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20 Cards in this Set
- Front
- Back
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Tourniquets are used to stop severe extremity hemorrhage that... |
...cannot be controlled by direct pressure. |
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True or False
A narrow tourniquet is more effective than a wider one. |
False. The wider the tourniquet, the lower the pressure required to stop the bleeding. |
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A tourniquet that is at least ____" wide is less likely to damage surrounding tissues. |
1 inch |
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Narrow tourniquets (like ____ and ____) should be avoided. |
string and wire |
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Three steps to control severe hemorrhage: |
(1) Direct Pressure (2) Pressure Dressing (3) Tourniquet
(no more elevation) |
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Where is a tourniquet applied? |
2-3 inches proximal to the bleeding site |
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Tighten the tourniquet until... |
...the bleeding stops and distal pulses are lost. |
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If bleeding continues after tourniquet application... |
...apply a second tourniquet proximal to the first and tighten until bleeding stops. |
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If patient has positive distal pulses after tourniquet application... |
...apply a second tourniquet proximal to the first and tighten until bleeding stops. |
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Document _____ of tourniquet application on _____ and _____. |
time
pcr/acr piece of tape on or near tourniquet |
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A patient with a tourniquet should be transported to the nearest _____. |
trauma center |
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At least ____ criteria must be present for the Severe Sepsis/Septic Shock protocol. |
3 |
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NOTE: In Severe Sepsis/Septic Shock _____ is required. |
documentation of fluid administration |
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List the 6 criteria that are assessed for Severe Sepsis/Septic Shock. |
"BRUTAL"
(1) BP (decompensated) (2) RR (elevated) (2) Upsurge (tachy) (4) Temp (high or hypo) (5) AMS (unknown) (6) Lactate (elevated) |
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BP criteria for sepsis is a Systolic Blood Pressure (SBP) of _____ or a Mean Arterial Pressure (MAP) of ____. |
<90 <65 |
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RR criteria for sepsis is _____. |
Resps >30/min or EtCO2 <30 mmHG |
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"Upsurge" criteria for sepsis is _____. |
HR >110/min |
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Temperature criteria for sepsis is _____. |
"tactile" fever/hypothermia or >100.4 F (38 C) |
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AMS criteria for sepsis is _____. |
unexplained etiology |
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Lactate criteria for sepsis is _____. |
>4 mmol/L |
