AvMed Day 3 Flashcards by Abi Reid

Where is the heart located?

The centre of the sternum slightly to the left

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What happens when the heart speeds up?

Pumps more oxygen around the body

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What’s a sinus node?

Gives off electrical charge to make it beat

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What does the heart need?

Electricity, blood and oxygen

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What do red blood cells do?

Carry oxygen

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What do white blood cells do?

Fight infection

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What do platelets do?

They form clots

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What makes up 60% of the blood volume?

Plasma

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What do arteries do?

Carry oxygenated blood around the body

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What do the veins do?

Carry blood with less oxygen to the heart

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What are the capillaries?

Tiny bloody vessels between the arteries and veins

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What’s Deep Vein Thrombosis (DVT)?

Where blood clots form in the deep veins of the legs, groin and upper parts of the arm

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What causes DVT?

Long periods of time immobile

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What’s the risk factors of DVT?

-Immobility
-Cramped seating position
-extremes of heights
-Aged over 60
-Recent major surgery
-Personal/family history of DVT
-Heart disease
-Cancer
-Pregnancy
-Trauma or surgery of lower limbs
-Obesity
-The oral contraceptive pill

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How can you prevent DVT?

-Place hand luggage in over head locker
-Don’t sit with legs crossed
-Simple exercises
-Elevate legs where possible
-Short walk every 2-3 hours
-Avoid excess alcohol and sleep tablets
-Watch the health video

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What percentage of DVT are symptom free?

50%

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What’s the treatment for DVT?

-Raise legs on seats to level of body, do not elevate the legs
-PO
-AVPU every 10 mins
-Complete IIOR
-Give casualty reassurance and stay with them

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What does PE stand for?

Pulmonary Embolism

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What’s the signs and symptoms of a PE?

-Sudden chest pain
-Breathlessness
-Coughing up blood
-Fainting
-Signs of shock
-Abnormal pulse rate

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How should treat a PE?

The same as a heart attack

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What’s Angina?

Reduced amount of oxygen to the heart usually when heart is over worked

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How is Angina caused?

From heart disease where there’s a build up of plaque in the arteries and blood can’t get through quick enough

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What’s helps reduce the symptoms of Angina?

GNT spray

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What does GNT spray do?

It expands all blood vessels

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How do you give GTN to a passenger and why?

2 sprays under tongue as it gets to the blood stream quicker

What’s the signs and symptoms of Angina?

-Chest pain that may feel tight, heavy and dull which may spread to your arms, neck, jaw and back -Breathlessness -Weakness/Fatigue -Feeling of anxiety -Nausea

What’s the treatment for Angina?

-Rest casualty in reclined seat to reduce pain -Time angina attack -Administer PO and call MedLink -Loosen tight clothing and open air vents -Encourage casualty to take GTN -Monitor and record AVPU and pulse every 10 mins -Complete IIOR -Give reassurance and stay with them

What should you do if the Angina attack lasts longer than 15 minutes?

Don’t resolve with rest and medication (or if it’s casualty’s first experience of this type of pain) treat as a heart attack

What’s the signs and symptoms of a heart attack?

-Severe chest pain with feeling of heaviness, tightness and squeezing -Can spread into both arms, jaw, back, tummy -Persons body language -Lightheaded/Dizziness -Abnormal breathing and pulse rates -Shortness of breath -Pale, cold and clammy skin or sweating -Nausea and vomiting -Casualty may feel a sense of ‘impending doom’/over whelming anxiety -Get med history

What’s the treatment for a heart attack?

-Rest casualty in reclined seat (don’t move unnecessarily -Never make casualty aware of defib -Call MedLink -PO -Loosen tight clothing and open air vents -Check AVPU, pulse and breathing rates every 10 mins -Fill out IIOR -FSM will make a PA for a MQV

When would you use an ECG?

To help diagnose and monitor conditions affecting the heart

Once you have the reading from the ECG what would you do?

Send them to MedLink

Where is the ECG kept?

At L1

What app on your IPad to you use to get the readings?

CardioSecur

What’s shock?

The inability of the circulation system to supply the cells of the body with enough oxygenated blood to meet their needs

What’s the causes of shock?

-Severe bleeding -Severe vomit to f and Diarrhoea -Severe fractures -Severe burns -Heart attack -Severe infection

What’s the common causes of a cardiac arrest?

-Heart attack -Asthma -Hypoxia -Shock -Hyperthermia -Overdose

What’s the chain of survival?

-Early help -Early CPR -Early AED -Early hospital

Early help

-Notice signs -Symptoms -Call 99

Early CPR

Perform CPR ASAP

Early AED

Use defib

Early hospital

Depends on day

When you do a 10 second breathing test and the breathing is not there what does this indicate?

A cardiac arrest

What would indicate not normal breathing?

-Gasping -No sound

Once you have done you DRAB assessment and have determined a cardiac arrest, what do you shout?

“Cabin crew delta foxtrot to (location)” x2

When giving CPR how far should you push down?

Push down to a 3rd of their chest (on average 5-6cm)

Where is the AED located?

What’s the minimum age of a person you can use a AED on?

1 years old

When you use the AED who should you notify?

The APIC

What’s in the AED prep kit?

-Pocket mask -Scissors -Gloves -Swabs

Once the AED is on what will it look for?

The ventricle fibrillation (VF) rhythm

What is the Ventricle Fibrillation (VF) rhythm?

The electrical activity in the heart

What’s the minium age of a casualty to use an I-Gel?

8 years old

Where does the I-Gel live?

In the EMK in the blue module

What happens when you insert the I-gel?

CPR stops

What do you do once the I-Gel is inserted?

Get a PO, remove bayonet and attach resuscitator mask to the I-Gel

How many attempts do you have to fit an I-Gel?

On casualty’s aged 1-18 what should you do before starting treatment?

You should give them 5 initial rescue breaths

What kind of chest compressions should you do on a child?

1 handed

How should you place the AED on a child?

1 pad on the front one on the back

How do you check for alertness for an infant?

Rub belly and foot

How do you do head tilt, chin lift on an infant?

Lift head neutrally

If you think you see signs of life what should you do?

Stop and do 10 second breath check

If after the 10 second breath check they are alive, what should you do?

-Put them in the recovery posistion -Leave I-gel in and put PO mask on top -Cover casualty with a blanket

Can you still use an AED on a pregnant casualty?

Yes

Where should you position your hands when performing CPR on a pregnant casualty?

Higher up to accommodate

Who will come to assist once you’ve landed if there has been a death on board?

PORT Health

What will the AED say if there is no sign of life?

No shock advised

How long are you expected to perform CPR for?

30 minutes

At what time should you start to prepare the family in a bad outcome?

25 minutes into CPR

AvMed Day 3 Flashcards

(70 cards)