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789 Cards in this Set

  • Front
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What is the treatment of internal haemorrhage

-Blood transfusion


- surgical intervention


- requires urgent evacuation

What veins of the hand can be cannulated

- cephalic vein


- basilic vein


- dorsal venous network


- dorsal metacarpal vein

What veins of the arm can be cannulated

- cephalic vein


- median cubical vein


- basilic vein


-medial vein of forearm

What are the needle sizes used in EZIO

- pink 15mm, paediatric


- blue 25 mm , adult


- yellow 45 mm, muscular/ obese adults

What is the aftercare treatment of mother and child with regards to emergency childbirth

-checked by midwife or obstetrician ASAP


- kept warm and dry


-mother observed for excessive vaginal bleeding as this is an indication of incomplete placenta delivery

What is the management of the mother during the second stage of childbirth

- if cervix is not fully dilated, encourage woman to pant


-if cervix is fully dilated , encourage woman to push


- baby’s head begins to move down the birth canal


- holding dressing pad, place one hand over the anus supporting the perineum, and one over the baby’s head

What is the management of the mother and baby during the third stage of childbirth

- observe for blood flow and the umbilical cord appearing at the vaginal entrance


- encourage mother to push with each contraction until placenta delivered


- ease placenta out with membranes


-apply umbilical clamp


-placenta and membranes kept for examination by midwife/ obstetrician

What is the management of the baby after emergency childbirth

- lay on mother’s abdomen/chest or clean warm cloth


-baby should go from blue to pink upon first breaths


- wrap in warm protective clothing and hand to the mother

How should the baby’s head emerge during childbirth

- facing downwards then rotate to one side

Complications of needle thoracentesis

- local haemotoma


- pleural infection


-pneumothorax

3 classifications of a head injury

- scalp wound


- skull fracture


- brain injuries

Types of wounds

- laceration


- abrasion


-incision


- puncture


- impalement


- burn


- GSW/frag


-external haemorrhaging

What is tube thoracentesis

Insertion of a chest drain/ tube through the 5th intercostal space slightly anterior to the mid auxiliary line on affected side to remove blood/air

Complications with tube thoracentesis

-back flow


- blocked chest tube


-haemotoma


-dislodged chest tube


-local/ pleural infection

What is an open wound

A break in the continuity of the skin

Haemorrhage control

- direct pressure


- elevation


-pressure point


- splinting


- haemostatic agent

3 pressure points

- sub clavian


- brachial


- femoral

What is a closed wound

Blunt trauma to the area causing damage to the underlying soft tissue but no break in the continuity of the skin

What is a fracture

Chip, break , crack in the continuity of the bone

What is a closed fracture

The bone is fractured without a break in the continuity of the skin

What is an open fracture

Bone is fractured and protruding through the overlying skin

What is a complicated fracture

Bone ends cause injury to important structures of the body

What is a comminuted fracture

Bone has fractured into many pieces

Fractured rib blood loss

150 ml each

Closed femoral fracture blood loss

1.5ltr

Haemothorax blood loss

Up to 2ltr each side of chest

Closed tibial fracture blood loss

500ml

Fractured pelvis blood loss

3ltr +

Fist sized blood clot blood loss

500ml

Patient who wouldn’t /can’t have oral fluids

-those requiring surgery


-major abdo trauma


-risk of vomiting

Indications for IV access

-administration of drugs


- access for fluid resuscitation


- prior to chest drain / prolonged entrapment

Early complications of cannulation

- haemotoma


- air embolus


- needle breakage


- perforation of vein


- shearing

IO access indications

- profound shock


- major burns


-overwhelming sepsis


- emergency vascular access


-other methods have failed


-cardiopulmonary arrest

IO contra indications

-fractures


- infection


- osteoporosis

Types of IO

- FAST


- EZIO

Sites for IO

- tibial plateau


- sternum (fast)


