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26 Cards in this Set

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  • Back
What is the Order of Patient assesment.
HEAD
DCAP-BTLS
Inspect for crepitus
NECK
DCAP-BTLS
Palpate spine step-off
Inspect for jugular vein distention
Inspect for tracheal deviation
Apply C-Spine collar, if necessary
CHEST
DCAP-BTLS
Inspect for crepitus
Inspect for paradoxical motion
Inspect breath sounds (absent/present, equal)
ABDOMEN
DCAP-BTLS
Palpate for tenderness
Palpate for rigidity
Inspect for distention
PELVIS
DCAP-BTLS
Gently compress to detect instability/crepitus
Determine the level of pain
**if c/o pain stop exam and think pelvic fracture
DO NOT log roll patients suspected of having pelvic fracture
Inspect for priapism
EXTREMITIES
DCAP-BTLS
Check the distal pulse
Check distal motor function
Check distal sensation
POSTERIOR
**Log-roll casualty to examine/must put in scoop litter or long board
+/-PASG if felt needed if suspect pelvic fracture
DCAP-BTLS
Inspect for rectal bleeding
How do you check the head area?
HEAD
DCAP-BTLS
Inspect for crepitus
How do you check the Neck area?
Palpate spine step-off
Jugular vein distention, crepitation, tracheal deviation
How do you check the Chest area?
Inspect for crepitus
Inspect for paradoxical motion
Inspect breath sounds (absent/present, equal)
How do you check the Abdomen area?
Palpate for Tenderness, rigidity, distention
What is distention?
The state of being enlarged or swollen from internal pressure.
What is crepitus?
A peculiar crackling, crinkly, or grating feeling or sound under the skin, around the lungs, or in the joints.
How do you check the PELVIS area?
Gently compress to detect instability/crepitus
Determine the level of pain
**if c/o pain stop exam and think pelvic fracture
DO NOT log roll patients suspected of having pelvic fracture
Inspect for priapism
How do you check the EXTREMITIES?
Check the distal pulse
Motor, sensation function
Circulation/cap refill
How do you check the POSTERIOR area?
**Log-roll casualty to examine/must put in scoop litter or long board
+/-PASG if felt needed if suspect pelvic fracture
DCAP-BTLS
Inspect for rectal bleeding
What does SAMPLE stand for?
S—Symptoms/Signs
A—Allergies
M—Medications
P—PMHx
L—last meal/PO
E—Events leading to present illness
What is the international color for a oxygen tank?
Ensure that tank is OXYGEN, tank should be GREEN in US
WHITE in International
What pressure on a oxygen tank is empty?
(PRESSURE < 200 = EMPTY)
Insert and Oropharyngeal Airway (J Tube)
1. Select appropriate size: from closed mouth to ear lobe
What is the proper procedure for inserting a Oropharyngeal Airway (J Tube)
-Put in so that end is pointing up toward casualty’s head
-Slide along tongue into throat
-Rotate 180o so that end is pointing down
-Push in until flange at entrance to mouth
How do you insert a Nasopharyngeal Airway
-Select appropriate size: nostril to earlobe
-Lube with water-based lubricant (to avoid damage to nose)
-Slide in but don’t force
How far do you insert a Combitube?
Insert until teeth between black lines on tube.
Emergency classification:
minimal
< 15%BSA
Emergency classification:
delayed
20% BSA
Emergency classification:
immediate
2nd/3rd degree on
face/hands genitalia
Emergency classification:
expectant
85% BSA
Explain each Block for the DD Form 1380.
Block 1 -Name
Block 3 -Injury
Block 4 -Level of Consciousness
Block 7 -MSO4
Block 9 -Ireatment
Block 11 -Initials of right of signature box
What is block 6 used for on the DD Form 1380?
If tourniquet, write time/date when applied.
What is block 8 used for on the DD Form 1380?
time/date/type of IV soultion given.
Perform Oral and Nasopharyngeal Suctioning of a Patient
Oral: rigid tip—only advanced as far as you can see it go. Put convex side of the rigid tip against the roof of mouth and advance Flexible—measure from earlobe to corner of the mouth or center of mouth to
Angle of jaw
Insert catheter without suction, apply intermittent suction for up to 15sec,And withdraw
How do you measure for a Nasopharyngeal?
measure from tip of earlobe to the nose
Lubricate
Insert into nostril without suction on about 3-5”, apply suction