ERDN Flashcards
1
Q
To eliminate or reduce the intensity of hazardous event
A
Mitigation
2
Q
To enhance ability to respond to disaster
A
Preparedness
3
Q
To provide emergency assistance to victims
A
Response
4
Q
To restore the normal level of functioning of the community
A
Recovery
5
Q
Prevention
A
Mitigation
6
Q
Trainings and drills
A
Preparedness
7
Q
Short term
long term needs
A
Response
Recovery
8
Q
Phases sa pre disaster
A
Mitigation Preparedness
9
Q
Phases sa Post-disaster
A
Response Recovery
10
Q
Emergency kits what phase
A
Preparedness
11
Q
Seminar about fire prevention
A
Mitigation
12
Q
Temporary shelter
A
Recovery
13
Q
Greatest good for the greatest number
A
Utilitarianism
14
Q
Philippine DRRM Act of 2010
A
RA 10121
15
Q
provides LEGAL IMMUNITY to individuals performing immediate attention involving a sudden and
impending threat to life or safety of a person.
A
Good Samaritan Act
16
Q
Best grp or role of nurses in disaster
A
Triage
17
Q
Primary ass? Secondary ass?
A
●A irway
●B reathing
●C irculation
●D isability
●E xpose/ env. factors
●F ull set VS
●G ive comfort
●H x taking
18
Q
Airway mngt
A
- Speak
- Open airway
19
Q
Breathing mngt
A
Look- rise and fall ng chest
Listen
Feel
20
Q
Circulation mngt
A
Carotid or radial pulse
Capillary refill <2 sec
Bleeding
21
Q
Disability mngt
A
Abt neuro to
LOC AVPU
22
Q
AVPU
A
Alert (eye opening)
Verbal
Pain (earlobe, supraorbital, nails, trapezius)
Unresponsive
23
Q
Expose/ env
A
Remove clothing
Warm blanket pag may shock
24
Q
DISASTER TRIAGE
⇨ Derived from french, trier which means __
A
To sort out
25
Used for primary triage in adults
SIMPLE TRIAGE AND RAPID TX (START)
26
Gold standard for Mass casualty incidents (MCI)
SIMPLE TRIAGE AND RAPID TX (START)
27
Used for primary triage in children <8 years old
JUMPSTART
28
Used for secondary triage in adults
SAVE- Secondary Assessment of Victim Endpoint
29
Used for triage sa filed na di pa natatransport
SAVE- Secondary Assessment of Victim Endpoint
30
Triaging: can walk
Green
31
Triaging: no breathing
Blck
32
Triaging: less than or equal 30-2-can do
Abnormal?
Yellow
Red
33
Color Priorities in sequence
Red
Yellow
Green
Black
34
Status expect to deteriorate within 60 mins
Immediate red
35
Status expect to deteriorate several hrs
Delayed yellow
36
Status expect to deteriorate in days
Minor green
37
Status expect to deteriorate unlikely to survive
Expectant black
38
BLS gagawin (in order)
Scene size up
DABC
Call for help
CPR
defib
39
Suspected SCI what maneuver
Jaw thrust
40
Pag tumatawag ng help ano consideration mo
Wag iiwan ang pt
41
Pag mag-isa ka lang tas may unresponsive ano gagawin
Open ung call i loud speaker while starting mag CPR
42
CPR: Do not pause for _____________ to check for breathing and pulse.
>10 sec
43
CPR Compression rate
100-120
44
CPR Ventilation rate:
10-12 bpm
45
CPR Ratio:
30 compressions: 2 breaths
46
placement of hands:
Adult-
Child-
Infant-
Adult-Heel of dominant hand (non over dominant)
Child- 1 hand
Infant- 2 fingers
47
CPR DEPTH
Adult-
Child-
Infant-
Adult- 2 in
Child- 2 in
Infant- 1.5 in
48
CPR LOC
Lower half of sternum midchest
49
DEFIBRILLATION
one pad at the RIGHT 3RD intercostal
the other is placed at the 5TH
intercostal space on the MIDAXILLARY
50
2 Shockable rhythms:
Vfib
Pulseless vtach
51
2 nonshockable rhythms
Asystole
Pulseless electrical act
52
Pulseless electrical act
meron sa ecg, pulse wala
53
Gagawin Non-shockable rhythms:
CPR AND REASSESS every 2 mins
54
recovery Position
Left sims
55
Psychological first aid action principles
Prepare
Look
Listen
Link
56
Help few days after crisis
Crisis debriefing
57
Small scale but serious problem requiring immediate action.