- humeral head

Types of shock

- hypovolemic


- septic


-anaphylactic


-cardiogenic


- neurogenic

General signs and symptoms for shock

- reduced blood pressure


- increased respiratory and pulse rate


-pale , cold and clammy skin


-ALOC


- hypoxia


- anxiety

What is hypovalemic shock

Results from whole blood and plasma , fluid , electrolytes loss

3 stages of pain relief

- physical - splinting


- psychological - reassurance


-pharmacological/ pharmaceutical - drugs

Contra indications for fentanyl lozenge

- head injury


- difficulty breathing


- ALOC


- unconsciousness

What is entonox

Safe analgesia, 50% nitrous oxide 50% oxygen

Contra indications for entonox

- head injury


-chest injury


-decompression sickness


- first 16 weeks of pregnancy


- confused


- drug/alcohol intoxication


- cold conditions below 6 degrees

What drug is used to reverse opiod overdose

Naloxone hydrochloride ( narcan 400mcg/ml )

Contra indications of naloxone

Known hypersensitivity

What are the 2 types of seizures

-partial


- generalised

What is poisoning

Substance taken in sufficient quantities that can cause harm

Types of poisoning

- opiate


- prescribed medications


- toxins / solvents


- alcohol


- carbon monoxide

What is hypoglycaemia

Abnormal low blood sugar below 3.5 mmols

ICP signs and symptoms

- hypertension


- bradycardia


-reduced levels of consciousness


- abnormal respiratory patterns


- abnormal posturing

10 principles of continuous care

- personal hygiene


- maintain dignity


- pressure areas


- maintaining a safe environment


- death


- toileting


-dressings


- communication


- controlling body temp


- food and drink

What is HITMAN

- head to toe examination


- infection


- tubes


- medication


- analgesia


- nutrition and hydration

Burn catergories

- thermal ( hot and cold )


- electrical


- chemical


- radiation


- friction

Burn depths

- superficial - red/swollen / tender


- partial thickness - wet visible skin loss, broken skin, infection risk


- full thickness -black / white leathery appearance , possible underlying structure

How do you measure burns

Wallace’s rule of nine

What is nasogastric intubation

Passing of a mason gastric tube via the nasal passage down the oesophagus into the stomach

Indications of nasogastric intubation

-abdo injury


- suspected intestinal injury


- suspected peritonitis


- pre/ post abdo surgery

Contra indications for nasogastric intubation

-nasal trauma


- suspected nasal skull fracture


- intestinal perforation


-

Complications with nasogastric intubation

- passing tube into the trachea


- damage to nasal passage


- cooling of ng tube


-induced vomiting

What is bladder catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic for diagnostic or theurapeutic reasons

Indications for bladder catheterisation

- monitoring of fluid balance


- unable to pass urine


- abdominal pelvis injury


-head injury


- post anaesthetic


- unmanageable incontinence

Contra indications for bladder catheterisation

- major pelvic fracture


- urethral bleeding

Complication of bladder catheterisation

-damaged urethra


- local urinary tract infection


- ureteric catheterisation

Types of chemical agents

- blood


- nerves


- choking


- blister


- incapacitating

Signs and symptoms of an open pneumothorax

-reduced unequal chest movement


- hyper resonance


- cyanosis


-reduced air entry


-empheysema

Causes of tension pneumothorax

- blunt chest trauma


- penetrating trauma

What are the 5 limitations of CUF

- time


- limited visibility


- hostile forces/ enemy fire


- limited equipment


- comms difficulty

First 2 principles of CUF

- win the fire fight


-casualties self treat and return fire

What are the 3 environments of CUF and what treatment can be provided

Non- permissive -CUF


Semi- permissive - TRaPs


Permissive - detailed primary survey

What are two types of entrapment

-Actual , physically ensnared


- Relative, trapped by injury / environment

Define extrication

Removal or withdrawal of a trapped casualty

What are the 3 levels of extrication

- routine


- urgent


- emergency

Definition of triage

The assignment of treatment and evacuation priorities to the wounded and sick at each echelon of medical care

What are the triage priorities and colour codes

P/T 1 - red


P/T 2 - yellow


P/T 3 - green


P/T 4 - black ( on hold / dead )

