CH 8 Flashcards

(53 cards)

1
Q

What is the importance of personal disaster planning for healthcare workers?

A

Healthcare workers can focus better on patient care if they have done personal disaster planning.

Personal disaster planning helps ensure readiness during emergencies.

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2
Q

What does the acronym CAB stand for in CPR guidelines?

A

Chest compressions, Airway, Breathing

Follow the 2010 AHA Guidelines.

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3
Q

Which organizations are included as Emergency Response Agencies?

A

FEMA

CDC is excluded from this list.

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4
Q

What are examples of man-made disasters?

A

Nuclear explosions, biological threats like anthrax

These events require specific response strategies.

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5
Q

What color tags are used for ‘walking wounded’ in triage?

A

Green tags

This category indicates patients who are not in immediate danger.

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6
Q

When does clinical death begin?

A

Four to six minutes after cessation of heart action and breathing

Timing is critical for effective resuscitation efforts.

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7
Q

What must the surgical team do during an anaphylactic reaction?

A

Maintain the airway and provide oxygen

This is essential to prevent respiratory failure.

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8
Q

What conditions are included in shock?

A

Heat exhaustion, compression of the inferior vena cava by the gravid uterus

These conditions can be life-threatening.

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9
Q

What are the objectives of emergency care?

A

Providing rapid assessment, stabilization, and definitive care

These objectives guide the response to emergencies.

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10
Q

When is resternotomy performed in the ICU?

A

When open-chest CPR is required after cardiac surgery

This procedure addresses complications post-surgery.

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11
Q

How are CSTs involved in care for Emerging Infectious Diseases (EIDs)?

A

CSTs may not routinely be involved

Their role can vary based on specific circumstances.

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12
Q

What is the filtration capability of N95 respirators?

A

Filters at least 95% of airborne particles

Individual fit testing is required for effective use.

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13
Q

What mosquito-borne viruses are concerning for the US population?

A

Chikungunya, dengue, yellow fever, Zika

Awareness and prevention are key to public health.

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14
Q

What is the primary role of a surgical technologist in emergencies?

A

Protect the sterile field unless directed otherwise

Maintaining sterility is crucial in surgical settings.

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15
Q

What could anthrax and smallpox exposure result from?

A

Bioterrorism

Preparedness against such threats is essential.

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16
Q

Who makes the disaster declaration in the U.S. government?

A

The president

This mobilizes FEMA for disaster response.

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17
Q

What is natural hemostasis achieved through?

A

The process of coagulation

This is vital in managing bleeding during emergencies.

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18
Q

What is the recommended compression depth for adult CPR?

A

Two inches

Proper depth is crucial for effective compressions.

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19
Q

In the chain of survival, what does ‘D’ stand for?

A

Definitive treatment

This step is essential for improving survival rates.

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20
Q

What does DIC stand for?

A

Disseminated Intravascular Coagulation

It is a pathological process affecting coagulation.

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21
Q

What does urticaria describe?

A

Lesions on the skin of a patient experiencing an allergic reaction

Recognizing symptoms is important for treatment.

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22
Q

What are All-Hazards plans?

A

Broad response plans applicable to any disaster type

Flexibility is key in disaster preparedness.

23
Q

What are the DIME categories used for?

A

To categorize victims in disaster triage

Effective triage is essential for resource allocation.

24
Q

What are the triage zones used in nuclear plant meltdowns?

A

Hot, warm, cold zones

These zones help organize the response to contamination.

25
How often should Emergency Action Plans be practiced according to Joint Commission Requirements?
Twice a year ## Footnote Regular practice ensures readiness for emergencies.
26
What should be done promptly during a radiological disaster?
Clothing should be removed to reduce contamination ## Footnote Quick actions can minimize exposure risks.
27
What teams may surgical technologists be part of?
Disaster Medical Assistance Teams (DMAT) ## Footnote These teams respond to various disaster scenarios.
28
What are the symptoms of emergencies?
* Difficulty breathing and/or chest pain * Changes in skin color or vital signs * Open bleeding wounds or visible punctures not indicated on the patient’s chart * Inability to move an extremity * Misshapen/misaligned body part * Disorientation or confusion * Severe cephalagia (headache)
29
What are the first priorities in emergency situations?
* Patent airway * Circulation status
30
What are the emergency situation priorities?
* Chest injuries * Shock * Wound protection/closure * Fractures * Vital sign monitoring * Reassurance and comfort for the patient
31
What is the technique of cardiopulmonary resuscitation (CPR)?
Manually providing chest compression and ventilations to patients in cardiac arrest
32
What are the symptoms of cardiac arrest?
* Chest pain (in the awake patient) * Unstable blood pressure * Tachycardia * Cardiac dysrhythmias * Respiratory changes * Hypovolemia * Laryngospasm
33
What does the chain of survival include?
* Early recognition of cardiac arrest * Early activation of trained responders * Early, high quality CPR * Early defibrillation * Early Advanced Cardiac Life Support (ACLS)
34
What are the characteristics of malignant hyperthermia?
* Life-threatening, acute pharmacogenic disorder * Develops during or after anesthesia * Rapid increase in body temperature * Unexplained tachycardia * Unstable blood pressure * Muscle rigidity * Tachypnea * Cyanosis
35
What is Disseminated Intravascular Coagulation (DIC)?
Pathological process where blood begins to coagulate within the body
36
What are the stimulation factors for DIC?
* Infection of the blood by bacteria or fungus * Severe tissue trauma (e.g., head injury, shock, or burns) * Leukemia or cancer * Severe liver disease * Recent blood transfusion reactions * Obstetric complications
37
What is an anaphylactic reaction?
Exaggerated allergic reaction to a substance or protein
38
What are common substances that can cause anaphylactic reactions?
* Local anesthetics * Codeine * Antibiotics * Animal-derived drugs (e.g., insulin) * Contrast media * Latex
39
What is the first line of treatment for anaphylactic reactions?
* Epinephrine * Steroids
40
What does all-hazards preparation refer to?
An all-encompassing term for many different emergencies
41
What are the types of natural disasters?
* Cold and heat * Earthquakes * Volcanoes * Tsunamis * Tropical storms * Hurricanes * Floods * Tornados
42
What are human-caused disasters?
* Chemical and radiation release * Explosions * Infrastructure incidents * Transportation accidents * Terrorism and bioterrorism
43
What are emerging infectious diseases (EID)?
Infectious diseases that have newly appeared or an outbreak of a previously unknown disease
44
Name examples of emerging infectious diseases.
* COVID-19 * Dengue fever * Ebola hemorrhagic fever * Escherichia coli * Hantavirus * Lyme disease * Severe acute respiratory syndrome (SARS) * West Nile virus * Zika virus
45
What are key components of personal disaster planning?
* Research and familiarize with local emergencies * Create a family emergency plan * Prepare emergency supplies * Maintain emergency contact information
46
What is the role of the National Incident Management System?
Framework for managing response to disasters at local and federal levels
47
What does the Health Care Facility Emergency Response plan include?
* Mitigation * Preparedness * Response * Recovery
48
What is the importance of the Hospital Incident Command System?
It outlines healthcare facility responsibilities during an emergency
49
What is a Point of Distribution (POD) site?
Location set up to distribute emergency supplies to the public
50
What must be ensured before entering a disaster scene?
The disaster scene must be safe
51
What are important ethical considerations during a disaster response?
Moral, ethical, and legal issues associated with providing care
52
Approximation
Bringing together two sides or edges
53
Bleeder
Severed blood vessel