Adult Trauma ALS Flashcards

(50 cards)

1
Q

what is the dosage for TXA

A

1g in 10ml slowly over 10 minutes

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2
Q

what are the indications for TXA

A

traumatic arrest, tourniquet applies, LOw bP nd weak slow pulse

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3
Q

when would you give fluids if cat hem

A

if a tournuqet is applies fluids is indicated

id want to give blood products howeveer only merit and ccp can theirfor i will give an inital 250ml boules of fluids to resotrt fluid volume

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4
Q

what to check of blood on the flood 4 more

A

chest
abdomen
pelivs
long bones

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5
Q

what to do is systolic blood pressure is less than 90

A

give fluids

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6
Q

when to consider atropine

A

if hear rate less than 40BPM

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7
Q

what to do one rosc is confined

A

reases Cat heam

are they tolierating the Igel

look listen and feel for 10 seconds for breathing

in circulation check cap refil, blood pressure, asses pulse both crotid and radial

in disabeltiy reases AVPU, HR, BM

in exposure consider temperture and transfer and do a 12 lead on transfer

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8
Q

what to do when confirm rosc

A

acknowledge rosc and stop CPR

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9
Q

what to ask in thrombosis

A

check for DVT

complaining of any chest pain

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10
Q

what to ask in tension pneumotharx

A

any resistance on BVM
good rise and fall
good air entry
any tracheal deviation

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11
Q

what to ask in tamponde

A

stabbing

chest trauma

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12
Q

what to ask for toxins

A

taking somthing
look in pupils

treat with naloxone

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13
Q

what are the 4 T”S

A

Toxins
tamponde
tension pneumothorax
thrombos

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14
Q

what to ask in hypokalaemia

A

potassium

check BM

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15
Q

what to ask in hypovalemia

A

any signs of fluid loss
any d&v

if their is treat with fluids

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16
Q

what to ask in hypothermia

A

check temperature below 35 degrees

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17
Q

what to ask in hypoxia

A

give oxygen
check capnography
any resistance
good rise and fall

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18
Q

what are the 4 h’s

A

hypoxia
hypothermia
hypovalemia
hypokalemia

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19
Q

what to flush after giving a drug

A

20ml

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20
Q

what to flush after IV access

A

10ml

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21
Q

what is the half dose of amiodarone

A

150milligram in 5ml

22
Q

when to give amiodarone

A

after the 3rd shock

half dose for 5th shock

23
Q

what is the dose for amiodarone

A

300 milligram in 10ml

24
Q

when to give adrenaline in non shockable rhythms

25
when to give adrenaline in a shockable rhythm
3rd shock 5th shock 7th shock
26
what is the dose for adrenaline
1 milligram in 10ML
27
what to do in PEA
look for pulse CPR if no pulse
28
what to do in asystole
CPR
29
what to do in VF
shock
30
what to do in VT
look for pulse no pulse then shock
31
wha joules do you charge to
360
32
how to explain CPR to the bystander
5 cycles of 30 compression at a rate of 110-120 bpm with 2 rescue breaths
33
what to do when confirming cardiac arrest
apply pads call for back up
34
what to do in breathing
look, listen and feel for 10 seconds look for rate rhythm and efficacy
35
what to do in airway
inspect the airway for blockage check c-spine head tilt chin lift or jaw thrust
36
what to do for wounds in cat hem
pressure compression packing
37
when to apple a tourniquet
limb injury
38
what to do in a catastrophic haemorrhage
``` visualise wound direct pressure elevation wound packing- cello tourniquet ```
39
what does response stand for
alert voice pain unresponsive
40
what does SAMPLE stand for
signs and symptoms medication allergies past medical history last oral event leading up to it
41
what do you check in danger
PPE SCENE- safety, cause of injury, environment, number of patients, extra resources patient assessment trainee- appearance, colour and work of breathing const
42
when considering IV in trauma what do you do
2 large bore cannulas in the ACF
43
What to look for when performing a jaw thrust
Look down the body for breathing Then check pulse
44
What are the shocking policey
120, 150, 200
45
If it’s a cat hem how will they word it
Sperting Life threatening Catastrophic
46
If you have a sucking chest wound when would you apply a chest seal
In your breathing assessment
47
What is the dose of TXA
1g in 10ml slowly over 10 minutes
48
How to identify fail chest
Sink into chest with insperstion and expand with expiration
49
How to identify hemothorax
Absent sounds on one side | One part of the chest
50
How to identify and pneumothorax
High pitched sounds over inflated