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CMT 1 Revision > Class 1 Course Stuff > Flashcards

Class 1 Course Stuff Flashcards

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1
Q

Reports should be made with accidents when?

A

10 consecutive days

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2
Q

Death should be reported

A

Immidiately

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3
Q

Types of accident or things should be reported

A

Accident
Incident
Near miss

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4
Q

Indications for ET intubation and surgical cric

A

Protect airway from obstruction
Control oxygenation and ventilation
Inability to clear and maintain airway using simple techniques

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5
Q

Indications for ET

A 
Deeply unconscious 
Management of cardiac arrest
Casualty transfer
Potential airway obstruction 
Management of head chest injury
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6
Q

Indication for surgical airway

A

Conscious patients
Trismus

Difficult intubation shape size pre existing disease

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7
Q

Complications of ET

A 
Hypoxia 
Failed intubation 
Spinal cord injury 
Damage to teeth mouth or larynx 
Laryngeal spasm 
Oesophageal intubation 
Intubation of right bronchus
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8
Q

Indication for surgical cric

A

Trauma burns to face neck preventing ET intubation
Conscious casualty
Total upper airway obstruction

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9
Q

Post insertion care as per ET Tube

A

Casualty movement

Poor neck anatomy due to short neck
position of injury or swelling

Light and correct equipment essential

Position of operator and casualty critical

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10
Q

Difficulty surgical cric

A 
Damage to carotid arteries 
Creation of false passage into the tissues 
Bleeding 
Asphyxia 
Aspiration of blood 
Laceration of trachea oesophagus
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11
Q

Complications of needle thoracocentesis

A

Local heamotoma
Local or pleural infection
Pneumothorax

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12
Q

Complications of chest drain

A 
Blocked kinked chest tube
Dislodged chest tube
Back flow 
Hadmotoma 
Incorrect placement 
Damage to intra thoracic organs
Local or pleural infection
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13
Q

IV access indications

A

Administration of drugs

Access fluid resuscitation

Prior to chest drain

Prolonged entrapment

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14
Q

Care most be taken when administering fluids when

A

Isolated head injury
Renal trauma
Cardiac failure
Cerebellum vascular accident

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15
Q

Late complications of cannualtion

A

Thrombophlebitis
Local infection
System infection

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16
Q

IO access indications

A 
Emergency vascular access 
Major burns 
Profound shock 
Overwhelming sepsis 
Cardiac Arrest 
Other methods have failed
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17
Q

IO contraindications

A

Fractures
Infection
Osteoporosis

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18
Q

FAST contra indications

A

Under 12

Sternotomy

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19
Q

Complications of IO

A

Painful to use
Extravasation due to poor placement
Compartment syndrome
Skin infection leading to osteomyelitis

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20
Q

Airway problem types times

A

Immediate
Delayed
Insidious

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21
Q

Atropine poisoning signs and symptoms

A 
Dilated pupils 
Tachycardia 
Dry mouth and throat 
Hot dry flushed skin 
Used combo pens
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22
Q

Indications for bladder catheristation

A 
Monitor fluid balance
Unable to pass urine 
Abdominal pelvis injury 
Head injury 
Post anaesthetic 
Unmanageable Incontinence
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23
Q

Contra indications to catheristaion

A

Urethral bleeding

Major pelvic fractures

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24
Q

Definition of blood agent (cyanide)

A

A group of chemical warfare agents which prevent body tissue from using the oxygen from the blood and in high concentrations cause respiratory failure

