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44 Cards in this Set

  • Front
  • Back

Triage Priorities

T1 = Red


T2 = Yellow


T3= Green

Triage sort


Triage sieve

Sort = Transport


Sieve = Save

3 levels of Major Incident

Bronze, silver, gold

What makes a T1/T2/T3?

T1= airway obstruction, Accessible/Non-accessible haemorrhage


T2= Open fractures of Long bones


T3= Head Injuries/Burns (walking)

What triage category is a Peds?

T1

What is Extrication?

Removal or withdrawal of a trapped Casualty

What are the 2 types of Entrapment?

Actual : Physically trapped


Relative: Trapped by Injury/Enviroment

What are the 3 types of Extrication?

Routine (No immediate risk to life)


Urgent (Potential risk to life)


Emergency (Immediate risk to life)

Spectrum of technical rescue skills

Rope rescue, water rescue, search and rescue, confined space rescue, firefighting and rescue, heavy rescue, tactical rescue, rescue from collapse

4 principles of Extrication

Teamwork


Training


Preparation


Correct Equipment

Rescue Equipment within a BFA

IPE


Hacksaw


Pliers


Screwdrivers


Wrecking bar


Bolt cutters


Keech cutting tool


Common extrication devices

Management of entrapped casualties

Constant Re-assessment


15 min obs recording


Call for assistance if needed


Pain relief


Rescue

Extrication Aids

Stiff Neck


TED


MIBS


Spinal Board


Scoop Stretcher

CSCATT

Establish type of entrapment


Assess


Triage


Consider mechanism of Injury


Careful prep & teamwork are essential to successful extrication

Timings of trauma death

Instantaneous: 0-10 mins


Early: 10mins - 2hrs


Late: days to weeks

Causes of Injury

Blunt Trauma


Penetrating trauma


Climate


Chemicals, burns and medical

Examples of Blunt Trauma

RTC, Falls, blast injuries, crush injuries

Examples of penetrating Trauma

GSW, Blast injuries, Shrapnel, knife wounds

5 colission types

Frontal Impact


Rear Impact


Lateral Impact


Rotational Impact


Rollover

2 effects of Crush Injuries

Cardiac arrest


Renal Failure

Effects of GSW

Mass & Velocity


Shape & Stability


Tissue Density


Length of wound track


Contamination

Energy lol categories

Low, medium, high

Fragmentation Injuries

Caused by bombs, shells and grenades.


Can cause death as a result of secondary fragments.

Blast Injuries

Blast Wave


Blast Wind


*fragmentation primary


-preformed


-natural


*fragmentation secondary


-burns


-crush


-psychological

Chemical Injuries

Systemic Toxicity


Local damage to skin & eyes


Toxicology


-chem weapons


-industrial chemicals


-overdose

Three areas of operations

Operations during peacetime


Operations other than war


War

3 categories on the hazard spectrum

Burns


Medical/toxicology


Environment


Examples of hazard spectrum

Physical injury


Fire


Toxic fumes


Cross infection


Enemy fire


IED


CBRN


Climate


Suicide Bomber

CSCATTT

Command & Control


Safety


Communications


Assessment


Triage


Treatment


Transport

METHANE

My call sign


Exact location


Type of Hazard


Hazards


Access & Egress


No° of casualties


Emergency services

3 elements of Military Acute Care

Self


Scene Management


Casualty Management

2 types if heamorrhage

Compressible


Non-compressible

How many litres of blood are in a human body?

6-8ltr

Different arteries

Subglacial


Femoral


Brachial

Preservation of amputated limbs

Rinse part free of debris with sterile water


Wrap in loose damp gauze


Seal the part inside a plastic bag


Keep cold but not frozen

Celox -Why change?

Simplicity, flexibility, safety

2 types of advanced airways

ET intubation


Surgical Cricothyroidotomy

What is ET intubation?

The passing of a cuffed tube through the vocal cords into a trachea

ET intubation indications

Deeply unconscious casualty


Management of cardiac arrest


Casualty transfer


Potential airway obstruction


Management of head/chest injuries

ET intubation contra indications

Conscious patient


Trismus


Trauma


Shape


Pre-existing disease

Potential Complications

Hypoxia


Damage to teeth


Laryngeal spasm


Spinal cord injury


Failed intubation


Oesophagus intubation

Surgical Cricothyroidotomy defintion

The passing of a small cuffed tube, usually size 6, into the trachea via an incision in the cricothyroid membrane

Surgical Cric Indications

Trauma/Burns to face and neck


Conscious casualty


Total upper airway obstruction

Surgical Cric complications

Damage to corrotid arteries


Asphyxia


Bleeding


Aspiration of blood


Laceration of trachea