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