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45 Cards in this Set

  • Front
  • Back
What is A.V.P.U
Alert
Verbal
Pain
Unresponsive

*Levels of responsiveness
What is Paradoxial Movement
Inward movement on inhalation and outward movement on exhalation.

*Possible chest injury
2 Types of painful stimuli?
Trapezius Pinch - Pinching muscle above collar bone.

Supraorbital Pressure - Appyling pressure above the eye right below the eybrow.
FLEXION POSTURING
(aka Decorticate Posturing)
Patient arches back and flexes the arms inward toward chest.

*Sign of upper brainstem portion of brain compression
EXTENSION POSTURING
(aka Decerebrate Posturing)
Patient arches back and extends arms straight out parallel to body.

*Sign of lower brainstem portion of brain compression
FLEXION POSTURING is also called?
Decorticate Posturing
EXTENTION POSTURING is also called?
Decerebrate Posturing
Define Crowing (sound)
A sound like a cawing crow on inspiration
Define Stridor (sound)
Harsh, high-pitched sound on inspiration
EPIGLOTTIS?

Symptoms?
Inflammation of the Epiglotis in a Pediatric.

Symptoms contain sore or hoarse throat, patient leaning forward with neck jutted drooling.
What sre the ABC's?
Airway
*A1
1. Patent Airway

Breathing
*B2
1. Rough rate, rhythem, & depth
2. Oxygen provided to patient

Circulation
*C3
1. Pulse
2. Skin Color, Temp, & Condition
3. Massive Bleeding
ABC - A1
AIRWAY:

Patent Airway
ABC - B2
BREATHING:

Rate, Rythem, Depth
Oxygen given (02)
ABC - C3
CIRCULATION:

Pulse Rate, Rythem, Quality
Skin Color, Temp, Condition
Severe Bleeding
SCENE SIZE-UP INVOLVES?
1. Park truck in safe and convenient location.
2. Is scene safe?
3. MOI/NOI?
4. Number of Patients?
5. Call for back-up?
INITIAL ASSESSMENT INVOLVES?
1. General Impression
2. Patients AVPU/LOC
3. Cheif Complaint
4. A1, B2, C3
5. D (decide if load & go/stay and play)
6. E (expose patient)
S.A.M.P.L.E. Stands for?
Signs/Symptoms
Allergies
Medications
Pertinent Past history
Last oral intake
Events leading up to
O.P.Q.R.S.T-I Stands for?
Onset - When did it start?
Provacation - Anything make it worse or better?
Quality - What kind of pain is it?
Radiotion - Does it hurt any else?
Severity - between 1 and 10, 10 being worse pain ever?
Time - What time did it start?

Interventions - Have you taken anything for it?
HYPOPERFUSION is also known as?
SHOCK
WHAT ARE THE 4 AVPU QUESTIONS?
Ask the patient:

Person
Place
Time
Event
DEFINE AAO x4
Alert And Oriented with 4 questions answered corretly
DEFORMITIES
Broken Limbs or bones that are broken.
CONTUSIONS
Large Bruising
ABRASIONS
Scraping of the skin
PUNTURE OR PENETRATION
Breaking the skin and entering the body.
BURNS
Duh.. Its a burn
TENDERNESS
Causing pain on patient when touched like being sore.
LACERATIONS
A cut in the skin that is moderatly deep
SWELLING
A mass on the body that may be caused by a blunt force striking it.
WHAT DOES CSF STAND FOR? AND WHAT DOES IT MEAN?
Cerebriul Spinal Fluid, It is evidence of a skull fracture.
WHAT DOES P.E.R.L STAND FOR?
Pupils are equal and reactive to light.
ASPIRATION
Breathing anything (i.e. Blood or Vomitus) into lungs.
JVD
Jugular Vein Distention:

A serious sign of chest, lungs, or heart injury.
TRACHIAL DEVIATION
The trachia pushing to one side or the other of the neck is a late sign of a significant amount of air trapped in the pluera space of the thoracic cavity.
SUBCUTANEOUS EMPHYSEMA
Air trapt underneath the skin, normally around the clavical area or neck indicating significant injury.
PMS
Pulse
Motor
Sensation

*Checking all four extremities on patient.
WHAT ARE THE 8 BASELINE VITALS?
1. Pupils
2. Pulse
3. Pulse Oximetry
4. Breathing (respiration)
5. Blood Pressure
6. Skin (color, temp, condition)
7. Capillary Refill
8. Lung Sounds
ICP
Inter Cranial Pressure
TMJ
Temporal Mendibular Joint
CONTRAINDICATIONS FOR USE OF A COMBI-TUBE?
1. Patient with gag reflex
2. Patient younger then 16 yrs old
3. Patient under 5 feet
4. Patient with esaphogeal disease
5. Patient ingested caustic substance.
DURING RAPID TRAMA ASSESSMENT (RTA) ALONG WITH DCAP-BTLS WHAT 5 THINGS DO YOU CHECK ON THE HEAD & NECK?

WHAT DO YOU APPLY?
1. Check for obvious wounds on head/face/neck.
2. Check eyes, ears, nose, mouth.
3. Check for trachia distention, JVD, tugging
4. Check for deformity or tenderness.
5. Check for stair stepping on back of neck.

*SIZE & APPLY C-COLLAR
DURING YOUR RTA ALONG WITH DCAP-BTLS WHAT 3 THINGS DO YOU CHECK ON THE CHEST?
1. Symmetery, Paradoxical movement, flail segments
2. Open sucking chest wounds
3. Lung sounds
DURING YOUR RTA ALONG WITH DCAP-BTLS WHAT 2 THINGS DO YOU CHECK ON THE ABDOMEN?
1. Obvious wounds
2. Check for soft, rigid, distention and tenderness
DURING YOUR RTA ALONG WITH DCAP-BTLS WHAT 2 THINGS DO YOU CHECK ON THE PELVIS?
1. Obvious wounds
2. Check for deformity and stability.

* DO NOT PALPATE IF PATIENT COMPLAINS OF PAIN, CREPITUS, OR THERE IS OBVIOUS SIGNS OF DEVORMITY
DURING YOUR RTA ALONG WITH DCAP-BTLS WHAT 2 THINGS DO YOU CHECK ON THE EXTREMITIES?
1. Obvious wounds
2. Check for distal pms.