What is the scale for triage sort and what it is compromised of

Numerical scales 0-12


BP, RR , GCS

Define mass casualty

Where the amount of casualties temporarily overwhelms the available medical and logistical capabilities

What are the major incident levels of command

- bronze


- silver


- gold

What are the 3 areas of operation

- operations during peacetime


- operation other than war


- war fighting

Define a hazard

Something that has the potential to cause harm

What is the acronym for scene management

C - command and control


S - safety


C- communication


A- assessment and extrication


T- triage


T- treatment


T- transport

What is the hazard spectrum

- trauma / burns


-environmental


- medical / toxilogical

What does methane stand for

M - my call sign


E- exact location


T- types of incidents


H- hazards


A- access


N - number and severity of casualties


E- emergency services required

What are the 3 key elements of the framework for military acute care

- scene management


- casualty management


- self

Indications for surgical cricothorotomy

-trauma / burns to face and neck


-conscious casualty


- total upper airway obstruction

Equipment for surgical cric

- bvm


- scalpel


- forceps


- gloves


- suction easy


- scalpel

Potential complications of surgical cric

- asphyxia


- aspiration of blood


- bleeding


- laceration of trachea

Types of drowning

- dry


- secondary


- fresh water


- salt water


- near

Complications associated with drowning

- hypothermia


- prolonged immersion

Drowning management

-do not apply direct heat


- remove wet clothing and place in a dry blanket


-if shallow water consider C spine and head injury


- establish airway , aspirate


-if required CPR


-100% o2


-check pulse at 2 sites

What is anaphylaxis

A acute allergic reaction that can affect the whole body and can be fatal

Management of anaphylaxis

-lay casualty down and legs elevated


-epinephrine/ adrenaline 1:1000 IM


- salbutamol

What is asthma

Re- occurring sudden attacks of difficulty breathing characterised by wheezing and difficulty in expiration

What are the categories of asthma

- mild


- severe


- life threatening

What are compressible and non compressible haemorrhages controlled by

-compressible : CAT T, Celox , ECB, pressure point , elevation


-non compressible: urgent evacuation, blood transfusion , surgery

Management of asthma

-02


- salbutamol with 02 nebuliser


-salbutamol 1-2 puffs of inhaler

Define acute poisoning

Any substance which if taken into the body in sufficient amounts may cause harm or even death

Two types of poisoning

- opiates


-nerve agents

CPR contra indications

-no vital signs at the scene following blunt trauma


- cpr in progress


- in battlefield environment

What is respiratory arrest

Cessation of breathing

Causes of respiratory arrest

- airway obstruction


-damaged respiratory centre


-trauma


- drugs

What is a pneumothorax

Air or gases in the pleural cavity

Causes of pneumothorax

- spontaneous


- trauma


- blunt


- penetrating


- disease

What are the types of pneumothorax

- open/ sucking


- tension


- simple

What is a haemothorax

Blood in the pleural cavity

Two types of haemothorax

- massive


- simple

Definition of ET intubation

Passing of a cuffed endotracheal tube through the vocal chords into the trachea

What is a flail chest/ segement

Two or more breaks in two or more adjacent ribs

Movement caused by flail chest

Paradoxical breathing

What is in the upper airway

- pharynx : naso, oro, laryngo


-larynx ( vocal chord)


- trachea

What shape are the rings of cartilage in the trachea how long and wide

- c shaped


-12cm long


-1-2 cm wide

What does the lower airway consist of

- lungs


- bronchi


- bronchus


-bronchioles


-pluera

How many lobes does each lung have

- left : 2


- right :3

Ideal RR for adults , children and infants

Adults - 10-20


Children - 24


Infant - 40-60

Define thoracentesis

Insertion of cannula / tube into the pleural space for the removal of blood or air that may have accumulated causing compression and hypoxia

Two types of thoracentesis

- needle


- tube

Define needle thoracentesis

An insertion of a wide bore cannula into the 2nd intercostal space in the mid clavicular line on affected side to alleviate a life threatening pneumothorax

