RTACC

Question 1

what is DDiT?

Answer 1

direct pressure
direct pressure
indirect pressure
tourniquet

pressure will control 90% of bleeds

Question 2

what is the MARCH algorithm?

Answer 2

massive haemorrhage - is there massive haemorrhage?

airway - is the patient responding to verbal commands?

respiratory - are they breathing?

circulation - is there normal circulation?

head and other injuries - have you checked for head and other injuries?

Question 3

what levels are we aiming for on pulse oximeter?

Answer 3

95-96%

Question 4

how much air is in an oxygen cylinder (trauma)?

Answer 4

2 litres of compressed air
230 bar gives us 460 litres
30 mins at 15L/min

Question 5

what’s the normal respiratory rate? and what is outside of these parameters?

Answer 5

<8 and >20 breaths per min is not good

Question 6

what is R U IN SHAPE for?

Answer 6

for the respiratory stage of MARCH

respiratory rate
unequal/abnormal chest movement

INjuries & wounds

search all over
hands all over
auscultate or listen
percuss
everywhere (arms/neck/back)

Question 7

what signs can you notice to discover blood loss?

Answer 7

blood on the floor and four more:

abdomen
chest
pelvis
bones

REMEMBER AS:

belly
boobs
bum
bones

Question 8

what should CRT be?

Answer 8

<3 secs

Question 9

what are you checking when taking pulse?

Answer 9

if pulse not there
OR
if over 110bpm

Question 10

what is AVPU?

Answer 10

alert
responds to VERBAL stimulus
responds to PAINFUL stimulus
unresponsive

Question 11

how do you remove someone who has had their leg/s trapped for >30 mins? e.g. suspended in a harness or trapped under a vehicle

Answer 11

as over 30 mins must apply tourniquet/s before moving them to prevent toxic shock

Question 12

what information do paramedics require?

Answer 12

ATMIST

age
time of injury
mechanism of injury
injuries
symptoms and signs
treatments given

Question 13

how should you perform chest compressions?

Answer 13

100-120bpm

5-6cm compression

don’t worry about ribs breaking

30:2 compressions to breaths

Question 14

explain the levels of priority in ten second triage (TST)

Answer 14

P3 is a walking casualty
P2 is a non-walking, but talking casualty. NO severe bleeding and NO penetrating injury
P1 is everything else

P1 is highest priority
any of these:
- bleeding
- penetrating injury
- breathing but not walking or talking

Non breathing and non responsive casualties are lowest priority

Question 15

what is METHANE?

Answer 15

joint operations with other emergency services, a way of organising a major incident

M – Major incident
E – Exact location
T – Type of incident
H – Hazardous
A – Access
N – Number of casualties
E – Emergency services