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NEMO 22 > BATLS > Flashcards

BATLS Flashcards

(61 cards)

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1
Q

Describe TRaPS?

A

Tactical Rapid Primary Survey

CABCDE

C = Reassess
A = Check + Clear + Maintain
B = RISE N FALL
C = Manage Bleed [Floor + 4 More]
D = AVPU + Pupils + Analgesia
E = ATMIST
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2
Q

Describe RISE N FALL Assessment?

A 
R = Resp Rate
I = Injuries
S = Symmetry
E = Effort Of Breathing

N = Neck [TWELVE]

F = Feel Chest
A = Assess Percussion
L = Listen
L = Look @ Back
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3
Q

Describe TWELVE Neck Assessment?

A 
T = Trachea Central?
W = Wounds On Neck?
E = Emphysema Palpable?
L = Larynx Damaged?
V = Veins Engorged?
E = EVERY TIME BEFORE COLLAR APPLIED
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4
Q

BATLS Assessment?

A

Tactical Rapid Primary Survey

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5
Q

Traumatic Limb Amputation - 1st Step?

A

Combat Application Tourniquet

[CAT]

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6
Q

Reasons For Applying CAT?

A

Uncontrolled Catastrophic Haemorrhage From Limb

Non Permissive Situation With Limb Injury [No Time/Visibility]

Bleeding Reoccurs Post Initial CAT Application [Add 2nd]

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7
Q

How Do You Apply CAT?

A
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8
Q

Immediate Actions Should Bleeding Reoccur Post CAT?

A

Reassess Previous CAT

Apply 2nd CAT [2x Fingers Proximal]

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9
Q

What Is Celox?

A

Haemostatic Agent Made From Chitostan

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10
Q

Types Of Celox?

A

Celox Gause

Celox Rapide

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11
Q

Areas Celox CANNOT Be Used?

A

1] Open Skull #
2] Chest Cavity
3] Abdominal Cavity

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12
Q

Direct Pressure Time For Types Of Celox?

A

Celox Gause = 3 Minutes

Celox Rapide = 1 Minute

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13
Q

Uses For Celox?

A

Junctional + Compressible Bleeds

Severe Bleeds Not Controlled By Emergency Care Bandage

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14
Q

Demonstrate Application Of Celox?

A
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15
Q

Describe SAFE Approach?

A 
S = Shout MAN DOWN
A = Assess
F = Find + Free Casualties
E = Evaluate C + A

[NON PERMISSIBLE ENVIRONMENT]

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16
Q

Assess Airway In TRaPS?

A

Ask Patient Name [Speak = Patent]

Look = Obstructions [Using Torch/Depressor]
Listen = Breath Sounds
Feel = Breath On Cheek
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17
Q

Actions On For Airway?

A

Manual Manoeuvres [Jaw Thrust / Head Tilt + Jaw Lift]
NPA + OPA
iGel + LMA
Surgical Airway / ET Tube

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18
Q

How to Remove Debris From Airway?

A

Magill Forceps [Only What You See]
Suction
Postural Drainage [3/4 Prone]

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19
Q

Causes Of Airway Obstruction?

A 
Liquids = Blood + Vomit
Solids = FB + Teeth
Swelling = Anaphylaxis + Burns
Structural = Trauma Deformity
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20
Q

Reasons For Using Airway Adjunct?

A

Maintain Airway [Prevent Tongue Obstructing Throat]

Unable To Continue Manual Manoeuvres

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21
Q

Standard NPA Size For Male + Female?

A

Male = 7

Female = 6

[Measure From Targums > Nostril]

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22
Q

Describe NPA Insertion?

A
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23
Q

How Do You Size OPA?

A

Angle Of Jaw > Centre Of Mouth

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24
Q

Describe OPA Insertion?

