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12 Cards in this Set

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Advanced Midical Life Support Assessment
A dependable framework for reducing morbidity and mortality by identifying early and managing effectively a broad range of medical emergencies.
It depends on taking an efficient, comprehensive history and obtaining and correctly interpreting information from the physical exam and diagnostic assessments.
The foundation is based on effective therapeutic communication skills, keen clinical reasoning abilities, and expert clinical decision making.
page 3-5
The 6 R's
1) Read the patient
2) Read the scene
3) React, manage ABC, treat
4) Reevaluate
5) Revise management plan
6) Review performance
page 5
Therapeutic communication
When using therapeutic communication you must use the 4 E's, engagement, empathy, education, and enlistment.
Engagement is the connection between you and the patient, or repport with the patient. Introduce yourself and have a caring attitude.
Empathy refers to your sincere identification with the patient's feelings.
Education by keeping patient inform throughout care.
Enlistment means encourageing the patient to participate in their own care and treatment decisions.
page 5-6
clinical reasoing
Good judgement founded on a strong knowledgebase seasoned by clinical experience.
page 7
The different types of diagnosis
Differential diagnosis-set possible causes of the patient's condition.
Working diagnosis-the presumed cause of the patient's condition.
Definitive diagnosis-the diagnosis that has been comfired by doctor and diagnostic testing.
page 8
Use of senses to assess patient.
Everything gives cluse.
What you see on scene, on patient. The smells present may point to danger or a medical condition. Use touch to get assessment of skin and pulse which can give much assessment.
page 11 to 15
cardinal presentation
The patient primary complaint, often referred to as cheif complaint. May be objective such as unconscious or choking.
page 15
Reticular activating system and cerebral hemispheres role in LOC
The reticular activating system is resonsible controlling wakefullness and alertness.
The cerebral hemispheres controls reacting to environment.
page 16
pulse pressure
The difference between systolic and diastolic blood pressure. Diastolic BP - Systolic BP = Pulse Pressure
Normal is 30 to 40mm Hg.
Too low (less than 25% of systolic) indicates low stroke volume or increase peripheral resistance. Narrow pulse pressure indicates shock or cardiac tamponade.
Wide pulse pressure may indicate head injury, ex cushing traid.
page 19
flight physiology barometric pressure
Barometric Pressure
Not a significant factor in heliocopter due to lower flight height. Increase barometric pressures worsens COPD, asthma, and pulmonary edema. More aggressive tx may be needed during transport including intubation.
page 44
pattern recognition
Relating the healthcare provider's knowledge of disease pathophysiology to the patient's presenting signs and symptoms and recognizing if the patients presentation fits a particular pattern.
page 2
clinical reasoning
Using good judgement with clinical experience to make and accurate diagnoses and initate proper treatment.
page 2