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ULTIMATE Critical Care > More critical care > Flashcards

More critical care Flashcards

(62 cards)

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1
Q

online repository for free transport related safety tools

A

Vision Zero

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2
Q

Vision Zero

A

online repository for free transport related safety tools

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3
Q

what is an important component of safety culture

A

data management system full of honest meaningful information

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4
Q

FAA’s Management System

A

top down approach to measuring safety and risk

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5
Q

Just Culture

A

system used to implement organization improvement presenting a set of designated laws that influence an organization’s ability to create the effect it desires

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6
Q

4 Pillars of FAA’s Safety Managment System

A

policy
risk managment
safety assurance & promotion

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7
Q

how do you prioritize risk

A

risks are prioritized by likelihood and conse4quence severity

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8
Q

hazards

A

conditions that have the potential to cause harm/damage/decrease teh functionality of personnel

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9
Q

IIMC

A

inadvertent instrument meterological conditoins

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10
Q

problems of using lights and sirens

A

increases risk w/o increaseing outcomes

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11
Q

what must be done if you lights/sirens during transport

A

CAMTS requires that all uses of lights and sirens be reported

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12
Q

IFR

A

instrument flight rules

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13
Q

how do you determine risk

A

determien risk by asking “does the benefit exceed the risk identified by hazard assessment w/added controls”

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14
Q

what should a pilot do if he is unsure if he should accept a medical trnasport

A

call the OCC (operational control center) who will make the final go/no go call

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15
Q

3 elements of safety assurance

A

safety performance monitoring & management
management of chance
continuous improvement of safety management system

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16
Q

how do you promote safety

A

lead by example

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17
Q

rehearse exit

A

egress training

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18
Q

major cause of accidents

A

human error

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19
Q

explain the swiss cheese model

A

for every major incident, there are multiple opportunities to prevent yet those opportunities are missed b/c inadequate team interaction/communication that leads to underappreciated/underreporting/failure to detect

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20
Q

stance on helicopter shopping

A

acceptable

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21
Q

how much uninterrupted rest before flying

A

10 hours

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22
Q

what do you do immediately before take off

A

vehicle walk around

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23
Q

situational awareness

A

understanding of what is occurring in the present,
how it relates to what has happened,
how likely it is to affect the future

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24
Q

idea of AMRM

A

when you know normal operations, you can detect deviations in weather/routes/speed/slope of ascent. training gets you in the habit of speaking up

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25
not speaking to the pilot during critical phases
sterile cockput
26
Just Culture
program to focus organizations less on events/errors/outcomes focus more on risk/system design and managment of behavioral change
27
frequent cause of major incidents
poor communication
28
safety culture =
attitude + proven policies
29
5 transport physiological stressors
g force transport physiology dehydration noise vibration
30
problem of alcohol when flying
risk hypoxia
31
how much time in between flying and alcohol
12 hours
32
flying after donating blood
72 hours b/c risk of 1 pint donated = 13% of blood volume lost. which decreases capacity of hte blood to carry oxygen so you feel tired
33
failure to manage cumulative stress
= burnout
34
sleep debt
accumulation of less than ideal sleep over time affects metabolism/endocrine leading to stroke, MI, diabetes, HTN, ulcers, depression...
35
sleep latency
time it takes you to fall asleep in a quite environment
36
sleep intertia
impaired alertness from the time you awake
37
time it takes to fall asleep versus impaired alertness when you awake
sleep latency = time it takes to fall asleep sleep inertia = impaired alertness from the time you awake
38
normal AFI (L&D)
5-25 cm
39
purpose of AFI (L&D)
cushions fetus and the cord - normal fetal growth, movement, and development
40
oligohydramnios
AFI 0-5cm - slow amniotic leak, uteroplacental insufficincy, fetal kideny problems - potentially poor fetal outcomes - fetal deformity, cord compression, inadequate lung development
41
instructions post amniocentesis
light activity for 24hrs - uterine irritability - increased po intake to icnrese uteroplacental circulation which will help replace losses during the procedure
42
got OSCAR for LINCOLN
Daniel Day Lewis
43
when does fetal blood circulation start
4th week
44
PO2 of fetal blood
hypoxemic. PaO2 20-30
45
PVR in fetus
PVR in fetus is high b/c alveoli are filled w/fluid
46
SVR in fetus
SVR is low b/c substantial portion of fetal systemic venous blood enters the placenta where it is a low resistance pathway
47
SVR when the fetal cord is cut
SVR is low in utero SVR increases when the cord is cut and blood flow shifts from teh previous low resistence placental circuit
48
what happens when a baby takes first breath
fluid from alveoli is expelled and absorpbed by pulmonary capillary
49
PVR post delivery
pulmonary vascular resistances decreasss 80% post delivery but doesn't reach normal levels until day 14-21 psot birth
50
PDA closes
PDA closes = blood ejects from R ventricle into pulmoanry circulation which leads to decreased PVR
51
complete PDA closure
compelte PDA closure in 2 wks but immediate closure in repsonse to increased PaO2 levels from frist breath and loss of prostaglanding function
52
3 classifications of congenital heart defects
increased pulmonary blood flow, decreased pulmonary blood flow, obstruction to systemic blood flow
53
acyanotic congenital cardiac defect
"PINK" increased blodo flow to lugns, damages lung tissue and vaculature leading to fibrosis-pulmoanry HTN and increased pulmonary
54
problem of increased PVR
leads to increased heart workload b/c pump against high pressure
55
cyanotic congenital heart defect
BLUE. low/no blood flow to lungs. might have collateral flow R to L shunt decreased b. flow = underdeveloped lungs - might develop polycythemic to increase oxyugen carryign capacities
56
obstructive congenital heart defect
lesion decreases CO to periopherial so they are dependent on an open PDA - incerase dleft heart so the L. ventricular hypertrophy over time. heart failure
57
nICP
noninvasive ICP monitoring - IOP - near infared spectorscopy. measur eblood hgb level w/light - transcranial doppler US - tympanic membrane displacement
58
sometimes the cause of IOP
raised ICP - raise in level ofoptic nerve impaired venous drainage from orbit shortening in length of hte eye
59
NPi
neurology pupil index (pupil size and reaction to light)
60
HOB if head injury
15-30%
61
general management principle of neuro emergencies
monitor perfusion preserve cerebral function
62

ULTIMATE Critical Care (2 decks)

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