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81 Cards in this Set

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WHAT ARE THE COMPONENTS OF PATIENT ASSESSMENT
SCENE SIZE UP, INITIAL ASSESSMENT, FOCUSED HISTORY AND PHYSICAL EXAM, RAPID HEAD TO TOE, VITALS, DETAILED PHYSICAL EXAM, ONGOING ASSESSMENT
WHAT IS THE ESSENTIAL FIRST STEP AT ANY MERGENCY
SCENE SIZE-UP
WHAT ARE THE PRIORITIES FOR SCENE SAFETY
YOU, THE CREW, OTHER RESPONDING PERSONNEL, YOUR PATIENT
WHAT DO YOU DO IF YOU ROLL UP ON AN OVERWHELMING SCENE
CALL FOR ASSISTANCE, ONE PERSON IS INCIDENT COMMANDER, THE OTHER IS TRIAGE OFFICER AND STARTS PRIORITIZING PATIENTS
START
SIMPLE TRIAGE AND RAPID TRANSPORT
HOW LONG SHOULD TRIAGE TAKE AT AN MCI
PATIENTS SHOULD BE TRIAGED IN LESS THAN 60 SEC. THEN TAGED
WICH PATIENT STATUS IS ASSESSED FIRST AT MCI
RESPIRATORY, IF ADEQUATE - GO TO NEXT ASSESSMENT, IF INADEQUATE TRY TO FIX WITH BASICS, IF IT WORKS TAG RED, IF IT DOES NOT WORK TAG BLACK
WICH PATIENT STATUS IS CHECKED SECOND AT MCI
PULSE/PERFUSION, CHECK FOR RADIAL PULSE ONLY, IF PRESENT IT IS PROBABLY 80
WHAT IS THE THIRD PATIENT STATUS CHECKED AT MCI
MENTAL STATUS
WHEN IS DETAILED ASSESSMENT PERFORMED
AFTER PATIENTS ARE MOVED TO TREATMENT SECTOR
HOW BIG IS DANGER ZONE IF THERE IS NO APPARENT HAZARDS
50 FEET IN ALL DIRECTIONS
HOW BIG IS DANGER ZONE FOR A FUEL SPILL OR VEHICLE FIRE
100 FEET
HOW FAR SHOULD BOX BE PARKED IF THERE IS DOWNED POWERLINES
PARK ONE FULL SPAN OF WIRES FROM POLE THAT BROKEN WIRES ATTACH TO
WHO DO YOU CONTACT FOR DANGER ZONE FOR HAZ-MAT SPILL
NORTH AMERICAN EMERGENCY RESPONSE GUIDE, CHEMTREC, DZ COULD BE 50-2000 FEET
WHAT ARE THE THREE R'S OF REACTING
RETREAT, RADIO, REEVALUATE
WHAT ARE CONSIDERED SEPERATE EVENTS OF MVA
VEHICLE COLLISION, BODY COLLISION, ORGAN COLLISION, SECONDARY COLLISION, ADDITIONAL IMPACTS
WHAT IS MOI FOR HEAD-ON COLLISION
UP AND OVER - LOOK FOR HEAD, NECK, CHEST, ABDOMIN, PELVIS INJURIES, DOWN AND UNDER - LOOK FOR PELVIS AND LOWER EXTRIMITIES
WHAT IS MOI FOR REAR-END COLLISION
WHIPLASH, LOOK FOR HEAD, NECK, CHEST, ABDOMEN, PELVIS, THIGH INJURIES
WHAT MOI DO YOU LOOK FOR AT ROLLOVER
ANY AND ALL TYPES OF INJURIES FROM MANY DIRECTIONS
WHAT IS MOI FOR ROTATIONAL INJURIES
MULTIPLE INJURIES, EXPECT THE WORST
WHAT IS MORTALITY RATE IF PATIENT WAS EJECTED
25 TIMES
WHAT DO YOU NEED TO FIND OUT IF PATIENT WAS INVOLVED IN A FALL
SURFACE, HEIGHT, INTERRUPTIONS DURRING FALL, WHAT PART OF BODY STRUCK SURFACE
LOW VELOCITY WEAPONS
PROPELED BY HAND, INJURY LIMITED TO PENETRATED AREA, CAN BE EXTENSIVE
MEDIUM VELOCITY WOUNDS
HAND GUNS, SHOT GUNS, ARROWS, DAMAGE CAN BE MINIMAL OR EXTENSIVE
HIGH VELOCITY WOUNDS
HIGH POWERED
WHAT DOES BULLET DAMAGE DEPEND ON
SIZE, TYPE, PATH, IF TI FRAGMENTED, IF IT DEFLECTED OF BONE OR TISSUE
WHAT ARE PRESSURE RELATED DAMAGE FROM BULLET
