Enviromental Emergenices + CBRNE

Question 1

What is the homeostasis in temp in the body

Answer 1

36.9

Question 2

What makes freezing worse

Answer 2

Freezing and thawing then refreezing

Question 3

Ice crystals form damaging

Answer 3

Blood vessels

Question 4

Forstbite

Answer 4

Extremity will look white and waxy
When rewarded will turn purple or burgundy and swelling will start
Can turn black over time

Question 5

Nelcrosis

Answer 5

Turns black

Question 6

Treat forstbite

Answer 6

Treat hypo first
Don reheat in feild
Bulky splinting
Hospital will warm with 40.c water and liberal opioids

Question 7

What is hypothermia

Answer 7

Core temp less than 35.c

Question 8

3 causes of hypo

Answer 8

Cold water
Cold weather
Urban hypo ( pt indoootb, but thermal auto regulation is decreased )

Question 9

Who at higher risk

Answer 9

Burns
Alcohol
Cns deoressants
Shock
Diabetes

Question 10

HT 1 treatment

Answer 10

Remove wet clothes
Provide warm environment
Warm sweet drinks
Blanket
Encourage active movement

Question 11

H2-h3 treatment

Answer 11

Handle gently
Keep horizontal
Active rewarding in trunk only
Mandoratory Olmc
Considering transport to encourage / CPB facilities

Question 12

H4 treatment

Answer 12

Remove from cold environment
Rewarm core
Trans to Ecmo/ CPB
Maintain horizontal
CPR and defibrillation ( max 3 shocks until warm ) ( if Rosc occurs maintain hypo in head only

Question 13

HT 5 treatment

Answer 13

Don’t attempt resuscitation

Question 14

Warm the pt up ?

Answer 14

Slowly do the heart can keep up

Question 15

Get your pt _ has it the best way to keep them warm

Answer 15

Shivering

Question 16

Conduction

Answer 16

Losing body heat to near by objects by touching them

Question 17

Covection

Answer 17

Loading heat to air

Question 18

Radiation

Answer 18

Lost of body heat to object by not touching it

Question 19

Evaporation

Answer 19

Loss by perspiration

Question 20

Travis of death

Answer 20

Hypothermia low body temp
Acidosis Latin acid in blood
Coagulapathy blood cloying promblem

Question 21

Heat cramps

Answer 21

Caused by excessive loss of Salt or water
Pain in abdomen or lower extremities due to hydration over acceleration in a hot environment
Muscle twitching
Diaphoresis
Nv
Spams

Question 22

Treatment for heat cramps

Answer 22

Remove to cold environment
Iv
Oxygen
Give electrolytes only to non-throwing up patient

Question 23

Heat exhaustion

Answer 23

More severe cramps with more fluid loss
A form of absolute hypovolaemic shock
Weak, pale skin
Nausea, vomitiw
Hypotension

Question 24

Treatment for heat exhaustion

Answer 24

Remove to cold envro
Iv
Nothing Orly

Question 25

Heat stroke

Answer 25

Complete failure of bodies temp to regulation can be chronic or acute

Question 26

Classic heat stroke

Answer 26

Dry skin Likely to happen in very old and very impatient May take hours or days Hi mortality rate

Question 27

External heat stroke

Answer 27

Sweaty skin Acute rise in temperature due to them bodies cooling becomes in effective very common in young fit people/athletes and firefighters

Question 28

Signs and symptoms of heat stroke

Answer 28

Kussmaul Lack of sweating

Question 29

Treatment for heat stroke

Answer 29

Remove all clothing Cool environment Ice packs to groin and axillary armpits, but no ice on dark skin Do all of this while assessing the primary and managing ABC’s

Question 30

What drug causes see you the ability not to sweat

Answer 30

Anti-histamines

Question 31

Heat cramps are

Answer 31

Electrolyte imbalances

Question 32

Heat exhaustion is

Answer 32

Absolute hypovoemia

Question 33

Heat stroke is

Answer 33

Hyperthermia failure of comp mechanisms

Question 34

Kids are at higher risk for

Answer 34

Febrile seizures because they have problems regulating the temperature

Question 35

All drownings in Alberta are considered

Answer 35

Cold or freshwater, drowning

Question 36

Drowning

Answer 36

It’s due to a vaccination and does not have to be water

Question 37

Near drowning

Answer 37

The process of August drowning, but being interrupt reversed prior to death

Question 38

What percent of John involve alcohol

Answer 38

75%

Question 39

Dry drowning

Answer 39

10 to 20% of the time Laryngeal spasm stop water Best chance of rehabilitation

Question 40

Wet drowning

Answer 40

80-90% of the time panic and lungs, but with water

Question 41

Secondary drowning

Answer 41

Respiratory pulmonary oedema liquid in the lungs occurs minutes to days after the event

Question 42

CBRNE

Answer 42

Stands for chemical biological radioactive nuclear an explosive

Question 43

Triage rule

Answer 43

Treat black as read

Question 44

Class A to class B

Answer 44

Clase is the least protection with just a filter mask to level d is full scoop up with a fully enclosed suit

Question 45

Biological

Answer 45

A bacterium virus or partisan, parasite or fungus example anthrax Signs and symptoms are nausea bottle thing, respiratory distress, blistering, skin, irritation, bronco spasms, and Sluggo

Question 46

Radioloical

Answer 46

Acute, long-term, alpha, beta gamma Remove from warm zone, property decontaminate Signs and symptoms of dizziness, headache diarrhea, Burns, and death