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146 Cards in this Set

  • Front
  • Back

Types of penetrating trauma

High velocity


Low velocity


Blast injury

Symptoms of heat injury

LOC


Seizure


Nausea/Vomiting


Unusual behaviour


Confusion


Headache


Dizziness


Fatigue/weakness

Treatment for heat illness

Move to cool environment


Spray with water


Fan


Strip layers


Give fluids

3 types of bleeding

Arterial


Venous


Capillary

Treatment for nose bleeds

Sit them down


Pinch nose for 15 mins


Release slowly and repeat if bleeding continues

Definition of stage 1 labour

Onset of regular, rhythmic and painful contractions to full dialation

Definition of stage 2 labour

From full dilation (10cm) to full birth of the baby

Definition of stage 3 labour

From the birth of the baby to full expulsion of the placenta and membrane

What is respiratory arrest

Cessation of breathing

Causes of pneumothorax

Spontaneous


Trauma


Penetrating


Blunt


Disease

What is respiratory arrest

Cessation of breathing

Types of pneumothorax

Simple


Open/sucking


Tension

Recognition of pneumothorax

MOI


Tachypnoea


Dyspnoea


Obvious wound


Cyanosis


Reduced/unequal chest movement


Hyper resonance


Reduced air entry

Recognition of haemothorax

MOI


Tachypnoea


Dyspnoea


Cyanosis


Hypo resonance

Recognition of haemothorax

MOI


Tachypnoea


Dyspnoea


Cyanosis


Hypo resonance

What can cause hypovolemic shock

Burns


D&V


Haemorrhage

What is a compressible haemorrhage

An external bleed

How is a compressible haemorrhage controlled

Direct pressure to wound


Pressure points


Tourniquet


Celox


ECB

What is a non compressible bleed

An internal bleed

How is a non compress able bleed controlled

Surgical intervention

What will make us suspect a non compressible haemorrhage

Pulse >100


Bruising in the area


Pain


Rigidness


MOU


Increased RR


Slow capillary refill


Cyanosis

How would you preserve an amputated part

Rinse the part of debris


Wrap loosely in a saline moistened sterile gauze


Seal in a plastic bag


Keep it cool but don’t allow to freeze


Never warm an amputated part

What are the 8 technical rescue skills

Rope


Water


Search and rescue


Confined space


Fire fighting


Heavy


Rescue from collapsed structure


Tactical rescue

What extraction equipment can be found on a BFA

Hacksaw


Pliers


Screwdrivers


Bolt cutters


Keech cutting tool


Common extraction devices

How much immobilisation does a stiff neck collar provide

70%

Operations in peacetime

Strikes


Forrest fires


Major incidents

Four triage categories

Priority 1 (T1)Immediate treatment - Colour Code Red


- Priority 2 (T2) Urgent treatment - Colour Code Yellow


Priority 3 (T3) Delayed treatment - Colour Code Green


Dead - Colour Code Black

What three things are the triage sort based on

Respiratory Rate


Systolic Blood Pressure


Glasgow Coma Scale

Definition of Mass casualty

When the number of live casualties temporarily overwhelms the available medical and logistical capabilities.

Types of hazard

• Physical injury


• Fire


• Toxic fumes


• Enemy fire


• CBRN attack


• Climate


Suicide bomber

Components of the hazard spectrum

Trauma/Burns


Environmental


Medical/Toxicolgical

What is SAFE

Shout send signal for help


Assess for hazards


Find and free


Evaluate casualty

Causes of injury

Blunt trauma


Penetrating trauma


• Climate


• Chemical


• Burns


• Medical

Collision types

•Frontal impact


• Rear impact


Lateral or side impact


• Rotational impact


• Rollover

Pathways of frontal impact

Down and under


Up and over

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Signs and symptoms of low concentration cyanide poisoning

Weakness of the legs


Vertigo


Nausea


Headache


Rapid breathing


Cherry red colouring


Convulsions with coma

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophopshates that interfere with the nervous system and disrupt functions such as breathing and muscular coordination

Treatment for cyanide poisoning

Ensure PT's respirator is fitted correctly


Remove from scene or source of Agent


Consider Amyl Nitrite


Oxygenate if resources allow via BVM


Evacuate

Means of delivery for a chemical agent

Bursting munitions


Spray equipment


Aerosol generators


Chemical IED

5 examples of Nerve agents

Tabun (GA)


Sarin (GB)


Soman (GD)