VELOCITY FROM BULLET CREATES PRESSURE WAVE, THIS CREATES A CAVITY LARGER THAN THE BULLET, EXIT WOUND IS USUALY LARGER
BLUNT FORCE TRAUMA
INJURY CAUSED BY BLOW THAT STRIKES THE BODY, SKIN AND ORGANS ARE NOT PANETRATED, INTERNAL VESSELS CAN BE RUPTURED, THIS LEADS TO SERIOUS BLEEDING, SPILLAGE OF HOLLOW ORGAN CONTENT
WHAT IS GOAL OF INITIAL ASSESSMENT
IDENTIFY AND CORRECT ANY LIFE THREATENING CONDITIONS OF AIRWAY, BREATHING OR CIRCULATION
WHAT IS IN THE INITIAL ASSESSMENT
GENERAL IMPRESSION, C-SPINE, MENTAL STATUS, ABC'S, DETERMINE PRIORITIES
HOW IS BASELINE MENTAL STATUS ASSESSED
AVPU, ALERT, VERBAL, PIANFUL, UNRESPONSIVE
AAOX3
AWAKE, ALERT, ORIENTED TO TIME, ORIENTED TI PLACE, ORIENTED TO THIRD PERSON, ORIENTED TO SELF
WHAT IS PERPOSEFUL RESPONSE TO PAIN
LOCALIZES TO PAIN, MOVES AWAY FROM PAIN
WHAT IS NON-PURPOSEFUL RESPONSE TO PAIN
WITHDRAWS TO PAIN, DECORTICATE- ARMS FLEXED, LEGS EXTENDED, DECEREBRATE- ARMS AND LEGS EXTENDED
WHAT DOES LOCALIZING/WITHDRAWING TO PAIN MEAN
THE RESPONSE IS COMING FROM THE CEREBRUM/CEREBRAL CORTEX
WHAT DOES FLEXION/EXTENSION RESPONSE TO PAIN MEAN
RESPONSE IS COMING FROM BRAIN STEM, NOT A GOOD SIGN, EXTENSION IS WORSE THAN FLEXION
LESS THAN 8 OVER 24 PROBLEMS
OVER 24 AND ALERT=NRBM, LESS THAN 8=BVM, OVER 24 W/LOC CHANGES=BVM, RESPIRATORY ARREST=BVM
HOW IS CIRCULATION ASSESSED
PULSE RATES, PULSE QUALITY, EXTERNAL BLEEDING, SKIN TEMP., COLOR, CONDITION, CAP. REFILL
WHAT PULSE SHOULD BE CHECKED FIRST ON PATIENTS OVER ONE YEAR
RADIAL, IF NOT FOUND CHECK CAROTID, CHECK APICAL PULSE IF NEEDED
WHAT IS PULSE PRESSURE AT RADIAL, FEMORAL, CAROTID
RADIAL=80, FEMORAL=70-80, CAROTID=60
WHERE IS COLOR CHECKED
NAIL BEDS, INSIDE OF CHEEK, CONJUNCTIVA, LIPS, PALMS, SOLES OF FEET(ON PEDI)
WHAT DOES SHOCK CAUSE SKIN TO BECOME
MOTTLED, CYANOTIC, PALE OR ASHEN(DUE TO VASOCONSTRICTION), COOL, MOIST, DIAPHORETIC(DUE TO SNS STIMULATION OF SWEAT GLANDS
WHAT AFFECTS CAP REFILL IN ADULTS
SMOKING, MEDICATIONS, CHRONIC ELDERLY CONDITIONS, COLD WEATHER
WHAT ARE FOUR TYPES OF PATIENTS
TRAUMA PATIENT WITH SIGNIFICANT MOI, TRAUMA PATIENT WITH ISOLATED INJURY, RESPONSIVE MEDICAL PATIENT, UNRESPONSIVE MEDICAL PATIENT
WHAT ARE SOME PREDICTORS OF SERIOUS INTERNAL INJURY
EJECTION FROM VEHICLE, DEATH IN SAME PASSENGER COMPARTMENT, FALL OVER 20 FEET, ROLLOVER, HIGH SPEED COLLISION, VEHICLE-PEDESTRIAN, MOTORCYCLE, PENETRATION(HEAD, CHEST, ABDOMEN)
WHAT ARE PREDICTORS OF SERIOUS INTERNAL INJURY FOR INFAANTS AND CHILDREN
FALL OVER 10 FEET, BICYCLE COLLISION, MEDIUM-SPEED VEHICLE COLLISION WITH SEVER DAMAGE
DCCAP-BTLS-PMS
DEFORMITIES, CONTUSIONS, CREPITUS, ABRASIONS, PENETRATIONS, BURNS, TENDERNESS, LACERATIONS, SWELLING, PULSE, MOTOR, SENSATION
IN WHAT ORDER IS HEAD TO TOE PERFORMED
HEAD TO TOE THEN UPPER EXTREMITIES, ALLOWS EXAM IN PRIORITIES
RALES
FINE CRACKLING, INDICATES FLUID OR CONSOLIDATION IN LUNGS, MINOR ALVEOLAR OBSTRUCTION, ATELECTASIS
RONCHI
