TIC
Shortening of leg = VERY painful injury
TORT the extremities
Have the pt:
- Press down on your hands with feet
- Squeeze your hands
Evaluating the back
Feel for any step deformities, spine should be in line
Assess for DCAP BLS
Now the pt can be transferred to the board - stretcher
STOP RTS ONLY WHEN….
unsafe scene
airway obstruction (something wrong w ABC’s)
cardiac arrest
After RTS the paramedic shall:
transfer pt onto an immobilization device (# board, scoop stretcher)
examine the back while moving pt
baseline vitals en route
sample history
What are some Critical Interventions during an RTS?
manage airway
assist ventilation
administer o2
begin CPR
control major bleeds
seal sucking chest wounds
stabilize flail chest
and impaled objects
What type of pt’s do we move with the stair chair?
elderly, struggling with up and down
# fractures
immobile/ no/ small elevators
semi conscious pt’s, NO unconscious pt’s
SOB & CP- do not walk them, could worsen condition