EMERGENCY
58
CODES:
Cardiac arrest
Bomb
Fire
Violence
Abduction
Hostage
Cardiac arrest BLUE
Bomb BLACK
Fire RED
Violence GRAY
Abduction PINK
Hostage SILVER
59
2 triaging sa Hospital
3 level and 5 level triage
60
Level triage based on urgency
3 level triage
61
3 level triage:
Wait for 2 h
Wait >2h
ABC 15-30 mins
Wait for 2 h: URGENT
Wait >2h: NON URGENT
ABC 15-30 mins: EMERGENT
62
Also known as EMERGENCY SEVERITY INDEX na pokus is resources
5-Level-Triage
63
ES1:
ES3:
ES5:
ES2:
ES4:
ES1: ABC
ES3: MANY resources normal VS
ES5: no resources
ES2: severe pain, altered LOC, abnormal VS, HIGH RX
ES4: 1 resource
64
Ano lang di counted as resources
PO med
65
used in advanced stages of pregnancy or markedly obese patient
Chest thrust
66
used in infants for AIRWAY OBSTRUCTION
Backflow
67
used in unconsious patient for AIRWAY OBSTRUCTION
Finger sweep
68
Special consideration pag maga finger sweep
Wag gawin if di makita obj
69
Type of near drown that is caused by osmosis
Salt water aspiration
70
Type of NEAR-DROWNING thats caused by type 2 alveolar cells
Freshwater aspiration
71
Gamot for met acidosis
Na Bicarbonate
72
ECG findings NEAR-DROWNING
V fib
73
General mngt sa ABC
A:
B:
C:
A: intubate
B: 100% O2
C: CPR
74
Avulsion
Natuklap balat
75
Abrasion
Gasgas
76
Consideration if use tourniquet sto stop bleeding
Only if life limb situation
77
How to clean wound
Clean gamit isotonic
Topical antibiotics
Wound dressing
78
Anong phase ng shock where bp lang normal
Compensatory
79
Anong phase ng shock may oliguria, hypoactive bowel sounds
Compensatory
80
Anong phase ng shock may lead to lahat absent
Irreversible
81
San makikita met acidosis sa phases ng shock at saan mas marami to
Progressive at irreversible (mas marami)
82
Anong type ng shock ang BRADY BRADY tas dry and warm skin
Neurogenic
83
Position for shock
Modified trendelenburg
84
Anong fluid at gauge mngt sa shock
PNSS if wala L. Ringers 16 g
85
SHOCK: Administer___ drugs
vasoactive
86
Type ng HEAT-INDUCED EMERGENCIES na normal temp tas moist skin
Heat Cramps
87
Type ng HEAT-INDUCED EMERGENCIES na shock like and profuse sweating
Heat Exhaustion
88
Type ng HEAT-INDUCED EMERGENCIES na anhidrosis, altered na loc, met acidosis
Heat Stroke
89
Unang gagawin sa HEAT-CRAMPS
Rest
90
Unabg gagawin sa HEAT-EXHAUSTION
Move to cool environment and remove all clothing.
91
HEAT-EXHAUSTION Position
Supine with legs elevated
92
Heat exhaustion Most effective cooling method: _
Evaporation cooling
93
HEAT-STROKE MANAGEMENT
Priority goal:
reduce core temperature to 38.9
94
Ano ang tatlong “iced” ng core cooling
Iced saline lavage
Iced peritoneal dialysis
Iced chest irritation (last option)
95
core temperature of the body is __________considered as hypothermia
<35 C or <95 F
96
Complication ng HYPOTHERMIA
Vfib
97
Early sx ng hypothermia
Shivering
Diuresis
HPN
98
Rewarming methods:
a. Passive external rewarming
b. Active external rewarming
c. Active core rewarming
Rewarming methods:
a. Passive external rewarming TANGGAL WET CLOTHES PALITAN NG DRY PLUS WARM-BLANKETS
b. Active external rewarming SUBMERGED SA WARM WATER
c. Active core rewarming CHEST IRRITATION
99
3 ibibigay sa ingested poison
Activated charcoal
Syrup of ipecac
Antidote
100
Consideration when giving syrup of ipecac
Bawal if corrosive na ingest
101
Normal serum carbon monoxide level: ________
<3%
102
CARBON MONOXIDE POISONING
Treatment of choice:
Hyperbanic chamber
103
Classic sx ng snakebite
Hemorrhagic blisters
104
Ano ireremove if may snakebite
Constricting items like rings, tourniquet, ice, sucking out!!
105
Bat nagbibigay ng vasopressors if may snakebite
Kasi may shock like systemic sx
106
Kelan Administer antivenin
4-12 after bite
107
painful, potentially lethal condition caused by sting and envenomation from multiple jellyfish species.
Irukandji syndrome or jellyfish stings
108
Anong vs tumataas sa jellyfish sting
BP (HPN)
109
JELLYFISH STINGS MANAGEMENT
Vinegar or baking soda
Hot water 20 mins or as long as masakit parin
110
Consideration in giving vinegar jellyfish sting
Bawal sa box/ bluebottle jellyfish instead magbigay ka nalang ocean water
111
Site CPR in infants
Brachial
112
Triage Principle
- Hosp:
- Disaster:
first tx is severely injured
first tx is less injured
113
Bandaging
- Spiral used only sa
- Medial to lateral
- Foot’s flexed
- Pt’s distal to proximal or nurse’s proximal to distal
knees, elbow