Indications for advance airways

-protect airway from obstruction


-control oxygenation and ventilation


-inability to clear / maintain airway using simple techniques

Indication for ET intubation

- deeply unconscious patient


- management of cardiac arrest


- potential airway obstruction


-management of head/chest injury

Indication for ET intubation

- deeply unconscious patient


- management of cardiac arrest


- potential airway obstruction


-management of head/chest injury

Contra indications of ET tubing

- trismus


- conscious casualty

Indication for ET intubation

- deeply unconscious patient


- management of cardiac arrest


- potential airway obstruction


-management of head/chest injury

Contra indications of ET tubing

- trismus


- conscious casualty

Difficulties of ET tubing

- trauma


- entering right bronchus


-shape of trachea


- pre existing disease

Indication for ET intubation

- deeply unconscious patient


- management of cardiac arrest


- potential airway obstruction


-management of head/chest injury

Contra indications of ET tubing

- trismus


- conscious casualty

Difficulties of ET tubing

- trauma


- entering right bronchus


-shape of trachea


- pre existing disease

Equipment needed for ET intubation

-BVM


- gloves


- et tube


- stethoscope


- laryngoscopes

Complications from ET Intubation

- hypoxia


- failed intubation


-laryngeal spasm


- damage to the teeth


- spinal chord injury


- intubation of the right bronchus

Define surgical cricothyroidotomy

Placement of a small cuffed tracheotomy tube usually size six into the trachea through an incision in the cricothyroid membrane

Define surgical cricothyroidotomy

Placement of a small cuffed tracheotomy tube usually size six into the trachea through an incision in the cricothyroid membrane

Define an open and a closed would

Open wound - disruption in the skin continuity including burns usually obvious therefore gets treated early


Closed wounds - blunt trauma to an area causing damage to the underlying soft tissue but no break in skin continuity

Define surgical cricothyroidotomy

Placement of a small cuffed tracheotomy tube usually size six into the trachea through an incision in the cricothyroid membrane

Define an open and a closed would

Open wound - disruption in the skin continuity including burns usually obvious therefore gets treated early


Closed wounds - blunt trauma to an area causing damage to the underlying soft tissue but no break in skin continuity

Types of open wound

- laceration


- burns


- puncture


- incision


- impalement


- GSW/frag


- external haemorrhage

Define surgical cricothyroidotomy

Placement of a small cuffed tracheotomy tube usually size six into the trachea through an incision in the cricothyroid membrane

Define an open and a closed would

Open wound - disruption in the skin continuity including burns usually obvious therefore gets treated early


Closed wounds - blunt trauma to an area causing damage to the underlying soft tissue but no break in skin continuity

Types of open wound

- laceration


- burns


- puncture


- incision


- impalement


- GSW/frag


- external haemorrhage

Type of closed wound

- fracture


- internal bleeding

What is direct pressure

Pressure placed at the affected site via pressure applied from fist hands and tourniquet

What is direct pressure

Pressure placed at the affected site via pressure applied from fist hands and tourniquet

What is indirect pressure

The application of pressure to control a haemorrhage by using pressure points above the affected areas

What is direct pressure

Pressure placed at the affected site via pressure applied from fist hands and tourniquet

What is indirect pressure

The application of pressure to control a haemorrhage by using pressure points above the affected areas

What is equipment needed for needle thoracentesis

-Surgical gloves


- large bore cannula


-gauze swabs


- 10 ml syringe


-sharps box


- tape

Complications of needle thoracentesis

- local haematoma


- local or pleural infection


-pneumothorax

Complications of cannulation

- vein perforation


- shearing


- needle breakage


- haematoma


- air embolus

Cannula sizes

Pink- 1mm


Green- 1.2mm


Grey - 1.7mm


Brown /orange -2mm

Treatment of hypovolemic shock

- control bleeding


- fluid resuscitation


-bolos of 250ml crystalloid fluid until radial pulse detected

What are the indications for needle thoracentesis

- tension pneumothorax


-MOI


- open pneumothorax

Define tube thoracentesis

Insertion of a chest drain tube in through the 5th intercostal space slightly anterior to the mid auxiliary line on the side affected to remove air or blood

