First Aid Flashcards

First Aid

1
Q

What are some safety factors when handling oxygen equipment?

A
  • No smoking or naked flames near cylinder
  • Protect from extreme heat
  • Keep free from grease and oils
  • Handle with care
  • Do not crack open valve (open briefly)
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2
Q

What are the four parts of the Dräger Resuscitator Kit?

A
  • Main Compartment (Resus unit)
  • Hard fold out pouch (First Aid equipment)
  • Soft fold out pouch (Burns Dressing)
  • Orange Soft pouch (Soft neck Collars)
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3
Q

What are the 6 components of the Dräger Resuscitator?

A
  1. Oxygen Cylinder
  2. Pressure Reducer
  3. Demand Valve (Bag Refill Valve)
  4. Soft Resus Bag
  5. Suction
  6. Ancillary Equipment
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4
Q

What is the purpose of the pressure reducer on the Dräger and what what are some of its features?

A
  • Connects to the Oxygen cylinder via a pin indexed yoke
  • Reduces high pressure oxygen to an operational pressure
  • Provides Oxygen to three apparatuses simultaneously
    Features:
    1 - Cylinder contents gauge (max working pressure 200 bar)
    2 - Two 5 bar outlet ports (2 HP outlets > demand valve & suction)
    3 - One low pressure outlet to Hudson Mask (Oxygen Therapy)
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5
Q

What is the flow rate of the demand valve?

A

150L/minute

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6
Q

What is the flow rate of the Suction?

A

15L/min

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7
Q

What is the Operational Testing (Daily Test) check for the Dräger?

A
  • Open Cylinder and ensure cylinder pressure is at least 100 bar
  • Check function of oxygen therapy outlet by rotating flow control valve
  • Connect demand valve and resus bag - squeeze bag and ensure demand valve refills bag
  • Check suction device by pressing operating button while covering suction inlet with finger. Air should come out of suction tube
  • Close cylinder
  • Release pressure by pressing suction button
  • Check all inventory
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8
Q

Three functions of the Dräger?

A
  1. Oxygen Therapy (Hudson Mask)
  2. Oxygen Resuscitation
  3. Suction
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9
Q

What are some reasons/indications for oxygen therapy?

A

Breathing spontaneously and:

  • Is or has been unconscious for a length of time
  • Whose level of consciousness alters
  • Is shocked or in danger of becoming shocked
  • Complains of chest pain
  • Has lost blood
  • Has required respiratory resus
  • Has required CPR
  • Short of Breath
  • Suffered from smoke or fume inhalation
  • Appears ill or unwell

No harm will come to a patient as a result of being given oxygen

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10
Q

What Oxygen level is being delivered via the Hudson mask

A

Between 40 to 60%

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11
Q

What are some important safety aspects when providing oxygen therapy?

A
  • Do not leave patient alone after commencing treatment
  • Do not allow patient to smoke
  • Continue to monitor the patient’s vital signs
  • Reassure patient, be positive but do not lie or make unrealistic promises
  • Examination by a paramedic is strongly recommended
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12
Q

What are some safety considerations when applying suction to a patient?

A
  • Patients should never be laid on their backs to apply suction as this is considered dangerous and may stimulate vomiting
  • Place patient in recovery position
  • Do not suction more for 5 seconds at a time
  • Suction uses large amounts of oxygen
  • Keep collection jar in upright position
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13
Q

What is the procedure for after use of the Dräger?

A

If Ancillary equipment used:

  • Disposed of and replaced by crew using station stores

If Dräger used for resus:

  • sent to BA Section for cleaning and restocking
  • .Single use items to be diposed of
  • place laminated “Resuscitator equipment used” sheet attached to plastic bag.

Infectious/Contaminated Waste:

  • bagged in yellow infectious waste bags and ACTFR contaminated tag attached (date, incident number, items)
  • BA ute collects:
  • in Business hours - disposal at Steri Health in Mitchell
  • Outside of business hours - Contaminated waste bins at Fyshwick Station
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14
Q

How often are the Dräger kits checked by the BA Section?

A

Every 6 months

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15
Q

What does the acronym COWS stand for?

A
  • Can you hear me?
  • Open your eyes!
  • What’s your name?
  • Squeeze my hand!
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16
Q

What do you do if you are in doubt if a casualty is breathing normally?

A

Treat them as if they are not breathing

17
Q

What should you do if a casualty is showing any signs of rejecting the oropharyngeal airway?

A

Remove immediately, check ABCs after first minute and then every 2 minutes

18
Q

What are some complications with Oropharyngeal airways?

A
  • may not be effective if too small an airway is selected
  • may cause obstruction if wrong size or incorrect insertion
  • Stimulates gagging if too long or casualty not deeply unconconcious
  • may become obstructed with foreign material (vomit, blood)
19
Q

What points should be noted when filling out documentation (Record of Preliminary Patient Care)?

A
  • Use only ink
  • Corrections should be made crossing out with a single line and initialling correction
  • never Use correction fluid or dispose of notes already taken
  • ensure form is signed and dated (including brigade number)
  • Information on forms is confidential
20
Q

What indicates on the Zoll 3 defibrillator that it is ready for use?

A

Green Tick in status indicator window

21
Q

When should you press the “Child button” on the Zoll AED?

A

If you are using CPR Uni-padz and the patient is less than 8 years old or weighs less than 25kg (55 pounds)

22
Q

What are some AED Safety considerations?

A
  • Pacemaker Implants
  • look for scar on left superior upper region of chest. Keep pad at least 10 cm away from pacemaker
  • Piercings - ensure no contact with pads
  • Oxygen - Ensure no concentration of O2 around casualty’s chest and remove resus mask when applying shock
  • Water/Metal conduction - Do not use AED if casualty or surrounding are saturated with water.
  • Do not use if casualty is in contact with metal objects - No contact with casualty when shocking
  • Separate the electrodes/connected pads- Ensure pads are not placed over Glyceryl Trinitrate Patch (used to prevent chest pain/angina)
23
Q

What information can be given to ACTAS/Medical personnel from the AED unit after they arrive?

A

Shock delivered count (bottom left screen)

Elapsed event time

time (bottom right of display)

Patient event data can also be transferred via USB flash drive if requested by EMS

24
Q

What is the weight limit of the K.E.D?

A

227kg

25
Q

What order are the torso straps fastened?

A

Yellow - Middle

Red - Bottom

Green - Top Strap

26
Q

After child birth, what is the procedure for a non breathing newborn baby?

A

Warm and rub back

Commence EAR

  • Expired
  • Airway
  • Resus

If no response to rescue breaths commence CPR

27
Q

What is the S.T.A.R.T. procedure in Emergency Triage?

A

Simple Triage And Rapid Assessment:

  • Minor delayed care - can delay up to 3 hours
  • Delayed Urgent care - Can delay up to 1 hour
  • Immediate care - Life threatening
  • Deceased/Expectant - Dead or mortally wounded - no care required
28
Q

What does the acronym COACHED refer to?

A

Compressions continue

Oxygen Away

All else clear

Charging

Hands off/I’m safe

Evaluate Rhythm

Defibrillate or Disarm

with CPR swap every 2 minutes

29
Q

What is the chain of survival?

A

Early Access

Early CPR

Early Defib

Early Advanced Care