Responding To Emergency Situations Flashcards

1
Q

In situations that may be life threatening, what is your first course of action?

A

Call 999/112

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2
Q

Describe a heart attack and the symptoms

A

A blood vessel of the heart is blocked by a clot in an artery

Often causes chest pain, pain travelling from the chest, shortness of breath, sweating, light-headedness, a pulse that is rapid/weak/irregular, or anxiety.

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3
Q

How do you respond to a heart attack?

A
  • Call 999
  • Keep them calm and comfortable
  • Knees bent, head and shoulder supported
  • Offer aspirin to those over 16 (slowly chew 300mg)
  • Monitor breathing, pulse and responsiveness
  • In the case of cardiac arrest, start CPR
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4
Q

What is respiratory arrest, and what are its causes?

A

Respiratory arrest is the absence of breathing, and can be caused by respiratory distress (asthma, COPD, allergies), an obstruction, head injuries, drowning.

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5
Q

How do you respond to respiratory arrest?

A

Untreated respiratory arrest can lead to cardiac arrest, so monitor for this and be ready to perform CPR. Call 999 if it is not possible to treat the respiratory arrest (see choking, epipens).

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6
Q

What is a stroke? What are the symptoms?

A

A stroke is when a blood clot or rupture cuts off blood flow to part of the brain - it is a time critical emergency.

It can disrupt cognitive functions such as speech or memory, and cause movement problems such as paralysis. It can be recognised through FAST.

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7
Q

What does the FAST acronym stand for?

A

Face - Drooping on one side of their face
Arms - unable to raise both arms due to weakness, and there may be numbness
Speech - Speech may be slurred, or they may not talk at all
Time - You must immediately call 999 if you notice any of these symptoms

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8
Q

What other symptoms might you notice in a stroke, beyond “FAST”?

A
  • Sudden loss or blurring of vision
  • Sudden weakness
  • Sudden memory loss
  • Sudden dizziness/unsteadiness
  • Difficulty understanding people
  • Difficulty swallowing
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9
Q

What are the causes and symptoms of choking?

A

Choking is partial or complete obstruction to an airway.

Noted by:
- Difficulty breathing/speaking/coughing
- Visible signs of distress (clutching at throat)
- Puffy red face
- Cyanosis (skin turning blue - esp. under nails, on tips, around eyes)

If the casualty can speak, cough, breathe or cry, it is usually only a partial blockage - you should encourage them try to cough and clear the blockage, or spit it out

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10
Q

How should you respond to severe choking?

A
  • Do not try to remove blockage unless it is visible (you could worsen the situation)
  • Encourage them to cough
    Then, if not resolved…
  • Administer 5 sharp back slaps between shoulder blades. Check on them between each
  • Administer 5 abdominal thrusts - do not do this to pregnant women
  • Call for emergency assistance if still choking. Repeat steps 3 times, then prepare to perform CPR.
  • If abdominal thrusts administered, patient must be seen by hospital staff
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11
Q

How should you treat an infant who is choking?

A
  • Lay them along your forearm and thigh on their front, and give 5 sharp back blows
  • Check their mouth to see if obstructions are cleared, and remove visible obstructions
  • Lay them on their back on your thigh and use two fingers to give abdominal thrusts
  • Call 999 if obstruction not cleared - repeat previous steps
  • Prepare to proceed to infant CPR
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12
Q

What are the causes and symptoms of poisoning?

A

Occurs when there is exposure to harmful substances, such as alcohol, drugs, CO, contained food or chemicals, either ingested, inhaled, or absorbed.

Symptoms may include:
- Vomiting
- Stomach pains
- Pain or burning
- Confusion
- Drowsiness, fits or seizures

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13
Q

How should you respond to a poisoning?

A
  • Wear PPE where possible
  • Sit them down and make them comfortable
  • Call 111 for guidance
  • Call 999 if seriously ill, losing consciousness or having a seizure
  • Monitor the casualty, potentially put in recovery position
  • If CPR needed, avoid rescue breaths unless you have a barrier
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14
Q

How should you respond to drowning?

A
  • Don’t enter the water unless safe to do so
  • Carry out a primary survey once casualty is on land
  • If CPR needed, begin with 5 breaths while they are flat on the ground
  • Immediately call 999 if CPR needed
  • If a defibrillator is available, ensure it is only used if the casualty is on a dry area and is dry where the contacts are placed
  • Continue to monitor casualty, likely that you’ll have to place on their side if they vomit
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15
Q

What is shock and what are the symptoms?

A

Shock is caused by a fall in blood pressure and lack of oxygen to cells, and can by life threatening
If casualty is bleeding heavily, shock is likely. Treat bleeding first, then shock.

Symptoms include:
- Pale/clammy skin
- Grey-blue skin
- Sweating
- Fast/weak pulse
- Weakness
- Nausea
- Thirst
- Rapid breathing
- Yawning/gasping
- Confusion or restlessness
- Unresponsiveness

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16
Q

How should you respond to shock?

A
  • Call 999
  • Treat any cause you have identified (eg severe bleeding)
  • Lie casualty down and elevate legs (unless they have spinal injuries)
  • Loosen clothing around neck, chest and waist
  • Keep them warm and comfortable
  • Monitor breathing/pulse/responsiveness
  • Do not give them food or drink
17
Q

What are electrical burns, and what should your response be?

A

Burns caused by electricity, usually faulty switches, appliances, frayed wiring. Can cause damage inside and outside the body.

Do not approach any casualty connected to a high voltage source. Call 999.
If source is low voltage:
- Perform primary survey to see if safe to approach
- Safely switch off power supply
- Complete primary survey
- Call 999, and treat any visible burns

18
Q

What are chemical burns, and how do you respond to them?

A

Burns from chemicals, usually causing a stinging pain, swelling, blistering, and peeling of skin.

These always require immediate medical attention at a hospital.
- Call 999
- Perform danger step of primary survey
- Put on gloves
- Remove contaminated clothing
- Run affected area under water for at least 20 mins
- Ensure contained water is not touched, and can run off safely
- Monitor casualty’s condition
- Useful to identify the chemical where possible

19
Q

What are spinal injuries and what are their symptoms?

A

Spinal injuries are caused by extreme force, usually a fall or impact with heavy object

Always suspect a spinal injury for long or awkward falls, or strikes to the back
Other symptoms include:
- Severe back/neck pain
- Struggle to move neck
- Numbness or paralysis
- Irregular twist in spine
- Loss of sensation
- Loss of control of limbs/bladder/bowels
- Breathing difficulties
- Bruising or tenderness of skin on spine

20
Q

How should you respond to a spinal injury?

A
  • First, reassure casualty
  • Call 999
  • Immobilise movement
  • Get someone to cushion casualty’s head
  • If unresponsive, perform jaw thrust to open airway
  • If unresponsive and not breathing normally, start CPR - if possible, continue to immobilise head and neck
  • Do not tilt head back to open airway unless jaw thrust fails; then do so gently and slowly