Medical Advisory Notes

Question 1

What is the most important infection control measure for the prevention of self and cross contamination

Answer 1

Hand washing

Question 2

Where it is suspected or known that a person is a carrier of an air–borne transmitted disease such as tuberculosis members shall NOT place a person suspected or known to have tuberculosis or other air–borne transmitted communicable diseases in areas with _______________________

Answer 2

little or no ventilation, such as interview rooms

Question 3

Individuals who have taken hard drugs such as cocaine, heroin, etc., shall be monitored more closely for at least __ hours from the time when the drug was taken.

Answer 3

3

Question 4

Prisoners housed in divisional cells or lock–ups should be placed ____ each other where possible. This can provide an opportunity for one prisoner to give early warning of illness, suicide, or self–injury involving another prisoner.

Answer 4

opposite

Question 5

Unexpected deaths of intoxicated individuals may occur as a result of a condition called obstructive sleep apnea. The consumption of alcohol or alcohol in combination with central nervous system depressants (e.g. narcotics, barbiturates, etc.) can frequently produce a deep sleep accompanied by loud snoring.
Snoring is NOT an indicator of ________. It indicates only that a person is breathing

Answer 5

consciousness

Question 6

AWS - mild symptoms

 tremors (trembling or quivering)
 anxiety
 \_\_\_\_\_\_\_\_\_\_\_
 sweating (diaphoresis)
 over responsive reflexes (hyperreflexia)
 \_\_\_\_\_\_\_\_\_\_\_\_\_

Answer 6

sleep disturbance (insomnia)
nausea/vomiting

Question 7

Moderate Symptoms
 intensified \_\_\_\_\_\_\_\_\_
 rapid \_\_\_\_\_\_\_\_\_
 racing \_\_\_\_\_\_\_\_\_\_
 agitation

Answer 7

Mild Symptoms
breathing (tachypnea)
heart rate (tachycardia)

Question 8

Severe Symptoms
 severely intensified \_\_\_\_\_\_\_\_\_\_\_\_
 hallucinations
 seizures
 disorientation
 abnormally \_\_\_\_\_\_\_\_\_\_\_\_\_

Answer 8

Mild and/or Moderate Symptoms
high fever (hyperthermia)

Question 9

Symptoms of DTs usually occur 48 – 72 hours after discontinuance and include:

 profoundly intensified __________
If left untreated, DTs can result in ___________

Answer 9

Mild, Moderate, and/or Severe Symptoms

death

Question 10

Intoxicated individuals who lapse into sleep should be placed __________ whenever possible.

Answer 10

lying on their side with the head angled forward (recovery position)

Question 11

A diabetic suffering a reaction from low blood sugar will exhibit behaviour normally apparent in an intoxicated person, such as confusion, unsteadiness, profuse perspiration or other unusual behaviour.
In such cases, a diabetic shall be given ______________ After consuming the item, the diabetic must be immediately transported to ______________

Answer 11

a soft drink containing sugar, sweetened orange juice, chocolate bar or candy containing sugar.
the nearest hospital.

Question 12

Excited delirium is a condition that can be caused by drug or alcohol intoxication, psychiatric illness or a combination of both. Symptoms displayed by individuals suffering from this condition may include any combination of

 abnormal tolerance to pain
 abnormal tolerance to pepper spray
 unexpected physical strength
 violence towards others
 shouting
 sweating, fever, heat intolerance
 sudden calm after frenzied activity
 bizarre or aggressive behaviour
 impaired thinking
 disorientation
 acute onset of paranoia
 hallucinations
 panic
Individuals exhibiting the symptoms of excited delirium must always be treated as suffering from a \_\_\_\_\_\_\_\_\_ and once secured, be transported to hospital for examination.
Because of their inclination to violence and extreme exertion, individuals exhibiting the symptoms of excited delirium are often \_\_\_\_\_\_ for their own protection and the protection of others.
Members should be cognizant of  \_\_\_\_\_\_\_\_\_\_ when dealing with persons exhibiting the symptoms of excited delirium

Answer 12

medical emergency
restrained
positional asphyxia

Question 13

Positional Asphyxia – Members should be aware that certain restraint positions (i.e. stomach down) might compromise heart and lung functions increasing the risk of death. Unless circumstances make it impossible, persons should be restrained in a ________ while being closely watched. Use of the ________ permits easier breathing and cardiac function, while affording good positional control over the individual.

Answer 13

sitting position

Question 14

Individuals who bring a prescribed dosage of liquid methadone with them into custody (called a ‘carry’) shall ___ be given the medication.

Answer 14

not

Question 15

Individuals with violent or suicidal tendencies shall be lodged in a __________ whenever practicable and their behaviour closely monitored.

Answer 15

separate cell

Question 16

prescription and over the counter medications shall be removed from every prisoner. However, when a person taken into custody has in their possession an ___________, which has been prescribed for them, and experiences a severe allergic reaction (anaphylaxis), they shall be immediately provided with their __________ to self-administer.

Answer 16

epinephrine auto-injector

Question 17

Individuals who bring a prescribed dosage of liquid methadone with them into custody (called a ‘carry’) shall ____ be given the medication. The risk of an adulterated sample being brought into custody presents too great a health danger to allow such dosages to be consumed by prisoners

Answer 17

not