AvMed Flashcards by Hollie Lysaght

When do you perform the secondary survey?

When the casualty is:
- conscious
- unconscious but breathing normally

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What do you do when someone is unconscious and breathing normally?

Place in recovery position

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How do you adapt the recover position for a pregnant
women?

Lay on left hand side

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How do you assess levels of consciousness?

AVPU

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What does AVPU stand for?

Alert
Voice responsive
Pain responsive
Unresponsive

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What is the normal heart rate?

60-100 bmp

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How do you measure someone’s pulse? And for how long?

Using the radial (wrist) pulse, for 60 seconds

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What is the normal breathing rate?

12-16 breaths per min

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What is classified as a successful breath?

A rise and fall of the chest

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What is the normal body temp?

37 degrees

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What temp is considered a fever?

38+

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What temp is considered hypothermia?

less than 35

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How can you measure someones body temp?

Using the forehead thermometer in the M2

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What are signs?

Something you can SEE on the casualty

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What are symptoms?

Something the casualty TELLS you they feel

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What is the MAPR?

Medical Action Plan Record

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What is hypoxia?

Lack of oxygen in the blood

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Where will you find the MAPR?

In any medical kit or the a/c library

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What is the MAPR used for?

To document PAX details, signs, symptoms, care and medication given etc. (info transferred to CSR)

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When administering medication what guidelines should you adhere to?

1) Medication must never be removed from the a/c
2) Never uplift medication down route
3) Never give out your own medicine
4) CC should not assist PAX in administering medication (unless in an emergency)

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What must you do before administering medication to under 16s?

Gain consent from parents beforehand
Gain consent from MedLink for any M5 medication

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What must you do before administering medication to under 16s travelling alone?

Gain consent from MedLink

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What should you do/ask before administering medication?

Ask the PAX:
- if they have any allergies
- if they’ve taken any medication in the last 24hrs
Check:
- expiry date and dosage
- precautions and warnings

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What medications must you be advised by a HCP or MedLink to administer?

Temgesic
Ativan
Glucogel

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What medications must you confirm the PAX has a history of the to-be-medicated condition before administering?

Nitrolingual Spray EpiPen/Jext Autoinjector Ventolin Inhaler

For what condition would you administer aspirin? And what do you check for beforehand?

Heart attack, check for allergy

What is burn gel used for?

Minor (superficial) burns

What are eye drops used for?

Eye irritation

What are glucose tablets (Dextrose) used for?

Low blood sugar (hypoglycaemia)

What are throat lozenges used for?

Sore throat or cough

What is paracetamol used for?

Mild pain

What is Benadryl used for?

Mild allergies

What is Bisodol used for?

Indigestion

What is Buccastem used for?

Nausea and/or vomiting

What is Otrivine used for?

Blocked nose or sinus congestion

What are re-hydration sachets (Dioralyte) used for?

Diarrhoea

What is Calpol used for?

Fever or pain in children

What is Imodium used for?

Severe diarrhoea

What are Kwells/Stugeron used for?

Motion sickness

What is diabetes?

Body is unable to effectively regulate glucose levels

What is hypoglycaemia?

Low/too little glucose

What is hyperglycaemia?

High/too much glucose

Signs and symptoms of hypoglycaemia:

- Confused - Weak - Pale and sweaty - Agressive - Slurred speech - Possible loss of consciousness

Signs and symptoms of hyperglycaemia:

- Very thirsty - Frequently urinating - Dry, flushed skin - Sweet, fruity breath - Possible loss of consciousness

What is insulin?

Hormone in the pancreas that converts glucose to energy

What equipment do we have onboard to measure glucose levels? Where is it? Who can use it?

Glucometer, in the M5 kit , HCP or casualty can use it

What are the breathing signs/symptoms of someone suffering from a severe allergic reaction?

- Wheezing - Noisy breathing - Difficulty breathing

What factors in aviation may affect diabetes?

- Altitude and cabin pressure - Irregular mealtimes - Crossing timezones

What are the circulation signs/symptoms of someone suffering from a severe allergic reaction?

- Pale and clammy - Confusion - Feeling faint - Red, itchy, blotchy skin - Red swollen eyes

What are the airway signs/symptoms of someone suffering from a severe allergic reaction?