Indications for tube thoracentesis

-massive haemothorax


- haemothorax


- pneumothorax

Pre procedure kit needed for tube thoracentesis

- military chest drain kit


- needles


- gloves


- sharps box


- syringes 5,10,20ml

Potential complications of tube thoracentesis

- blocked / kinked chest tube


- dislodged chest tube


-backflow


- haematoma


-infection

Indications for IV access

-administration for drugs


- access for fluid resuscitation


- major burns


- profound shock


-overwhelming sepsis

When should care be taken when giving IV fluids to following injuries

-head injury


- renal trauma


-cardiac arrest


-cerebro vascular accident

Equipment needed to cannulate

-disposable tourniquet


- cannula


-cleaning product


- PPE


-dressings


- 10 ml syringe with saline flush

Contra indication of IO access

- fractures


- infections


- osteoporosis

Collision types

-front


- rear


- side


- rotational


-rollover

Effects of crush injury

- cardiac arrest


- renal failure

Effects of crush injury

- cardiac arrest


- renal failure

Medical emergencies

- underlying disease


- diabetes


-tropical disease


-cardiac


- drowning


- appendicitis

Effects of crush injury

- cardiac arrest


- renal failure

Medical emergencies

- underlying disease


- diabetes


-tropical disease


-cardiac


- drowning


- appendicitis

Causes of unconsciousness

-Hypo/hperthermia


-cardiac arrest


- infection


- faint


-epilepsy


-drug/alcohol


-haemorrhage


- hypoglycaemia

Effects of crush injury

- cardiac arrest


- renal failure

Medical emergencies

- underlying disease


- diabetes


-tropical disease


-cardiac


- drowning


- appendicitis

Causes of unconsciousness

-Hypo/hperthermia


-cardiac arrest


- infection


- faint


-epilepsy


-drug/alcohol


-haemorrhage


- hypoglycaemia

Signs and symptoms of head injury

- memory loss


- ALOC


-headache


- aggression


-nausea/vomiting


-dizziness

Effects of crush injury

- cardiac arrest


- renal failure

Medical emergencies

- underlying disease


- diabetes


-tropical disease


-cardiac


- drowning


- appendicitis

Causes of unconsciousness

-Hypo/hperthermia


-cardiac arrest


- infection


- faint


-epilepsy


-drug/alcohol


-haemorrhage


- hypoglycaemia

Signs and symptoms of head injury

- memory loss


- ALOC


-headache


- aggression


-nausea/vomiting


-dizziness

Basal skull fracture signs

-raccoon eyes


- battle signs


- bleeding from ear


-rhinorrhea

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs of symptoms of hypoglycaemia

-sweating


- tachycardia


-dizziness /weakness


-anxiety


- aggressiveness


-uncoordinated


-

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs of symptoms of hypoglycaemia

-sweating


- tachycardia


-dizziness /weakness


-anxiety


- aggressiveness


-uncoordinated


-

Management of hypoglycaemia

-ascertain BM levels


-ensure ABC stable


-recovery position


- evac

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs of symptoms of hypoglycaemia

-sweating


- tachycardia


-dizziness /weakness


-anxiety


- aggressiveness


-uncoordinated


-

Management of hypoglycaemia

-ascertain BM levels


-ensure ABC stable


-recovery position


- evac

Define diabetic coma

Collapse or acute illness caused by hypo/hyperglycaemia

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs of symptoms of hypoglycaemia

-sweating


- tachycardia


-dizziness /weakness


-anxiety


- aggressiveness


-uncoordinated


-

Management of hypoglycaemia

-ascertain BM levels


-ensure ABC stable


-recovery position


- evac

Define diabetic coma

Collapse or acute illness caused by hypo/hyperglycaemia

2 methods of splinting

- improvised


-purpose made

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs of symptoms of hypoglycaemia

-sweating


- tachycardia


-dizziness /weakness


-anxiety


- aggressiveness


-uncoordinated


-

Management of hypoglycaemia

-ascertain BM levels


-ensure ABC stable


-recovery position


- evac

Define diabetic coma

Collapse or acute illness caused by hypo/hyperglycaemia

2 methods of splinting

- improvised


-purpose made

% of fentanyl through mucosal membrane

25%

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs of symptoms of hypoglycaemia

