RED BOXES Flashcards

1
Q

PRIMARY SURVEY

A
  • PRIMARY SURVEY FOCUSES ON ESTABLISHING PATIENT’S CLINICAL STATUS
  • ONLY APPLYING INTERVENTIONS ESSENTIAL TO MAINTAIN LIFE.
  • IT SHOULD BE COMPLETED IN UNDER 1 MINUTE OF ARRIVAL ON SCENE
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2
Q

MAXIMUM TIME ON SCENE FOR LIFE-THREATENING TRAUMA

A

EQUAL OR LESS THAN 10 MINUTES

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3
Q

MARKERS IDENTIFYING ACUTELY UNWELL

A

CARDIAC CHEST PAIN
ACUTE PAIN >5

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4
Q

MARKERS FOR MULTI-SYSTEM TRAUMA

A

SYSTOLIC BP <90
RESP RATE <10 0R >29
HEART RATE >120
AVPU = V/P/U
MECHANISM OF INJURY

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5
Q

ADULT PRESENTING WITH FBAO
WHAT IS DONE AFTER EACH CYCLE OF CPR

A

OPEN MOUTH LOOK FOR OBJECT
IF VISIBLE, ATTEMPT TO REMOVE

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6
Q

WHAT IS THE MAXIMUM HANDS OFF TIME FOR CPR

A

10 SECONDS

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7
Q

WHAT IS DONE FOLLOWING SUCCESSFUL ADVANCED AIRWAY MANAGEMENT

A
  • VENTILATE AT 8 TO 10 PER MINUTE
  • UNSYNCHRONISED CHEST COMPRESSIONS CONTINUOUS AT 100-120 PER MINUTE
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8
Q

FOR ABNORMAL WORK OF BREATHING

WHAT WOULD YOU CONSIDER FOR A RAISED ETCO2 + REDUCED SPO2

A

CONSIDER ASSITED VENTILATION

End-tidal carbon dioxide (ETCO2)

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9
Q

FOR ABNORMAL WORK OF BREATHING

WHAT WOULD YOU DO IF THEY HAVE RAISED ETCO2 + NORMAL SPO2

A

ENCOURAGE DEEP BREATHS

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10
Q

FOR EXACERBATED COPD

WHAT PERCENTAGE DO YOU COMMENCE OXYGEN THERAPY AT?

A

28% AND TITRATE TO 92%

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11
Q

FOR EXACERBATION OF COPD

IF THERE IS NO IMPROVEMENT FROM SALBUTAMOL, WHAT INTERVALS CAN YOU ADMINISTER IT AT?

A

5 MINUTES

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12
Q

:(

A

Perforated esophageal intervention focus

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13
Q

IN ADULTS WITH ASTHMA

IF THERE ARE NO IMPROVEMENTS FROM SALBUTAMOL AEROSOL, HOW MANY TIMES CAN IT BE REPEATED

A

11 TIMES

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14
Q

positive means good

WHAT DOES A POSITIVE ETCO2 READING INDICATED ABOUT AN AIRWAY?

A

PATENT OR PARTIAL PATENT AIRWAY

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15
Q

WHAT IS A PATENT AIRWAY?

A

the ability of a person to breathe, with airflow passing to and from the respiratory system through the oral and nasal passages

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16
Q

WHAT ARE THE SYMPTOMS OF BRADYCARDIA?

A
  • ACUTE ALTERED MENTAL STATUS
  • ISCHEMIC CHEST DISCOMFORT
  • ACUTE HEART FAILURE
  • HYPOTENSION
  • SIGNS OF SHOCK
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17
Q

WHAT IS TRANSPORTED ALONGSIDE SOMEONE SUFFERING FROM DECOMPRESSION SICKNESS?

A

DIVE COMPUTER AND DIVE EQUIPMENT

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18
Q

WHAT OXYGEN THERAPY IS ADMINISTERED TO A PATIENT IN SICKLE CELL CRISIS?

A

15L OXYGEN VIA NON-REBREATHER FACEMASK

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19
Q

WHAT ARE CAUSES OF SEIZURES IN ADULTS?

A
  • MENINGITIS
  • HEAD INJURY
  • HYPOGLYCAEMIA
  • ECLAMPSIA
  • FEVER
  • POISONS
20
Q

FHFFP

A

FACE
HANDS
FEET
FLEXION POINTS
PERINIUM

21
Q

HARNESS INDUCED SUSPENSION TRAUMA

WHEN IS THE HARNESS REMOVED IF CIRCULATION IS COMPROMISED

A

WHEN PATIENT IS LOWERED TO GROUND

22
Q

HIGH RISK FACTORS FOR SPINAL INJURY

A
  • MECHANISM OF INJURY
  • FALL FROM HEIGHT >1M OR >5 STEPS
  • AXIAL LOAD TO THE HEAD OR BASE OF THE SPINE EG. DIVING
  • ALOC
  • AGED 65+
  • AGE 2 OR LESS
23
Q

SPINAL INJURY RULE IN CONSIDERATIONS

A
  • ALOC
  • IMMEDIATE ONSET SPINAL/BACK PAIN
  • HAND OR FOOT WEAKNESS
  • ABSENT/ALTERED SENSATION TO HANDS/FEET
  • PRIAPISM
  • HISTORY OF PAST SPINAL ISSUES
  • UNABLE TO ROTATE NECK LEFT/RIGHT 45º
24
Q

SUBMERSION/IMMERSION INCIDENT

WHAT SHOULD THE PRACTITIONER GIVING VENTILATIONS CONSIDER?

