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26 Cards in this Set
- Front
- Back
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What is the Order of Patient assesment.
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HEAD
DCAP-BTLS Inspect for crepitus NECK DCAP-BTLS Palpate spine step-off Inspect for jugular vein distention Inspect for tracheal deviation Apply C-Spine collar, if necessary CHEST DCAP-BTLS Inspect for crepitus Inspect for paradoxical motion Inspect breath sounds (absent/present, equal) ABDOMEN DCAP-BTLS Palpate for tenderness Palpate for rigidity Inspect for distention PELVIS DCAP-BTLS Gently compress to detect instability/crepitus Determine the level of pain **if c/o pain stop exam and think pelvic fracture DO NOT log roll patients suspected of having pelvic fracture Inspect for priapism EXTREMITIES DCAP-BTLS Check the distal pulse Check distal motor function Check distal sensation POSTERIOR **Log-roll casualty to examine/must put in scoop litter or long board +/-PASG if felt needed if suspect pelvic fracture DCAP-BTLS Inspect for rectal bleeding |
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How do you check the head area?
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HEAD
DCAP-BTLS Inspect for crepitus |
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How do you check the Neck area?
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Palpate spine step-off
Jugular vein distention, crepitation, tracheal deviation |
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How do you check the Chest area?
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Inspect for crepitus
Inspect for paradoxical motion Inspect breath sounds (absent/present, equal) |
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How do you check the Abdomen area?
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Palpate for Tenderness, rigidity, distention
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What is distention?
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The state of being enlarged or swollen from internal pressure.
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What is crepitus?
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A peculiar crackling, crinkly, or grating feeling or sound under the skin, around the lungs, or in the joints.
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How do you check the PELVIS area?
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Gently compress to detect instability/crepitus
Determine the level of pain **if c/o pain stop exam and think pelvic fracture DO NOT log roll patients suspected of having pelvic fracture Inspect for priapism |
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How do you check the EXTREMITIES?
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Check the distal pulse
Motor, sensation function Circulation/cap refill |
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How do you check the POSTERIOR area?
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**Log-roll casualty to examine/must put in scoop litter or long board
+/-PASG if felt needed if suspect pelvic fracture DCAP-BTLS Inspect for rectal bleeding |
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What does SAMPLE stand for?
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S—Symptoms/Signs
A—Allergies M—Medications P—PMHx L—last meal/PO E—Events leading to present illness |
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What is the international color for a oxygen tank?
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Ensure that tank is OXYGEN, tank should be GREEN in US
WHITE in International |
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What pressure on a oxygen tank is empty?
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(PRESSURE < 200 = EMPTY)
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Insert and Oropharyngeal Airway (J Tube)
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1. Select appropriate size: from closed mouth to ear lobe
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What is the proper procedure for inserting a Oropharyngeal Airway (J Tube)
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-Put in so that end is pointing up toward casualty’s head
-Slide along tongue into throat -Rotate 180o so that end is pointing down -Push in until flange at entrance to mouth |
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How do you insert a Nasopharyngeal Airway
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-Select appropriate size: nostril to earlobe
-Lube with water-based lubricant (to avoid damage to nose) -Slide in but don’t force |
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How far do you insert a Combitube?
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Insert until teeth between black lines on tube.
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Emergency classification:
minimal |
< 15%BSA
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Emergency classification:
delayed |
20% BSA
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Emergency classification:
immediate |
2nd/3rd degree on
face/hands genitalia |
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Emergency classification:
expectant |
85% BSA
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Explain each Block for the DD Form 1380.
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Block 1 -Name
Block 3 -Injury Block 4 -Level of Consciousness Block 7 -MSO4 Block 9 -Ireatment Block 11 -Initials of right of signature box |
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What is block 6 used for on the DD Form 1380?
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If tourniquet, write time/date when applied.
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What is block 8 used for on the DD Form 1380?
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time/date/type of IV soultion given.
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Perform Oral and Nasopharyngeal Suctioning of a Patient
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Oral: rigid tip—only advanced as far as you can see it go. Put convex side of the rigid tip against the roof of mouth and advance Flexible—measure from earlobe to corner of the mouth or center of mouth to
Angle of jaw Insert catheter without suction, apply intermittent suction for up to 15sec,And withdraw |
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How do you measure for a Nasopharyngeal?
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measure from tip of earlobe to the nose
Lubricate Insert into nostril without suction on about 3-5”, apply suction |