-sweating


- tachycardia


-dizziness /weakness


-anxiety


- aggressiveness


-uncoordinated


-

Management of hypoglycaemia

-ascertain BM levels


-ensure ABC stable


-recovery position


- evac

Define diabetic coma

Collapse or acute illness caused by hypo/hyperglycaemia

2 methods of splinting

- improvised


-purpose made

% of fentanyl through mucosal membrane

25%

Wallace rule of 9

-Head and neck 9%


-chest and abdomen 18%


- back 18%


- arm and hand 9%


- leg and foot 18%


- genital 1%

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

3 types of brain injury

- subdural haematoma


- epi/extra dural haematoma


-subarachnoid haemorrhage

Signs of symptoms of hypoglycaemia

-sweating


- tachycardia


-dizziness /weakness


-anxiety


- aggressiveness


-uncoordinated


-

Management of hypoglycaemia

-ascertain BM levels


-ensure ABC stable


-recovery position


- evac

Define diabetic coma

Collapse or acute illness caused by hypo/hyperglycaemia

2 methods of splinting

- improvised


-purpose made

% of fentanyl through mucosal membrane

25%

Wallace rule of 9

-Head and neck 9%


-chest and abdomen 18%


- back 18%


- arm and hand 9%


- leg and foot 18%


- genital 1%

Management of burns

- apply clingfilm


- run tepid water over for 10-20mins


- treat for shock


- entonox/o2


-place extremities in burn bags

Signs of smoke inhalation

- hoarse voice


- casualty in confined area


-soot around nose and mouth


- stained sputum


- singed nasal and facial hair

Signs and symptoms of ICP

- hypertension


- bradycardia


-reduction in conscious levels


-abnormal posturing


- abnormal respiratory patterns

Management of ICP

- primary survey


- c spine


- o2


-monitor


- treat as see


- evac

2 types of abnormal posturing during ICP

-decorticate


-decerebate

Causes of seizure

- hypoglycaemia


- hypothermia


- hyperventilation


-epilepsy


- battle shock


- mental illness


- drugs intoxication

Management of a fit

- get history


- protect patient from harm


-primary survey


- oxygenation


-mo if first seizure


- package/ evacuate

Types of poison

- opiates


- prescription drugs


-alcohol


- carbon monoxide


- toxins/solvents

Recognition of poisoning

- tachycardia


- drowsiness


-smell of alcohol/ puncture marks


-nasal bleeding


- excessive sweating


-burns blisters around mouth/nose/throat

Poison management

- initial assessment/ primary survey


- give antidote if available


-evacuate and take evidence


-

Define hypoglycaemia

Abnormally low blood sugar <3.5mmol

Treatment for smoke inhalation

- maintain airway and humidifier oxygen


- nebuliser salbutamol (5m in 5ml)


- urgent evac

Treatment for smoke inhalation

- maintain airway and humidifier oxygen


- nebuliser salbutamol (5m in 5ml)


- urgent evac

Fluid retention formula for burns

Time elapsed x weight x burns surface area

What is nasogastric intubation

The passing of a nasogastric tube through the nasal passage down the oesphagous into the stomach

Indication for NG intubation

- abdominal injury


- pre or post abdo surgery


- intestinal peritonitis

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Chemical agent - means of delivery

- bursting munitions


- spray equipment


- aerosol generator


-chemical IED

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Chemical agent - means of delivery

- bursting munitions


- spray equipment


- aerosol generator


-chemical IED

Chemical agents - routes of entry

- ingestion


- inhalation


- absorption

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Chemical agent - means of delivery

- bursting munitions


- spray equipment


- aerosol generator


-chemical IED

Chemical agents - routes of entry

- ingestion


- inhalation


- absorption

Categories of chemical agents

-lethal


- damaging


-incapacitating

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Chemical agent - means of delivery