- Swelling in throat or mouth - Hoarse voice - Difficulty swallowing

What is anaphylaxis?

A life-threatening allergic reaction

Treatment for anaphylaxis:

- Reassure - Sit or lay casualty down - Assess history - EpiPen/Jext - Oxygen - Monitor - Contact MedLink/PA for HCP

What is the order of preference to be followed for the person administering the auto injector:

1) Casualty themselves (own medication) 2) Family/companion (casualty's medication) 3) Casualty/companion (M5 medication) 4) HCP (casualty's or M5 medication) 5) CC (M5 mediation)

What do you do if there is no improvement after an auto injector has been administered?

Administer second dose in other leg

What is a heart attack?

Blockage in coronary artery, usually by a blood clot

Signs and symptoms of a heart attack:

- Vice like chest pain - Shortness of breath - Weakness - Nausea and vomiting - Pale, cold, clammy skin

What is angina?

A build up of fatty deposits in the arteries, causing inadequate blood flow to the heart

What may cause an angina attack?

Anything that increases the rate of circulation (e.g. exertion, excitement, anxiety)

Signs and symptoms of angina:

- Pale, cold, clammy skin - Shortness of breath - Jaw and arm pain - Central chest pain

What do you do before placing someone in the recovery position?

Pat them down with back of the hand to check for sharp objects and jewellery

What do you do after placing someone in the recovery position?

Open airways

Signs and symptoms of hypoxia:

- Pale, cold, clammy - Euphoric - Confused - Short of breath - Blue looking extremities

What is DVT?

Deep vein thrombosis - blood clot (usually in leg)

What are the 5 things you must do before closing the M5?

1) Incident form 2) Kit open letter 3) Used in-flight label 4) CSR 5) Red seals

What is the treatment for a heart attack?

Oxygen Aspirin Temgesic Still

What age can an EpiPen/Auto injector be used on?

How do you dispose of used syringes, needles etc.?

Give the sharps box to the PAX, ask THEM to place it inside, close the lid

When can CC administer aspirin?

Suspected heart attack

What is the one thing on the HCP side of the M5 that CC can use?

Delivery kit

What is the one thing on the CC side of the M5 that HCP can use?

Blood pressure machine

What is the first thing you check after opening and before closing the M5?

Temgesic

Do you have to write a CSR if a PAX asks you for paracetamol? What do you complete?

No, not if they ask you, complete supply of paracetamol leaflet

Can you administer drugs on your own?

No you must always be supervised

How do you immediately treat a burn?

Run under cool water for 20 mins

Who makes the decision to open the M5?

CC, but FD must be informed ASAP

What do you do if someone is showing symptoms of angina but is undiagnosed?

Treat as a heart attack

What is asthma?

Inflammation of the airways

What do you do if after 2 doses of GTN the PAX does not improve?

Treat as a heart attack

What is the medication used to treat angina?

GTN (Nitroglycerin)

What do you add to heart attack treatment if the PAX starts being sick?

Buccastem BEFORE OATS

What EpiPen/Auto injector can CC administer?

from M5

What is hyperventilation?

Faster exertion of breath than inhalation

Nose bleed treatment:

1) Pinch nose for 10 mins 2) If no improvement, pinch for another 10 mins 3) If no improvement contact MedLink

What is hypovolaemic shock?

Drastic loss of bodily fluids, causing low blood pressure

What is a medical shock?

Dramatic reduction in blood flow to the body

What may cause hypovolemic shock?

- Bleeding (internal or external) - Burns - Fractures

How long do you continue choking treatment for?

- Until the item becomes dislodged - Until the PAX is unconscious

Treatment for hypovolemic shock?

- Reassure and assess - Give 02 - Avoid moving - Treat the cause - Contact MedLink

What is the choking treatment breakdown?

1) Ask 'Are you choking?' 2) Encourage PAX to cough 3) 5 back blows 4) 5 abdominal thrusts 5) Repeat cycle

Treatment for hyperventilation?

- Reassure - Encourage proper breathing - Breath into paper bag - Consider giving Ativan - DO NOT GIVE 02

What is hyperventilation?

Exhalation > Inhalation

What is the treatment for sepsis?

- Give 02 - Reassure - Contact MedLink

AvMed Flashcards

(93 cards)