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Emergency Procedures COPY > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

The manner in which an individual must act or behave when giving care.

A

Standard of care

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2
Q

The obligation to care for a patient who requires it.

A

Duty to act

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3
Q

The act of discontinuing emergency care w/out ensuring that another health care professional will take over.

A

Abandonment

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4
Q

What are the 3 elements of negligence?

A
    • Duty
    • Breach of duty
    • Causation of further injury
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5
Q

What are 5 special reporting requirements?

A
    • Abuse (child, elderly, domestic)
    • Birth in your office
    • Death in your office
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6
Q

What is often the single most important indicator of injury?

A

Mechanism of injury

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7
Q

What is the purpose of the primary survey?

A

Find and treat life-threatening conditions as you find them

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8
Q

How long should a primary survey take?

A

1.5-2 minutes

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9
Q

What are the ABC’S of the primary survey?

A

Airway, Breathing, Circulation, Stop major bleeding

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10
Q

How long should capillary refill take?

A

2 secs or less is normal

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11
Q

Delayed capillary refill time in a baby = ? sign

A

Grave sign

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12
Q

What is a SAMPLE history?

A 
Symptoms
Allergies
Medications
Past medical history
Last meal
Events preceding accident
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13
Q

What does A.V.P.U. Stand for when assessing levels of consciousness?

A
    • Alert and oriented to person, place and time
    • Responds to VERBAL stimuli
    • Responds to PAIN stimuli
    • Unresponsiveness
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14
Q

What is a normal adult pulse?

A

60-100 bpm

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15
Q

What is a normal respiration rate for adults?

A

12-20 breaths per minute

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16
Q

Insufficient supply of oxygen that results from inadequate circulation of blood.

A

Shock

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17
Q

4 physiologic causes of shock

A

Pump failure
Hypovolemia
Lack of adequate air exchange
Vessel failure

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18
Q

A loss of fluids which causes shock is called…

A

Hypovolemic shock

19
Q

Shock associated w/ blood loss is called…

A

Hemorrhagic shock

20
Q

What are the S and S of Hypovolemic Shock?

– Peripheral perfusion…

A

Peripheral perfusion = pale, cool, clammy skin

21
Q

What are the S and S of Hypovolemic Shock?

– Vital signs (pulse rate, breathing rate, BP)

A
    • Pulse rate = increased
    • Breathing rate = increased
    • BP = decreased
22
Q

What are the S and S of Hypovolemic Shock?

– Peripheral perfusion…

A

Warm, dry, pink skin

23
Q

What are the S and S of Hypovolemic Shock?

– Vital signs (pulse)

A

Pulse will be slow

24
Q

Should you apply a tourniquet to a joint?

A

Never!!!!

25
Q

If bleeding is extensive remember to use…

A

Pressure points

26
Q

What might you have to do as a doc for a spurting laceration to control the bleeding?

A

Place finger into wound

27
Q

Never remove an impaled object unless…

A

It is in the check and loose

28
Q

What does PMS stand for?

A

Pulses, motor, sensory

29
Q

With fractures the splint should incorporate…

A

The joint distal and proximal to the injury

30
Q

With dislocations the splint should include…

A

Bone distal and proximal

31
Q

Ecchymosis over the mastoid process

A

Battle sign

32
Q

Bilateral periorbital ecchymosis

A

Raccoon eyes

33
Q

Epidural hematoma or Subdural hematoma????

    • pupil fixed and dilated on side of impact
    • increasing BP and decreasing pulse
A

Epidural hematoma

34
Q

Epidural hematoma or Subdural hematoma????

    • dilation of one pupil
    • decreasing pulse rate
    • abnormal respirations or apnea
A

Subdural hematoma

35
Q

What is the most common type of intracranial bleeding.

A

Subdural hematoma

36
Q

Protective reflex that works to maintain a constant flow of blood to the brain?

A

Cushing response

37
Q

Type of abnormal posturing associated w/ head trauma:

– arms flexed, legs extended

A

Decorticating posturing

38
Q

Type of abnormal posturing associated w/ head trauma:

– arms and legs extended

A

Decerebrate posturing

39
Q

Decorticating posturing and decerebrate posturing are ominous signs of what 2 types of injury?

A

Deep cerebral hemisphere or upper brain stem injury

40
Q

Comparison of vital signs in shock and head injuries:

– BP

A

Shock = decreased

Head injury = increased

41
Q

Comparison of vital signs in shock and head injuries:

– Pulse

A

Shock = increase

Head injury = decrease

42
Q

Comparison of vital signs in shock and head injuries:

– Resp.

A

Shock = increase

Head injury = decrease

43
Q

Comparison of vital signs in shock and head injuries:

– Levels of Consciousness

A

Shock = decrease

Head injury = decrease

Emergency Procedures COPY (5 decks)

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