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262 - cata > Lecture: HYPOXIA, MEDIC ALERT, AND ERP > Flashcards

Lecture: HYPOXIA, MEDIC ALERT, AND ERP Flashcards

1
Q

What is aptosis?

A

It is the programmed cell death

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2
Q

What is hypoxia?

A

Low or inadequtate oxygen delivery to the tissue cells (vital organs like heart, lungs have a lack of oxygen)

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3
Q

What is the triangle of life?

A

Head, heart lungs

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4
Q

What is regional vs general hypoxia

A

regional : reduced oxygen to one spefific area

general: whole body is lacking oxygen

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5
Q

what are the causes of hypoxia

A

inadequate oxygenation: lack of oxygen in atmosphere or hypoventilation)

pulmonary disease

venous to arterial shunts

inadequate oxygen transport to tissues (anemia, general/localized circulatory deficiency, tissue oedema)

inadequate tissue capability of using oxygen (ec

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6
Q

Early stages of hypoxia

A 
RATT
r=restlessness
a= anxiety
t=tachycardia (heart rate over 100 bpm)
t=tachypnea (faster breathing rate)
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7
Q

Late stages of hypoxia

A 
BEDC
b=bradycardia (heart rate under 60 bpm)
e=extreme restlessness
d= dyspnea (slow breathing rate) 
c=cyanosis (extremities  and lips will turn blue)
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8
Q

Effects of hypoxia (severe and less severe)

A

severe: can cause death of cells in body

less severe: depressed mental capacity, sometimes coma
reduced work capacity of muscles

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9
Q

Does high levels of altitude affect oxygen>

A

Yes, low oxygen pressure at high altitudes

normal for breathing and pulse rate to compensate

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10
Q

True or false: use of accessory breathing muscles is a sign of possible hypoxia

A

True

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11
Q

IS cyanosis a late or early sign of hypoxia?

A

LATE SIGN

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12
Q

When can hypoxia be seen (scenarios)

A 
Myocardial infarction
Pulmonary edema
Acute narcotic overdose
Smoke inhilation
Stroke
Chest injury
Shock
Chronic obstructive pulmonary disease (COPD)
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13
Q

What are signs of laboured breathing?

A 
accessory muscles
 cyanosis
cool, clammy skin
uneven in/exhale
lung sounds
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14
Q

What is agonal breathing

A

Occasional gasping breaths even when heart has stopped.

Impulses still from the brain

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15
Q

What is cheyne-strokes breathing

A

it is a Irregular pattern of breathing from head trauma or stroke.

Increased rate and depth of breathing, followed by apnea
(no spontaneous breathing).

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16
Q

EXplain look read call of MEDIC ALERT

A

1) look for a medic alaert with the certified medic alert logo
2) read the vital medical information on the back
3) call the 24/7 emergency hotline to provide you with all the vital information

17
Q

Where can the medic alert bracelet be worn?

A

Neck, ankle, wrist

18
Q

What does ERP stand for? What does EAP stand for>

A

Emergency response plan

Emergency action plan

19
Q

What are some elements involved in an ERP>

A 
Knowledge of injuries (for that event) 
Medical history & athlete info 
Facility safety (directions and entrances
First aid equipment & supplies 
Responsibilities (charge and call person)
Evaluation & Treatment
Communication
Transportation
20
Q

When should an ERP be activated?

A

UNCONCIOUS or serious injury

21
Q

What are the 3 types of risks in sport and explain

A

Moderate risk: sports with intermittent close contact
minimum risk: might have occasional hits, wont be often calling 911
severe risk: SPORTS THAT INVOLVE SPEED, HEIGHT AND A HIGH LEVEL OF PHYSICAL EXERTION

22
Q

Is it important in your ERP to know the rules of the sport>

A

Yes it is importnant to know th eprotocols and the rules for if you are allowed to supply treatment without affecting the game

23
Q

What do the pre season examination and medical questionnaires assess?

A
  • Medical History
  • Pre-existing conditions
  • Underlying conditions
  • Fit/safe to participate
  • Treat conditions
  • Legal liability
24
Q

What is part of the inspection of facilities

A

know emergency exits
direct routes to area
clear of clutter and wide enough for equipment to go through

25
Q

What is part of communication>

A

Talking to security and front office people

26
Q

What is part of scene safety and PPE

A

must have Personal Protective equipment (PPE)

must assess Scene hazards- environmental, physical

27
Q

What are the parts of a trauma kit

A
  • Patient Monitoring Equipment
  • Wound Care
  • Medications
  • AED
  • Spinal board equipment
  • Pocket mask
  • BVM
  • Oxygen kit
  • Airway equipment- OPA, endotracheal
  • Splints/immobilization devices
  • Blankets
  • Scissors
28
Q

What are some important items in your fanny pack?

A 
Things you need quickly/dependant on sport 
– Gloves
– Gauze
– Pocket mask
– OPA
– Athletic Tape
– Scissors
– Band aid
29
Q

What are the parts of delegating responsibility

A

-Charge person (boss of situation)
– Control person (controlling crowd)
– Call person (charge phones, call 911)
– Equipment person (bringing in all the equpment)
– Assistant(s) (delegate and recrit if needeed, explain ERP and post it everywhere)

30
Q

What is part of proper evaluation and treatment?

A

-Do your job and treat the injury
– Stay within your scope of practice
– Know when to activate advanced care

31
Q

Why is communication an important part of the ERP

A

– Responder is link between athlete and rest of
health care team
comminates to patient/athlete, support staff, EMT/Ambulance,MD, parents
IMPORTANT TO Keep calm and confident

32
Q

What are the 10 golden rules of communication?>

A

1) Make eye contact
2) Use proper name
3) Tell the truth!
4) Be understood
5) Be careful what is said to others
6) Body language
7) Speak slow and clear
8) Hearing impaired
9) Allow time for answer
10) Be calm and confident

33
Q

What are the elements of transportation

A

with EMT/Ambulance:
-Responder assists in preparing for transport
– Debrief paramedics

with a friend:
– Provide map to hospital (PRINTED)

34
Q

What are the 8 steps of the ERP in resume

A
  1. Address of location
  2. Venue Directions (include map and ambulance entrances)
  3. Location of AED’s and trauma equipment, phone access
  4. Roles of response team (Charge, Retrieval of equipment, Call person, Person who will meet ambulance)
  5. Steps to active E.R.P (Include security)
  6. Directions to hospital for self travel
  7. Report properly to EMS
  8. Follow up with athlete/parents/coach
35
Q

What does prepare stand for?

A 
P=personel
r=rules
e=equipment (removal if needed)
p= planning (printed)
a= arena (inspect area)
r= rehersal (mock up before)
e=evaluate and educate

262 - cata (18 decks)

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