- bursting munitions


- spray equipment


- aerosol generator


-chemical IED

Chemical agents - routes of entry

- ingestion


- inhalation


- absorption

Categories of chemical agents

-lethal


- damaging


-incapacitating

Properties of chemical agent

- chemical


- physical


-toxilogical

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Chemical agent - means of delivery

- bursting munitions


- spray equipment


- aerosol generator


-chemical IED

Chemical agents - routes of entry

- ingestion


- inhalation


- absorption

Categories of chemical agents

-lethal


- damaging


-incapacitating

Properties of chemical agent

- chemical


- physical


-toxilogical

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

Persistency of forms of chemical agent

liquid - no persistent


Solid - persistent


Vapour - variable

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Chemical agent - means of delivery

- bursting munitions


- spray equipment


- aerosol generator


-chemical IED

Chemical agents - routes of entry

- ingestion


- inhalation


- absorption

Categories of chemical agents

-lethal


- damaging


-incapacitating

Properties of chemical agent

- chemical


- physical


-toxilogical

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

Persistency of forms of chemical agent

liquid - no persistent


Solid - persistent


Vapour - variable

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

Contra indications of NG tube

-suspected skull fracture


-nasal trauma


-abnormal oesophageous tract


- intestinal perforation

How long can secondary drowning occur

Up to 72 hours after

What are the four steps for continuous care

- monitor


-reassess


-documenting


-caring

How often should we take obs during prolonged fieldcare

- if on your own , every 15 mins for 2 hours


-if stable , increase to every 30 mins for next 4 hours

What is a field treatment card

FMED 826 , 827

10 principles of continuous care

-Personal hygiene


-dying


- toileting


- food and drink


- maintain dignity


- dressings


- communication


-pressure areas


- maintain safe environment


-controlling body temp

Define a chemical agent

Chemical substance which intended for military purposes to kill, seriously injure or incapacitate people

Chemical agent - means of delivery

- bursting munitions


- spray equipment


- aerosol generator


-chemical IED

Chemical agents - routes of entry

- ingestion


- inhalation


- absorption

Categories of chemical agents

-lethal


- damaging


-incapacitating

Properties of chemical agent

- chemical


- physical


-toxilogical

Complications of NG intubation

- passing NG tube into airway


-coiling of NG tube


-induce vomiting


-damage to the nasal passage


-intra cranial placement

Persistency of forms of chemical agent

liquid - no persistent


Solid - persistent


Vapour - variable

Definition of a blood agent

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

Define a nerve agent

Particularly toxic chemical warfare agents which are organophosphate that interfere with the nervous system and disrupt function such as breathing and muscular co - ordination

What is catheterisation

Passing of a urethral catheter into the bladder by the urethral or supra pubic region for diagnostic or therapeutic reasons

Indications of catheterisation

-monitor of fluid balance


-unable to pass fluid


-abdo/pelvic injuries


- unmanageable incontinence


-head injuries


- post anaesthesia

Contra indication of catheterisation

- major pelvic fracture


- urethral bleeding

Complications of catheterisation

-local UTI


- damaged urethra


- ureteric catheterisation

What is the duration of pregnancy

38-42 weeks

Describe the 3 stages of labour

1st stage - the onset of labour, rhythmic and painful contraction to the full dilation of the cervix


2nd stage-full dilation if the cervix through the delivery of the baby


3rd stage -delivery of the baby to the delivery of the placenta and membranes

What are the treatment aims for emergency childbirth for the mother

-Prevent trauma


- Prevent infection


- relieve pain

What are the treatment aims for emergency child birth for the child

- prevent infection /trauma


- resus if necessary


- maintain body heat

What is contained in the NAPS

21 tablets (once every 8 hours )

What is contained in the NAPS

21 tablets (once every 8 hours )

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

What is contained in the NAPS

21 tablets (once every 8 hours )

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

What is a non compressible haemorrhage

Internal bleed

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

What is a non compressible haemorrhage

Internal bleed

How does celox work

A compound on the surface of the gauze interacts directly with red blood cells to form a clot at the site of injured vessels