A

NEEDING TO APPLY HIGHER PRESSURE FOR VENTILATION BECAUSE OF POOR COMPLIANCE RESULTING FROM PULMONARY OEDEMA

24
HOW LONG IS THE PULSE CHECK FOR A HYPOTHERMIC PATIENT
30-45 SECONDS
25
EVIDENCE FOR AT RISK CRITERIA FOR SEPSIS
- ANY ONE CLINICAL SIGN OF ACUTE ORGAN DYSFUNCTION - AT RISK OF NEUTROPENIA (BONE MARROW FAILURE/CHEMO/AUTOIMUNE DISORDER) - GREATER OR EQUAL TO 2 SIRS CRITERIA PLUS 1 OR MORE CO-MORBIDITY
26
SIGNS OF SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (SIRS)
-TEMP LESS THAN 36º OR MORE THAN 38.3º - HEART RATE 90+ - RESP RATE 20+ - ACUTELY CONFUSED - GLUCOSE OVER 7.7 (NON-DIABETIC) - PATIENT HAS 2 OR MORE SIGNS OF **SIRS**
27
# NEW BORN/ NEONATAL CARE MR SOPA (PA NOT RELEVANT)
MASK ADJUSTMENT REPOSITION AIRWAY SUCTION MOUTH + NOSE OPEN MOUTH PRESSURE INCREASE ALTERNATIVE AIRWAY
28
ESTIMATED WEIGHT OF A NEONATE
3.5KG
29
ESTIMATED WEIGHT OF A 6MNTH OLD
6KG
30
ESTIMATED WEIGHT 1-5YRS
(AGE X 2) + 8KG
31
WHAT IS THE PAEDIATRIC ASSESSMENT TRIANGLE?
APPEARANCE WORK OF BREATHING CIRCULATION OF SKIN
32
# PAEDIATRIC SIGNS OF CROUPE
- HYPOXIA - MARKED RESPITORY - STRIDOR - IRRITABILITY/LETHARGY - MARKED INCREASED RESP RATE
33
# SHOCK FROM BLOOD LOSS SIGNS OF INADEQUATE PERFUSION
- INCREASED RESP RATE - TACHYCARDIA - DELAYED CAP REFILL - DIMINISHED/ABSENT PERIPHERAL PULSES - IRRITABILITY/CONFUSION/ALOC - COOL EXTREMITY/MOTTLING
34
# SEPSIS - PAEDIATRIC SEPSIS RED FLAG ≥ 1 CHICA
- ALTERED MENTAL STATUS (P/U) - INAPROPRIATE TACHYCARDIA - LONG CAP REFIL - HYPOTENSION - CLINICAL DETERIORATION
35
# SEPSIS - PAEDIATRIC SEPSIS AMBER FLAG ≥1 VAPPI
- INAPPROPRIATE TACHYPONEA - ALTERED FUNCTIONAL STATUS - PRACTITIONER CONCERN - PARENTAL CONCERN - VITAL SIGN DETERIORATION
36
# SEPSIS - PAEDIATRIC RISK FACTORS
- IMMUNOCOMPROMISED - AGE ≤3 MNTHS - CHRONIC DISEASE - RECENT SURGERY - BREAK IN SKIN (EG. CHICKEN POX) - INDWELLING LINE/DEVICE - SIGNS OF INFECTION IN WOUND - INCOMPLETE VACCINATION RECORD
37
# INFANT AED PAD PLACEMENT
FRONT AND BACK
38
# PAEDIATRIC AED WHAT IS THE AGE FOR THE USE OF PAEDIATRIC DEFIB SYSTEMS
UNDER 8
39
WHAT IS THE COMPRESSION/VENTILLATION RATE FOR A CHILD UNDER 12
15:2
40
WHAT IS THE RATE OF COMPRESSIONS/VENTILLATIONS FOR SOMEONE OVER 12
30:2
41
# VF/VT PAEDIATRIC POSSIBLE CAUSES
- HYPOTHERMIA - HYPOXIA - HYPOVALEMIA - TENSION PNEUMOTHORAX - TOXINS - TRAUMA - THROMBUS- CORNONARY - HYPER/HYPOKALAEMIA
42
# ADULT BASIC LIFE SUPPORT RATE OF COMPRESSIONS
100-120/MIN
43
# ADULT BASIC LIFE SUPPORT DEPTH OF COMPRESSIONS
5-6CM
44
# ADULT WHAT IS THE VENTILLATION VOLUME
500-600ML
45
WHEN IS A PULSE CHECK DONE DURING CPR
AFTER 2 MINS OF CPR IF POTENTIALLY PERFUSING RYTHM
46
DEFINITIVE INDICATORS OF DEATH
- INCINERATION - RIGOR MORTIS - OBVIOUS POOLING (HYPOSTASIS) - INCINERATION - DECAPITATION - INJURYS INCOMPATIBLE WITH LIFE