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Combat Medic > PAM > Flashcards

PAM Flashcards

1
Q

RSE

A

Environment
Hazards
MOI
Witnesses

Approach casualty, and introduce (do not move head). Buddy, perform head grip.

May I know what is bothering you?

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2
Q

Primary survey order

A 
LOC
Delicate spine 
Airway
Breathing 
Circulation 
Rapid body survey 
Skin 
Oxygen 
Airway
Position 
Decision 
Load and go 
Reassess 
Ambulance 
Notify
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3
Q

Secondary survey order

A 
Chief complaint 
History of chief complaint 
Medical history 
Medication 
Allergies
Vital signs
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4
Q

LOC

A

AVPU

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5
Q

Delicate spine

A

Sir did you fall down and hit your head
Sir I’m going to check your neck for spinal injuries
I am checking and palpating for deformities and bruises
Buddy, remove spinal grip

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6
Q

Airway (DABC)

A

If casualty is talking and conscious, airway is clear.

If unconscious, cross finger technique, then sweep or suck. Then insert OPA

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7
Q

Breathing

A

Check rate and quality of breathing.

If unconscious, look listen feel and look for problems such as cyanosis, use of accessory muscles. Do rescue breathing if needed

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8
Q

Circulation

A

Check one radial pulse.

If none, check the other. If none, check carotid. If none, CPR

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9
Q

RBS

A

Sir, I am going to do a rbs to check for any injuries you may have. Please sound off if you feel pain.

Maintain eye contact.
Check back for blood
If pain, expose wound

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10
Q

Skin

A

Check for skin colour and condition using back of hand.

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11
Q

Oxygen

A

Give 100% oxygen at 10L, using nrm or BVM

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12
Q

Airway 2

A

Reassess airway, check for vomitus
Check misting on mask
Check chest rise

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13
Q

Position

A

Sir are you comfortable?

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14
Q

Decision

A

Since casualty has injuries x,y, he is unstable. This I will load and go

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15
Q

Load and go

A

I will strap him onto stretcher and lift with proper lifting technique

Ask witness to being ID and medication

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16
Q

Reassess ABC

A

A: check if OPA still in place, misting, chest rise
B: look listen feel or butterfly. Rate and quality
C: radial, carotid pulse

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17
Q

On ambulance

A

Close door
Switch oxygen to main tank
Drive to medical centre and switch on beacon and siren

Notify medical centre:
Gender, age, suspected injury, loc dabc, vital sign, treatment administered, ETA. Standby!

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18
Q

Chief complaint

A

What is bothering you the most?

How did it happen?

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19
Q

History of chief complaint

A

Location: where is the pain located?
Onset: when did it start? How long does it last? Does it change over time?
Type: what does it feel like, can you describe
Aggravating: what makes it worse
Associated: are there other symptoms such as nausea
Relieving
Radiating
Recurring
Precipitating: what were you doing before it started, were there any specific triggers?

20
Q

Medical history

A

Have you been admitted to the hospital in the last 5 years? Clinic last 3 months?
Have you seen a doctor for any medical problems recently?
How long ago did you have this problem?

21
Q

Medication

A 
Are you taking any medication? 
Can I have a look at it? 
(Check expiry and dosage) 
How often do you take it? 
Is there any change in dosage? 
When was the last time you took it
22
Q

Allergies

A

Food environment drug

WhAt would happen?

23
Q

Vital signs

A 
LOC with GCS
BP
PR
RR
Skin colour and condition 
Severity of pain 
(Temperature)

Take every 5 mins for unstable

24
Q

Report to doctor

A

Gender, age
Baseline vital signs and change
Findings

25
Q

Head to toe order

A 
Inspect general appearance 
Inspect head and face
Palmate skull and face
Inspect neck
Palpate neck 
Inspect chest 
Palpate chest
Listen to chest 
Inspect abdomen
Palpate abdomen
Inspect pelvis 
Compress pelvis 
Inspect lower extremity 
Palpate lower extremity 
Assess distal pulse 
Assess sensation and movement in lower extremities 
Compare lower extremities 
[same for upper extrmities] 
Inspect back
Palpate back
26
Q

Inspect general appearance for

A 
Laceration 
signs of Trauma 
Cyanosis 
Dehydration
Rashes 
Jaundice
27
Q

Inspect head and face for

A

Laceration Contusion, Battle signs, Blood or fluid from ears/nose, Burns on face nose mouth, unusual breath Odour, Racoon eyes, distortion of the face

Size of Pupils equal and reactive to light, Echymosis or Cyanosis of conjunctiva, Periorbital Edema

Trauma Bleeding from mouth, cyanosed lips, Saliva Drool Foam

28
Q

Palpating the skull and face for

A

Depression
Abnormal mobility
Deviation

29
Q

Inspect neck for

A

Laceration Contusion, Distended Neck Vein, Signs of Trauma, Neck Rigidity

30
Q

Palpating the neck

A

Tracheal deviation

31
Q

Inspecting the chest for

A

Signs of Trauma, Operation Scar, Accesory Muscles

Penetrating injuries, barrel chess, intercostal retraction

Paradoxical Motion, Contusion, Sucking chest wound, deformity

32
Q

Palpating chest for

A

Crepitus, Instsbility, Tenderness, Pacemaker, Asymmetry

33
Q

Listen to chest for

A

Presence and equal air entry on both sides

Abnormal breathing sounds

34
Q

Inspect abdomen

A

Penetrating Injuries
Contusion
Distension

35
Q

Palpate abdomen

A

Tenderness Guarding Distension Rigidity Masses

36
Q

Inspect pelvis

A

Signs of bowel or urine incontinence

37
Q

Compress pelvis laterally

A

Tenderness or instability

38
Q

Inspect lower extremity for

A

Deformities, Operation Scars, Skin Ulcers, Ankle Edema, Vein distension

39
Q

Palpate extremities

A

Tenderness, pain, crepitus, unusual movement

40
Q

Assess distal/radial pulse

A

Presence of pulse

Capillary refill

41
Q

Assess for sensation and movement of extremities

A

Can you feel me gripping and touching your toes/fingers

Can you move them?

42
Q

Compare the lower extremities

A

Are there any differences?

43
Q

Inspect upper extremities for

A

Finger clubbing, track marks/cigarette stains, deformities or bruises

44
Q

Inspecting back

A

Sacral edema or scoliosis

Laceration, contusion, penetrating injuries

45
Q

Palpate back for

A

Deformity, instability, tenderness, bleeding

Combat Medic (8 decks)

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