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

What is a non compressible haemorrhage

Internal bleed

How does celox work

A compound on the surface of the gauze interacts directly with red blood cells to form a clot at the site of injured vessels

Active ingredient in celox

Chitosan

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

What is a non compressible haemorrhage

Internal bleed

How does celox work

A compound on the surface of the gauze interacts directly with red blood cells to form a clot at the site of injured vessels

Active ingredient in celox

Chitosan

How much immobilisation does a stiff neck collar provide

70%

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

What is a non compressible haemorrhage

Internal bleed

How does celox work

A compound on the surface of the gauze interacts directly with red blood cells to form a clot at the site of injured vessels

Active ingredient in celox

Chitosan

How much immobilisation does a stiff neck collar provide

70%

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Types of penetrating trauma

- high velocity


- low velocity


- blast injury

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

What is a non compressible haemorrhage

Internal bleed

How does celox work

A compound on the surface of the gauze interacts directly with red blood cells to form a clot at the site of injured vessels

Active ingredient in celox

Chitosan

How much immobilisation does a stiff neck collar provide

70%

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Types of penetrating trauma

- high velocity


- low velocity


- blast injury

Symptoms of heat injury

- LOC


- seizures


- nausea


- confusion


- dizziness


- fatigue


- unusual behaviour

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

What is contained in the NAPS

21 tablets (once every 8 hours )

What are later warning signs of nerve agents - HIDE

- headache


- increased saliva


- dizziness/weakness


-excessive sweating

What are danger signs of nerve agent (nims)

-nausea and vomiting


- involuntary urination and defecation


- muscle twitching snd jerking


- stop breathing

Describe gold command

Strategic and overall command and responsibility

Describe silver command

Tactical command and coordinaties overall tactical command response

Define bronze command

Operational command

What is compressible haemorrhage

External bleed where blood loss or bleeding from untreated wound would result in death

What is a non compressible haemorrhage

Internal bleed

How does celox work

A compound on the surface of the gauze interacts directly with red blood cells to form a clot at the site of injured vessels

Active ingredient in celox

Chitosan

How much immobilisation does a stiff neck collar provide

70%

Treatment of atropine poisoning

- remove casualty from the scene


-immediate decontamination


-remove any weapons or harmful objects


-reassure avoid physical restraint and keep casualty cool


-evacuate

Types of penetrating trauma

- high velocity


- low velocity


- blast injury

Symptoms of heat injury

- LOC


- seizures


- nausea


- confusion


- dizziness


- fatigue


- unusual behaviour

Treatment for heat injury

-move to cool environment


-spray with tepid water


-assess airway and breathing


-fan


- strip layers


- fluids

Describe characteristics of blood agent

- non persistent


- must be inhaled to be effective


- very fast acting


- may be detected by smell

Signs and symptoms of high concentration cyanide poisoning

- loss of consciousness


- cessation of respiration

What are the medical countermeasures for nerve agents

NAPS - nerve agent pre treatment set


21 tablets (1 every 8 hours )

What is the post exposure treatment of a nerve agent

Combopen:


2 mg atropine


Immediate admin essential


Give at 5-15 interval with autoinjecter

Signs and symptoms of atropine poisoning

- dilated pupils


- tachycardia


- used combopen


- dry mouth and throat ,hot dry flushed skin

Signs and symptoms of cyanide poisoning

-nausea


- headache


-rapid breathing


-convulsions


- cherry red colour


-vertigo

Treatment for cyanide poisoning

- ensure patients respiratory mask is fitted correctly


-remove from scene / source of agents


-oxygenate


-evacuate

What are early warning signs for nerve agent - DRPT

- Difficulty in breathing


- running nose and increased salivation


- pinpointing of pupils and dimness of vision


-tightness of chest

Oxygen delivery in percentage

NRB mask - 80% with 02


BVM-90% with o2

Oxygen delivery in percentage

NRB mask - 80% with 02


BVM-90% with o2

OPA size

0- babies


1 - children


2- small adult


3- large adult


4- very large adult

Exposure concerns for packaging

Safety


Climatic


Tactical