airway and mci Flashcards

(35 cards)

1
Q

compliance is often poor in which type of diseased lungs

A
  • fibrosis
  • tension pneumo
  • chest trauma
  • airway obstruction
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2
Q

what are the contraindications for CPAP?

A
  • asthma exacerbation
  • suspected pneumothorax
  • unproteected airway
  • major trauma and burn to head or torso
  • tracheostomy
  • inability to sit upright
  • unable to cooperate
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3
Q

what are the conditions of CPAP?

A
  • > = 18 yoa
  • tachypnea
  • normotension
  • accessory muscle use or spo2 <90%
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4
Q

what are the applications of CPAP?

A
  • OSA
  • CHF
  • Pre term infants
  • Covid 19
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5
Q

what are the applications for Bi PAP

A
  • OSA
    -COPD
  • Asthma
  • pneumonia
  • CHF
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6
Q

what does phase 1 of etco2 represent?

A
  • dead space ventilation and begining of exhalation
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7
Q

what are the characteristics of a pediatric airway?

A
  • large tongue
  • small pharynx
  • larger/floppier epiglottis
  • larynx is more anterior and superior
  • narrowest point is at the cricoid
  • trachea is narrow and soft
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8
Q

average adult measurements. teeth to… vocal cords, sternal notch , carina

A

15 , 20 , 25 cm

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9
Q

ETI acronym SLOPES

A

Suction
laryngoscope, lidocaine, lube
Oxygen
Positioning
ETT, extender, ETCO2
stylet, syringe, stethoscope, secure

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10
Q

complications of PEEP

A
  • reduces cardiac output
  • potential increase in intracranial pressure
  • risk of pneumothorax
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11
Q

what do nerve agents cause?

A

overstimulation of organd cause and over cholinergic crisis

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12
Q

what is the treatment for nerve agents

A
  • decontaminate
  • airway and breathing support
  • administration of MARK 1 kit
  • 2 Pam and atropine
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13
Q

what does 2-PAM do

A

reactivates acytlcholinesterase which allows the body to clear acylcholine at the muscular junctions

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14
Q

chemical properties of cyanide metabolic agents?

A
  • colourless almond smelling gas that could kill seconds to minutes
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15
Q

how does cyanide metabolic agents effect the body?

A

the bodies abbility to use oxygen

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16
Q

what is the treatment for cyanide metabolic agent

A
  • decontamination
  • support ABCs
  • hydroxocobalamin (cyanokit)
17
Q

what produces neurotoxin?

A

plants, marine animals, moulds, and bacteria

18
Q

what are symptoms of botulinum toxin

A
  • dry mouth
  • urinary retenion
  • nausea
  • dialated pupils
  • dysphagia
  • paralysis
  • respiratory arrest
19
Q

what symptoms does ricin cause?

A
  • pulmonary edema
  • respiratory and circulatory failure
20
Q

blast injuries - primary

A

damage caused by pressure waves
- ears, lungs, and GI tract

21
Q

blast injuries - secondary

A

damage from projected debris
- penetrating injuries or blunt trauma

22
Q

blast injuries tertiary

A

catapulted person hits objects
- fractures and amputations

23
Q

blast injuries - miscellaneous

A

burns , inhalation , crush

24
Q

what are the 4 methods of decontamination?

A
  • dilution
  • absorption
  • neuralization
  • disposal
25
what does downsloping in etco2 represent?
emphysema and pneumothorax
26
emergency operations center vs. command post?
EOC is operated by the city and activated in large scale event, a command post is a pop up
27
what is the acronym METHANE (used for communications in MCI)
Major incident Exact location Type of incident Hazards Access Number of casualties Emergency services
28
what is the role of the treatment officer?
- locate and set up treatment area - organise patients by priority - move patients to transportation area
29
what is the role of the transportation officer
- coordinates transportation and distribution of patients to appropriate hospitals
30
what are vesicants?
blistering agents
31
what are the treatments for vesicants?
- decontaminate, support airway, transport to burn centre
32
what are the two classes of pulmonary agents
chlorine and phosgene
33
macintosh blade
- curved blade - slides into the valeculla - indirectly lifts the epiglottis byleveraging the hyoepiglotic ligament
34
Millar blade
- straight blade - directly lifts the epiglottis - used for peds and trauma
35
landmark needle thoracostomy
4th intercostal space anterior axillary 2nd intercostal mid clavicular