Cycloarin (GF)


V-Agents including VX

Early warning signs of a nerve agent - DR PT

Difficulty in breathing


Running nose and increased salivation


Pinpointing of pupils and dimness of vision


Tightness of chest

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Signs and symptoms of low concentration cyanide poisoning

Weakness of the legs


Vertigo


Nausea


Headache


Rapid breathing


Cherry red colouring


Convulsions with coma

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophopshates that interfere with the nervous system and disrupt functions such as breathing and muscular coordination

Characteristics of blood agents

Non persistent


Must be inhaled to be effective


Very fast acting


May be detected by smell, e.g. Cyanide smells of Almonds or peach kernels (however 30% of the population cannot smell AC agent)

Treatment for cyanide poisoning

Ensure PT's respirator is fitted correctly


Remove from scene or source of Agent


Consider Amyl Nitrite


Oxygenate if resources allow via BVM


Evacuate

Means of delivery for a chemical agent

Bursting munitions


Spray equipment


Aerosol generators


Chemical IED

5 examples of Nerve agents

Tabun (GA)


Sarin (GB)


Soman (GD)


Cycloarin (GF)


V-Agents including VX

Early warning signs of a nerve agent - DR PT

Difficulty in breathing


Running nose and increased salivation


Pinpointing of pupils and dimness of vision


Tightness of chest

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Signs and symptoms of low concentration cyanide poisoning

Weakness of the legs


Vertigo


Nausea


Headache


Rapid breathing


Cherry red colouring


Convulsions with coma

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophopshates that interfere with the nervous system and disrupt functions such as breathing and muscular coordination

Characteristics of blood agents

Non persistent


Must be inhaled to be effective


Very fast acting


May be detected by smell, e.g. Cyanide smells of Almonds or peach kernels (however 30% of the population cannot smell AC agent)

4 steps for continuous care

Monitor


Reassess


Document


Caring

Treatment for cyanide poisoning

Ensure PT's respirator is fitted correctly


Remove from scene or source of Agent


Consider Amyl Nitrite


Oxygenate if resources allow via BVM


Evacuate

Means of delivery for a chemical agent

Bursting munitions


Spray equipment


Aerosol generators


Chemical IED

5 examples of Nerve agents

Tabun (GA)


Sarin (GB)


Soman (GD)


Cycloarin (GF)


V-Agents including VX

Early warning signs of a nerve agent - DR PT

Difficulty in breathing


Running nose and increased salivation


Pinpointing of pupils and dimness of vision


Tightness of chest

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Signs and symptoms of low concentration cyanide poisoning

Weakness of the legs


Vertigo


Nausea


Headache


Rapid breathing


Cherry red colouring


Convulsions with coma

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophopshates that interfere with the nervous system and disrupt functions such as breathing and muscular coordination

Characteristics of blood agents

Non persistent


Must be inhaled to be effective


Very fast acting


May be detected by smell, e.g. Cyanide smells of Almonds or peach kernels (however 30% of the population cannot smell AC agent)

4 steps for continuous care

Monitor


Reassess


Document


Caring

How often should we take obs in prolonged field care

If on your own - Every 15 mins for first 2 hours


If stable - Increase to every 30 mins for next 4 hours

Treatment for cyanide poisoning

Ensure PT's respirator is fitted correctly


Remove from scene or source of Agent


Consider Amyl Nitrite


Oxygenate if resources allow via BVM


Evacuate

Means of delivery for a chemical agent

Bursting munitions


Spray equipment


Aerosol generators


Chemical IED

5 examples of Nerve agents

Tabun (GA)


Sarin (GB)


Soman (GD)


Cycloarin (GF)


V-Agents including VX

Early warning signs of a nerve agent - DR PT

Difficulty in breathing


Running nose and increased salivation


Pinpointing of pupils and dimness of vision


Tightness of chest

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Signs and symptoms of low concentration cyanide poisoning

Weakness of the legs


Vertigo


Nausea


Headache


Rapid breathing


Cherry red colouring


Convulsions with coma

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophopshates that interfere with the nervous system and disrupt functions such as breathing and muscular coordination

Characteristics of blood agents

Non persistent


Must be inhaled to be effective


Very fast acting


May be detected by smell, e.g. Cyanide smells of Almonds or peach kernels (however 30% of the population cannot smell AC agent)

