WEEK 2 - Treatment And Diagnosis Flashcards
1
Q
What life threatening conditions require urgent transport?
A
2
Q
Prehospital vital signs in major trauma that indicate a time critical patient:
A
- HR <60 or >120
- RR <10 or >30
- systolic BP <90 mmHg
- SPO2 <90%
- if > 16 years - GCS 13 or bellow
- if < 15 year - GCS 15 or bellow
3
Q
What are specific traumas that meet potential major trauma criteria (time critical)
A
- all penetrating injuries
- blunt injuries
- specific injuries
4
Q
What are the specific injuries in trauma that meet potential major trauma criteria (time critical)
A
- Limb amputation or limb threatening injury
- suspected spinal cord injury or spinal fracture
- burns >20% or suspected respiratory burn
- high voltage burn injury
- serious crash injury
- major compound fracture or open dislocation
- fracture to two or more of femur/tibia/humerus
- fractured pelvis
5
Q
What is the high risk criteria for major trauma?
A
- motor/ cyclist impact >3 km/h
- pedestrian impact
- ejection from vehicle
- prolonged extrication
- fall from heigh >3m
- struck on head by object falling >3m
- explosion
6
Q
Indication of mild t moderate hypoxaemia
A
SPO2 85 — 90%
7
Q
Oxygen dose for SPO2 85 - 90%
A
Initial dose of 2 - 6 L via nasal specs
Consider simple face masks 5 - 10 L
8
Q
What critical illnesses require oxygen? (Severe hypoxaemia)
A
- cardiac arrest or resuscitation
- major trauma/head injury
- shock
- severe sepsis
- anaphylaxis
- status epilepticus
- ketamine sedation
9
Q
Oxygen dose for severe hypoxaemia
A
Non rebreather 10 -15 L
10
Q
Examples of chronic hypoxaemia and treatment
A
- COPD
- neuromuscular disorders
- cystic fibrosis
- brochlectasis
- severe kyphoscolosis
- obesity
- titration for SPO2 between 88 - 92%
11
Q
What conditions require O2 regardless of SPO2? What treatment?
A
- toxic inhalation exposure
- decompression sickness
- cord prolapse
- postpartum haemorrhage
- shoulder dystocia
- cluster headache
- non rebreather 10-15 L