A
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25
How Do You Size iGel?
Based On Estimated Casualty Weight
26
Describe iGel Insertion?
27
Indications For Surgical Airway?
1] Airway Trauma/Burns/Swelling 2] Definitive Airway Required BUT NO SEDATION AVAILABLE 3] All Other Airway Methods Have Failed
28
Identify Cricoid Cartilage / Thyroid Cartilage + Cricothyroid Membrane On Yourself?
29
Describe Surgical Airway Procedure?
30
Complications Of Surgical Airway?
Cuff Puncture False Passage Bleeding/Haematoma Surgical Emphysema
31
11 Signs + Symptoms Of Tension Pneumothorax?
``` 1] Increased Resp Rate 2] Splayed Ribs 3] Asymmetrical Chest Movement 4] Emphysema 5] Increased Effort Of Breathing 6] Tracheal Deviation [AWAY] 7] Distended Neck Veins 8] Chest Pain 9] Hyper Resonant Percussion [SAME] 10] Decreased Breath Sounds [SAME] 11] Low O2 Sats ```
32
Locate 2 Sites For Needle Decompression Of Tension Pneumothorax
2nd ICS MCL 5th ICS MAL
33
Describe Needle Decompression?
34
Management Of Air Release System Failure?
Re-Flush Attempt 2nd Insertion Lateral In 2nd ICS MCL Move To 5th ICS MAL
35
Reasons For IO Insertion?
1] 2x Failed IV Access Attempts 2] No Available IV Access Sites [Burn/Fracture/Amputation] 3] Cardiac Arrest + Immediate Access Required
36
Contraindication For IO?
Fractured Limb
37
Sites + Devices For IO Access?
1] Tibial Tuberosity [EZ-IO] 2] Sternum [FAST] 3] Humeral Head [EZ-IO]
38
Colour + Location Of IO Needles?
Pink [15mm] = Paeds Blue [25mm] = Adult Tibial Tuberosity Yellow [45mm] = Adult Humeral Head [Red = Training]
39
Describe EZ-IO Insertion?
40
Next Step Post 5x50ml IO Bolus?
Recheck Radial Pulse [Absent = Repeat]
41
Contraindications For FAST Insertion?
1] Surgical Scar @ Site 2] ?# Sternum 3] Under 12
42
Describe Fast Device Insertion?
43
Location For Tibial Tuberosity EZ-IO?
2x Fingers Inferior + Medial
44
Location For Humeral Head EZ-IO?
Internally Rotated Arm + 2x Fingers Inferior To Acromiom
45
BATLS Indications For ?Pelvic #?
``` 1] Mechanism 2] Pelvic Pain 3] Leg Length Discrepancy 4] Perineal OR Scrotal Bruising 5] Urethral Meatus Blood ```
46
Benefits Of Applying Pelvic Binder?
1] Reduce Pain | 2] Prevent Further Blood Loss
47
Describe Pelvic Binder Application?
48
Benefits Of Applying Kendrick Traction Device?
1] Reduce Pain | 2] Reduce Blood Loss
49
Indications For Kendrick Traction Device?
Mid-shaft Femur #
50
Contraindications For Kendrick Traction Device?
1] Knee Injury 2] Tib OR Fib # [Same Side] 3] Ankle # [Same Side] 4] Amputation Of Limb
51
Describe Kendrick Traction Device Application?
52
TXA Mechanism Of Action?
Blocks Fibrin Binding Site On Plasminogen
53
Initial Dose Of TXA?
1g IV [10 Minutes] [Within 1 Hour]
54
Second Dose Of TXA?
1g IV [8Hours]
55
Use Of TXA?
Anyone @ Risk Of Dying From Bleed
56
Battlefield Analgesia?
800mcg Fentanyl Lozenge
57
Indications For 800mcg Fentanyl Lozenge?
2 Or 3 Pain Scale | Alert Or Voice
58
Describe Triage Sieve?
1] Walking? YES = T3 + NO = CONTINUE 2] Breathing? NO = Dead Or T1 [Opens With Procedure] + YES = CONTINUE 3] Cat Hem? YES = T1 + NO = CONTINUE 4] Resp Rate? <10 OR >30 = T1 + 10-30 = CONTINUE 5] HR + Response? Unconscious OR >120 = T1 + Conscious AND <120 = T2
59
Causes Of Life Threatening Chest Trauma?
BLATOM FC ``` Blast Lung Airway Obstruction Tension Pneumothorax Open Pneumothorax Massive Haemothorax Flail Chest Cardiac Tamponade ```
60
BATLS Pain Scale?
``` 0 = None 1 = Mild 2 = Moderate 3= Severe ```
61
Method For Prolonged Field Care?
HITMAN ``` H = Head To Toe + Hydration + Hygiene I = Infection T = Tubes M = Meds A = Analgesia N = Nutrition ```

NEMO 22 (4 decks)

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