Cwi Notes

Front 1

Anatomical splinting. Indications and contraindications. Important notes 📝

Back 1

Back (Definition)

Front 2

Donway splint. Indications and contraindications.

Back 2

Back (Definition)

Front 3

Cervical collar, indications and contraindications

Back 3

Back (Definition)

Front 4

Pressure bandage (nite management) indications and contraindications

Back 4

Back (Definition)

Front 5

Tpod pelvic binder. Indications and contraindications

Back 5

Back (Definition)

Front 6

Non vigorous newborn

Back 6

Cut the cord when pulsation ceases. X3.

10cm, 15cm and 20cm. Cut between 2nd and 3rd clamp.

Front 7

Modified valsalva. What are the indications and contraindications? What are the complications?

Back 7

Back (Definition)

Front 8

Application of virca

Back 8

Voluntary

Informed of risks/ consequences

Relevant refusal. Relates to treatment

Capacity. Understands consequences

Advice. If valid refusal then advice given.

Patient has to satisfy all criteria. Ask the patient to repeat info back. We do not assess capacity in mental health patients. We assess them against the criteria of protective custody.

Front 9

Falls risk assessment tool. Indication and contraindications

Back 9

Back (Definition)

Front 10

Lateral position

Back 10

Back (Definition)

Front 11

Triple airway manoeuvre

Back 11

Back (Definition)

Front 12

OPA

Back 12

Indications: unconscious, no gag reflex to maintain patency. Bite block in advanced airway

Sizing: from centre of mouth to angle of jaw or corner of mouth to earlobe.

Precautions: soft tissue trauma, exacerbate airway obstruction and doesn’t protect against regurgitation/ aspiration

Front 13

NPA

Back 13

Back (Definition)

Front 14

Back blows

Back 14

Back (Definition)

Front 15

Laryngoscopy

Back 15

Back (Definition)

Front 16

BVM and newborn

Back 16

Back (Definition)

Front 17

Igel

Back 17

Indications: cardiac arrest, unconscious pt without gag reflex, ineffective oxygenation with BVM or basics, unable or difficult intubation and assisted ventilation >10 mins.

Select appropriate size

Note: doesn’t fully protect the airway from aspiration but there may be less gastric distension with igel than IPPV alone. Forms a seal around the posterior perimeter of the larynx and when correctly seated is superior to the oesophageal sphincter enabling positive pressure ventilation.

Contras: intact gag reflex, resistance to insertion, strong jaw tone / trismus, suspected epiglottitis or upper airway obstruction.

Precautions: inability to prepare or in sniffing position, pts who require high airway pressures (morbid obese, pregnancy, severe asthma), significant volume of vomit in the airway.

Front 18

Capnography. What is normal and what do the waveforms represent?

Back 18

Normal waveform:

present when the patient is adequately ventilated.

Is spontaneously breathing

Has normal CO2

Normal metabolic function

Front 19

Capnography : curare cleft

Back 19

Appears when attempts at spontaneous ventilation occurs.

Muscle relaxant effect begins to subside

Front 20

Increasing waveform.

Back 20

Etco2 > 45 mmhg

Decreased RR, decreased TV and increased CO2 through increased metabolic rate and temp

Front 21

Decreasing capnography waveform

Back 21

Etco2 <35 mmhg

Increased RR, increased TV, decreased CO2 through decreased metabolic rate or body temp.

Front 22

Non baseline waveform

Back 22

Back (Definition)

Front 23

Poor inspiratory waveform

Back 23

Perhaps airleak or the artificial airway is too small.

Front 24

Poor expiratory waveform

Back 24

Partial obstruction or kink in the artificial airway

Foreign body/ aspiration

Obstruction of expiration circuit (bronchospasm) asthma / COPD

Think shark fin

Front 25

Absent waveform on capnography

Back 25

Back (Definition)