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25
Blood agent low concentration signs and symptoms (cyanide)
``` Weakness of the legs Vertigo Nausea Headache Rapid breathing Cherry red colouring Convulsions with coma ```
26
Treatment for blood agent poisoning (cyanide)
Amyl Nitrite Oxygenate Ensure respirator is fitted correctly Sodium thiosulfate Dicolbalt edetate Glucose
27
Categories of asthma
Mild Sever Life threatening
28
Nerve agent signs and symptoms
Pinpoint pupils Weary skin Excessive secretions from mouth and nose Rapid laboured breathing
29
Treatment nerve agent
BVM with gas cannister | Combo pen max 3
30
Burn management
``` CABCDE cool for at least 10 mins Entenox or high O2 Removes constrictions Remove hot wet clothing not adhering to skin Apply cling films or sterile dressing Leave facial burns uncovered Extremities in burn bags Encourage mobility Great for shock fluids ```
31
Types of entrapment
Actual Physically trapped ensnared Relative Trapped by injury or environment
32
Definition of extrication
Removal or withdrawal of a trapped casualty
33
Types of extrication
``` Routine No immediate risk to life Urgent Potential risk to life Emergency Immediate risk to life ```
34
Technical rescue skills
``` Rope Water Search Confined space Fire fighting Heavy Tactical ```
35
Rescue equipment
``` Hacksaw Pliers Screwdrivers Wrecking bar Bolt cutters Extrication devices TED ```
36
Timings for trauma death
Instantaneous 0-10 mins Early approx 10 mins- 2 hours Late days to weeks later
37
Chemical Agent definition
A chemical substance which is intended for use in military operations to kill, seriously injure or incapacitate people because of its patho physiological effects
38
Types of chemical agents
``` Nerve Blood Chocking Blister Incapacitating ```
39
Means of delivering chemical agents
Bursting munitions Spray equipment Aerosol generator Chemical IED
40
Safety
Risk management Mange SE to promote a culture to enhance safety Safeguarding policies and barring service IPC policy and training Equipment care directive Medicine management
41
Significant event occurrence in
Patient care The conduct of medical or dental research The infrastructure of a facility where care is delivered
42
Categories and recording SE
Harm events Non harm events Unexpected clinical outcome occurrence Recorded on the ASER platform
43
Clinical and cost effectiveness
``` Evidence based practice Fit for role Updating in light of the new evidence Audits Liaison with other agencies partnerships ```
44
Governance
``` Records Maintained archived IAW policies Employment checks Codes of practice Research systems Accountability Use of resources Financial management Promoting equality Staff concerns CPD ```
45
Care environment and amenities
Health and safety complaint Patient privacy Medical infrastructure maintenance
46
Public health
Health promotion and education | Patients offered advice and treatment
47
Occupational health
``` Correct grading for role Standards for employment Sharing of data Protecting service personnel Protecting the services ```
48
Pupils bilaterally fixed and dilated
Dead Hypoxia Hypovalemic shock Atropine and ecstasy
49
Pupils unilaterally fixed and dilated
Brain injury | Stroke
50
Pupils bilaterally pinpointed Irregular pupils
Opiate overdose Trauma Eye operation Stigmatism
51
Hypoglycaemia
MMol below 3.5
52
Treatment aims for mother
Prevent infection Prevent trauma Relive pain
53
Treatment aims for baby
Resuscitate Maintain body heat Prevent trauma
54
8 principles of data protection
Data Protection Act 1998 ``` Fairly and lawful Processed for limited purposes Adequate and relevant Accurate Not kept longer than necessary Processed in accordance to individual Secure Not transferred outside EU ```
55
Mental health 7R’s
``` Recognition Respite Rest Recall Reassurance Rehab Return ```
56
Mental health pies
Proximity Immediacy Expectancy Simplicity
57
Indications for NG
``` Prior to intubation to decompress stomach Abdominal injury Suspected intestinal obstruction Suspected peritonitis Pre or post abdominal surgery ```
58
Contra indications for NG
Suspected fractured base of skull Nasal trauma Intestinal perforation Abnormal oesophageal tract due to possible structure tumour or trauma
59
Define nerve agent
A group of particularly toxic chemical warfare agents which are organophosphate that interfere with the nervous system and disrupt functions such as breathing and muscular co ordination they are cumulative in effect
60
Signs and symptoms of nerve agent
Difficulty breathing Running nose and increase salivation Pinpoint pupils effected vision Tightness of chest
61
Nerve Agent Pte Treatment Set
21 tablets 1 every 8 hours | Pyridostigmine Bromide 30mg
62
Combopen
Post exposure to nerve agent 2 mg atropine500mg pralidoxim 10mg avizafone Give 5-15 minute intervals with auto injector
63
``` Oxygen cylinder sizes CD D F HX ```
CD 470 D 340 F 1360 HX 2300
64
Packaging considerations
Safety Climatic Tactical
65
Definition of shock
Serious of signs and symptoms which occur as a result of reduced tissue perfusion with blood the result of inadequate delivery of oxygen and nutrients to all parts of the body
66
4 stages of shock
Initial Compensatory Progressive Refractory
67
Occupational health vaccines
Hep B Rubella Varicella
68
High risk vaccines
``` Japanese encephalitis Typhoid Rabies Tick borne encephalitis Anthrax Cholera ```
69
Types of waste
Domestic waste Non clinical dangerous waste Clinical waste

CMT 1 Revision (11 decks)

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