Chapter 9

Question 1

Heat exhaustion

Answer 1

Heavy perspiration

Inadequate fluid and electrolyte intake

Question 2

Heat exhaustion symptoms

Answer 2

HA
Weakness
N&V
Temp not up

Question 3

Heat exhaustion tx

Answer 3

Ice packs
Sports drinks
No salt tablets

Question 4

Heat stroke— emergency!

Answer 4

Body temp 104

High mortality rate

Question 5

Excertional heat stroke

Answer 5

Not used to heat 
Confusion 
Seizures coma
Skin: hot, dry or wet 
Low BP
Tachypnea 
Elevated troponins 
Organ failure

Question 6

No excertional heat stroke

Answer 6

Elderly

No air conditioning

Question 7

Heat stroke tx

Answer 7

ABCs
Strip away clothing 
Ice in groin, axils, cold water 
Internal cooling 
Iced lavage 
Benzodiazepines 
I&O
ICU

Question 8

Heat stroke complication

Answer 8

Organ dysfunction 
Renal impairment 
Liver impairment 
Coagulopathy 
Pulmonary edema 
Cerebral edema 
Increase troponins

Question 9

Brown recluse bite

Answer 9

Red white and blue

Will sluff off

Question 10

Brown recluse hospital care

Answer 10

Topical antiseptic/ sterile dressing
Antibiotics?
Skin graft?
Wound culture

Question 11

Brown recluse pre hospital

Answer 11

Cold compress

Elevate

Question 12

Loxoscelism

Answer 12

Brown recluse systemic

Question 13

Brown recluse loxoscelism

Answer 13

Fever
Chillls
Kidney failure 
Hemolytic anemia 
Thrombocytopenia 
DIC
Death

Question 14

Bees and wasps stinger removal

Answer 14

Ice pack
Tweezer
Credit card

Question 15

Bees and wasps hospital care

Answer 15

Oxygen
Cardiac monitor
IV fluid
ACLS drugs 
Epi
Albuterol
Antihistamine 
Steroids

Question 16

Flash over phenomenon

Answer 16

Current goes over body rather than through it
More likely if wet
Produces feather like pattern

Question 17

Lightening injury priorities

Answer 17

Cardiac

Defibrillation is best chance

Burns are secondary

Question 18

Lightening injury prehospital

Answer 18

CPR. 12 lead
Burns
Skeletal- ICP? Hemorrhage
Tentanus

Question 19

Hypothermia

Answer 19

Less than 95F or 30c

Question 20

Mild hypothermia

Answer 20

90-95F

32-35c

Question 21

Moderate hypothermia

Answer 21

82.4-90F

28-32c

Question 22

Severe hypothermia

Answer 22

82.4

28

Question 23

Mild hypothermia symptoms

Answer 23

Shivering
Dysarthria
Decrease muscle coordination 
Impaired cognition 
Cold diuresis

Question 24

Drink

Answer 24

Warm fluids
Increased carbs
NO ETOH or caffeine

Question 25

After drop

Answer 25

Drop in temp after rewarming Cold is sent internal Warm body first

Question 26

Moderate hypothermia symptoms

Answer 26

``` Muscle weakness Apathy Loss of coordination Incoherence Stupor Decreased clotting ```

Question 27

Severe hypothermia

Answer 27

``` Bradycardia Hypotension Decrease respiration Cardiac dysrhythmias Decrease neuro Decreased pain responsiveness Acid-base imbalance ```

Question 28

Rules for hypothermia

Answer 28

No one is dead until they are warm and dead May be found in VFIB or asystole

Question 29

Treatment of hypothermia

Answer 29

ABC | Active external and internal rewarding

Question 30

Defibrillation and medications in hypothermia

Answer 30

Defibrillation may not work until temp is above 30c | Medication with caution- can develop toxic levels

Question 31

Frost bite risk factors

Answer 31

``` Decreased insulation. Wet clothing Dehydration Low BMI Previous Hx Already has impaired vascular system ```

Question 32

Appearance of frost bite

Answer 32

White, waxy

Question 33

Care of frost bite

Answer 33

``` Recongnition Rapid rewarming Analgesic IV rehydration Strike dressings Tetanus Antibiotics NO RUBBING NO DRY HEAT ```

Question 34

Water temp for frost bite

Answer 34

104-108

Question 35

Drowning and near drowning

Answer 35

Prevent ABC Spinal injury?

Question 36

Drowning causes of asphyxiation

Answer 36

Laryngospasm Surfactant washed out Water quality