4 steps for continuous care

Monitor


Reassess


Document


Caring

How often should we take obs in prolonged field care

If on your own - Every 15 mins for first 2 hours


If stable - Increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826/827

Treatment for cyanide poisoning

Ensure PT's respirator is fitted correctly


Remove from scene or source of Agent


Consider Amyl Nitrite


Oxygenate if resources allow via BVM


Evacuate

Means of delivery for a chemical agent

Bursting munitions


Spray equipment


Aerosol generators


Chemical IED

5 examples of Nerve agents

Tabun (GA)


Sarin (GB)


Soman (GD)


Cycloarin (GF)


V-Agents including VX

Early warning signs of a nerve agent - DR PT

Difficulty in breathing


Running nose and increased salivation


Pinpointing of pupils and dimness of vision


Tightness of chest

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Signs and symptoms of low concentration cyanide poisoning

Weakness of the legs


Vertigo


Nausea


Headache


Rapid breathing


Cherry red colouring


Convulsions with coma

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophopshates that interfere with the nervous system and disrupt functions such as breathing and muscular coordination

Characteristics of blood agents

Non persistent


Must be inhaled to be effective


Very fast acting


May be detected by smell, e.g. Cyanide smells of Almonds or peach kernels (however 30% of the population cannot smell AC agent)

4 steps for continuous care

Monitor


Reassess


Document


Caring

How often should we take obs in prolonged field care

If on your own - Every 15 mins for first 2 hours


If stable - Increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826/827

10 principles of continuous care

Personal hygiene


Controlling body temp


Maintain dignity


Pressure areas


Dying


Maintaining a safe environment


Communication


Food and drink


Toileting


Dressings

Treatment for cyanide poisoning

Ensure PT's respirator is fitted correctly


Remove from scene or source of Agent


Consider Amyl Nitrite


Oxygenate if resources allow via BVM


Evacuate

Means of delivery for a chemical agent

Bursting munitions


Spray equipment


Aerosol generators


Chemical IED

5 examples of Nerve agents

Tabun (GA)


Sarin (GB)


Soman (GD)


Cycloarin (GF)


V-Agents including VX

Early warning signs of a nerve agent - DR PT

Difficulty in breathing


Running nose and increased salivation


Pinpointing of pupils and dimness of vision


Tightness of chest

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Signs and symptoms of low concentration cyanide poisoning

Weakness of the legs


Vertigo


Nausea


Headache


Rapid breathing


Cherry red colouring


Convulsions with coma

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophopshates that interfere with the nervous system and disrupt functions such as breathing and muscular coordination

Characteristics of blood agents

Non persistent


Must be inhaled to be effective


Very fast acting


May be detected by smell, e.g. Cyanide smells of Almonds or peach kernels (however 30% of the population cannot smell AC agent)

4 steps for continuous care

Monitor


Reassess


Document


Caring

How often should we take obs in prolonged field care

If on your own - Every 15 mins for first 2 hours


If stable - Increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826/827

10 principles of continuous care

Personal hygiene


Controlling body temp


Maintain dignity


Pressure areas


Dying


Maintaining a safe environment


Communication


Food and drink


Toileting


Dressings

What are the 7R’s with operational stress

Recognition


Respite


Rest


Recall


Reassurance


Rehabilitation


Return

Treatment for cyanide poisoning

Ensure PT's respirator is fitted correctly


Remove from scene or source of Agent


Consider Amyl Nitrite


Oxygenate if resources allow via BVM


Evacuate

Means of delivery for a chemical agent

Bursting munitions


Spray equipment


Aerosol generators


Chemical IED

5 examples of Nerve agents

Tabun (GA)


Sarin (GB)


Soman (GD)


Cycloarin (GF)


V-Agents including VX

Early warning signs of a nerve agent - DR PT

Difficulty in breathing


Running nose and increased salivation


Pinpointing of pupils and dimness of vision


Tightness of chest

Later warning signs of a nerve agent - H.I.D.E

Headache


Increasing saliva, drooling at mouth


Dizziness and general weakness


Excessive sweating

Danger signs of a nerve agent - NIMS

Nausea and vomiting


Involuntary urination and defecation


Muscle twitching and jerking


Stoppage of breathing

Categories of chemical agents

Lethal


Damaging


Incapacitating

Properties of chemical agents

Physical


Chemical


Toxicological

Persistency of forms of chemical agent

Liquid - non persistent


Solid - persistent


Vapour - variable

Define a chemical agent

Chemical substance, which is intended for military purpose to kill, seriously injure or incapacitate people.