COARSE RATTLING, INDICATES SIGNIFICANT FLUID OR MUCUS ACCUMULATION IN BRONCHI
WHEEZING
PROLONGED HIGH PITCH EXPIRATORY SOUNDS, INDICATES NAROWING AIRWAYS, BRONCHIAN OBSTRUCTION, PROTECTIVE MECHANISM(CHF)
STRIDOR
HIGH PITCHED INSPIRATORY SOUND, AUDIBLE WITHOUT STETHOSCOPE, INDICATES UPPER AIRWAY OBSTRUCTION, FBO, SEVER SWELLING, ALLERGIC REACTION, BURNS, INFECTION, CROUP, EPIGLOTTITIS
BREATH SOUNDS UNEQUAL =
PNEUMOTHORAX, HEMOTHORAX
BREATH AND HEART SOUNDS DISTANCE AND MUFFLED=
POSSIBLE HEMOTHORAX
HEART SOUNDS DIMINISHED =
CARDIAC TAMPONADE
PERCUSSION, HYPERRESONANT =
TESNION PNEUMOTHORAX
PERCUSSION, HYPORESONANT =
HEMOTHORAX, PLEURAL EFFUSION
CULLENS SIGN
PERIUMBILICAL ECCHYMOSIS
GREY TURNERS SIGN
ECCHYMOSIS ALONG FLANKS
WHAT ARE S/S OF ABDOMENAL ANEURISM
EXAGGERATED PULSATION WITH TEARING PAIN
RIGHT UPPER QUADRANT
LIVER, GALL BLADDER, HEAD OD PANCREAS, PART OF DUODENUM, COLONRIGHT KIDNEY
LEFT UPPER QUADRANT
SPLEEN, TAIL OF PANCREAS, STOMACH, LEFT KIDNEY, PART OF COLAN
RIGHT LOWER QUADRANT
APPENDIX, ASCENDINC COLON, SMALL INTESTINE, RIGHT OVARY, FALLOPIAN TUBE
LEFT LOWER QUADRANT
SMALL INTESTINE, DESCENDING COLON, LEFT OVARY, FALLOPIAN TUBE
REBOUND TENDERNESS
RELEASE GENTAL PRESSURE QUICKLY, PAIN = INFLAMATION OF PERITONEUM
ASCITES
ACCUMULATION OF FLUID DUE TO INCREASED SYSTEMIC PRESSURE, CAUSED BY RIGHT HEART FAILURE, CIRRHOSIS, DISTENDED SPONGY ABDOMEN
SAMPLE
SIGNS/SYMPTOMS, ALERGIES, MEDICATIONS, PAST MEDICAL HISTORY, LAST ORAL INTAKE, EVENTS PRECEDING INCIDENT
WHY IS ASSESSINT THE MEDICAL PATIEND DIFFERENT THAN THE TRAUMA PATIENT
HISTORY TAKES PRECEDENCE (80%), PHYSICAL EXAM IDENTIFIES MEDICAL COMPLICATIONS RATHER THAN SIGNS OF INJURY (20%)
UNEQUAL PMS IN UPPER EXTREMITIES =
THORACIC ANEURYSM
UNEQUAL PMS IN LOWER EXTREMITIES =
ABDOMINAL ANEURYSM
UNILATERAL DILATION OF EYES =
BRIAN LESIONS, MENINGITIS, DRUG POISONING, 3RD NERVE PARALYSIS, INCREASED ICP
BILATERAL SLUGGISH RESPONSE OF EYES =
HYPOXIA
FIXED, DILATED =
SEVERE ANOXIA, COULD BE DUE TO SYMPATHETIC/ ANTICHOLINERGIC DRUGS
PINPOINT =
NARCOTIC OVERDOSE
ORTHOSTATIC VITAL SIGNS
TAKE PULSE/BP WITH PATIENT SUPINE, HAVE PATIENT SIT UP AND DANGLE FEET, IN 30-60 SEC. RETAKE VITALS, POSITIVE IF INCREASE PULSE 10-20 BPM, DECREASE BP 10-20 MMHG
DISCONJUGATE GAZE =
CNS INJURY, PRE-EXISTING PROBLEM, OCULAR MUSCLE ENTRAPMENT, OPTIC NERVE DAMAGE
IF EYES CAN NOT FOLLOW H MOTION SUSPECT
NERVE DAMAGE, ORBITAL FRACTUE
IF EYES ARE DULL SUSPECT
CIRCULATORY COMPROMISE
IF SCLERA IS YELLOW SUSPECT
LIVER DISFUNCTION
WHEN DO YOU TAKE OUT CONTACTS
WHEN PATIENT IS UNCONCIOUS AND TRANSPORT IS LONGER THAN 15 MIN., TOXIC MATERIAL IS IN EYE
FLUIDS IN MOUTH, COFFEE-GROUND, FRESH BLOOD, PINK-TINGED SPUTUM, GREEN OR YELLOW PHLEGM, VOMITUS
COFFEE-GROUND=BLEEDING IN STOMACH, FRESH BLOOD=UPPRE GI OR MOUTH TRAUMA, PINK TINGE=CHF, GREEN OR YELLOW=INFECTION, VOMITUS=GI OR BRAIN STEM