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NEMO 22 > BATLS > Flashcards

BATLS Flashcards

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
Q

How Do You Size iGel?

A

Based On Estimated Casualty Weight

26
Q

Describe iGel Insertion?

A
27
Q

Indications For Surgical Airway?

A

1] Airway Trauma/Burns/Swelling
2] Definitive Airway Required BUT NO SEDATION AVAILABLE
3] All Other Airway Methods Have Failed

28
Q

Identify Cricoid Cartilage / Thyroid Cartilage + Cricothyroid Membrane On Yourself?

A
29
Q

Describe Surgical Airway Procedure?

A
30
Q

Complications Of Surgical Airway?

A

Cuff Puncture
False Passage
Bleeding/Haematoma
Surgical Emphysema

31
Q

11 Signs + Symptoms Of Tension Pneumothorax?

A 
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
Q

Locate 2 Sites For Needle Decompression Of Tension Pneumothorax

A

2nd ICS MCL

5th ICS MAL

33
Q

Describe Needle Decompression?

A
34
Q

Management Of Air Release System Failure?

A

Re-Flush

Attempt 2nd Insertion Lateral In 2nd ICS MCL

Move To 5th ICS MAL

35
Q

Reasons For IO Insertion?

A

1] 2x Failed IV Access Attempts
2] No Available IV Access Sites [Burn/Fracture/Amputation]
3] Cardiac Arrest + Immediate Access Required

36
Q

Contraindication For IO?

A

Fractured Limb

37
Q

Sites + Devices For IO Access?

A

1] Tibial Tuberosity [EZ-IO]
2] Sternum [FAST]
3] Humeral Head [EZ-IO]

38
Q

Colour + Location Of IO Needles?

A

Pink [15mm] = Paeds
Blue [25mm] = Adult Tibial Tuberosity
Yellow [45mm] = Adult Humeral Head

[Red = Training]

39
Q

Describe EZ-IO Insertion?

A
40
Q

Next Step Post 5x50ml IO Bolus?

A

Recheck Radial Pulse

[Absent = Repeat]

41
Q

Contraindications For FAST Insertion?

A

1] Surgical Scar @ Site
2] ?# Sternum
3] Under 12

42
Q

Describe Fast Device Insertion?

A
43
Q

Location For Tibial Tuberosity EZ-IO?

A

2x Fingers Inferior + Medial

44
Q

Location For Humeral Head EZ-IO?

A

Internally Rotated Arm + 2x Fingers Inferior To Acromiom

45
Q

BATLS Indications For ?Pelvic #?

A 
1] Mechanism
2] Pelvic Pain
3] Leg Length Discrepancy
4] Perineal OR Scrotal Bruising
5] Urethral Meatus Blood
46
Q

Benefits Of Applying Pelvic Binder?

A

1] Reduce Pain

2] Prevent Further Blood Loss

47
Q

Describe Pelvic Binder Application?

A
48
Q

Benefits Of Applying Kendrick Traction Device?

A

1] Reduce Pain

2] Reduce Blood Loss

49
Q

Indications For Kendrick Traction Device?

A

Mid-shaft Femur #

50
Q

Contraindications For Kendrick Traction Device?

A

1] Knee Injury
2] Tib OR Fib # [Same Side]
3] Ankle # [Same Side]
4] Amputation Of Limb

51
Q

Describe Kendrick Traction Device Application?

A
52
Q

TXA Mechanism Of Action?

A

Blocks Fibrin Binding Site On Plasminogen

53
Q

Initial Dose Of TXA?

A

1g IV [10 Minutes]

[Within 1 Hour]

54
Q

Second Dose Of TXA?

A

1g IV [8Hours]

55
Q

Use Of TXA?

A

Anyone @ Risk Of Dying From Bleed

56
Q

Battlefield Analgesia?

A

800mcg Fentanyl Lozenge

57
Q

Indications For 800mcg Fentanyl Lozenge?

A

2 Or 3 Pain Scale

Alert Or Voice

58
Q

Describe Triage Sieve?

A

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
Q

Causes Of Life Threatening Chest Trauma?

A

BLATOM FC

Blast Lung
Airway Obstruction
Tension Pneumothorax
Open Pneumothorax
Massive Haemothorax
Flail Chest
Cardiac Tamponade
60
Q

BATLS Pain Scale?

A 
0 = None
1 = Mild
2 = Moderate
3= Severe
61
Q

Method For Prolonged Field Care?

A

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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