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clin prac 4 - trauma > skills assessment > Flashcards

skills assessment Flashcards

1
Q

CT-6

A

Indications:

  • middle third femur fractures
  • upper two third tibia fractures

Contraindications:

  • knee trauma
  • ankle/foot trauma
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2
Q

SAM splint

A

Indications:

  • suspected pelvic fracture
  • patient complaining of lower pain
  • unconscious with significant mechanism of injury
  • traumatic arrest

Contraindications:
- penetrating trauma affecting application

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3
Q

Anatomical splint

A

Indications:

  • suspected noff
  • foot trauma
  • supporting pelvic splint
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4
Q

Formable splint

A

Indications:

  • ulna, radial, humerus
  • ankle, lower leg and knee
  • shoulder
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5
Q

Standard arm sling

A

Indications: ulna, radius and wrist

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6
Q

High arm sling

A

Indications: hand,

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7
Q

Collar and cuff sling

A

Indications: shoulder, clavicle

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8
Q

Quick-clot bandage

A

Indications:
- Haemorrhage with inadequate response to simpler methods

Contraindications:

  • Can be controlled by simpler methods
  • Inaccessible haemorrhage (internal abdomen)
  • Occular trauma
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9
Q

CAT tourniquet

A

Indications:

- Haemorrhage that can’t be controlled with simple methods

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10
Q

OPA

A

Indications:
- need for airway support by moving tongue anteriorly

Contraindications:

  • trismus
  • gag reflex
  • suspected TBI or neurological injury
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11
Q

NPA

A

Indications:
- need for airway support with OPA/SGA contraindicated

Contraindications:

  • Significant nasal trauma
  • Middle third facial fracture
  • TBI
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12
Q

SGA

A

Indications:
- airway maintenance with need for ventilation support >10 minutes

Contraindications:

  • trismus
  • upper airway obstruction
  • gag reflex
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13
Q

Airway manoeuvres

A

Indications:

  • insertion of airway device
  • opening of airway

Contraindications:
- suspected spinal injury

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14
Q

Paracetamol indications/contraindications

A

Indications:

  • pain
  • headache

Contraindications:

  • hypersensitivity
  • <1 month old
  • administered in last 4 hours
  • max dose administered in last 24 hours
  • chest pain with suspected ACS
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15
Q

Paracetamol presentation/dose

A

Presentation:
500mg tablets, 120mg in 5mL

Dose:
Adult: 1000mg (2x tablets)
E/F: 500mg (1x tablet)
Paeds: 15mg/kg oral

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16
Q

Methoxyflurane indications/contraindications

A

Indications:
- pain relief

Contraindications:

  • hypersensitivity
  • concurrent use of tetracycline antibiotics
  • past/family history of malignant hyperthermia
  • muscular dystrophy
  • administered in the last 24 hours
  • renal impairment
17
Q

Methoxyflurane presentation/dose

A

Presentation:

3mL glass bottle

18
Q

Morphine indications/contraindications

A

Indications:

  • pain relief
  • sedation for intubation

Contraindications:

  • hypersensitivity
  • late second stage labour
  • renal impairment/failure
19
Q

Morphine presentation/dose

A

Presentation:
10mg in 1mL

Dose:
Adult
IV: 5mg (0.5mL), 5/60, consult 20mg
IM: 10mg (1mL), 15/60 once, E/F: 0.1mg/kg, no repeat

20
Q

Fentanyl indications/contraindications

A

Indications:

  • pain relief
  • sedation for intubation

Contraindications:

  • hypersensitivity
  • late second stage labour
21
Q

Fentanyl presentatin/dose

A

Presentation:
100mcg in 2mL

Dose:
Adult
IV: 50mcg (1mL), 5/60, consult 200mcg
IM: 100mcg (2mL), 15/60 once, E/F: 1mcg/kg, no repeat
IN: 200mcg (4mL), 50mcg 5/60, 400mcg max
IN E/F: 100mcg (2mL), 50mcg 5/60, 200mcg max

Paeds
IN
10-17kg: 25mcg
18-39kg: 25-50mcg
-> repeat initial dose up to 3 times
22
Q

Ketamine indications/contrainindications

A

Indications:

  • pain relief
  • sedation for intubation or agitation

Contraindications:
- non-traumatic brain injury with severe hypertension (SBP >180mmHg)

23
Q

Ketamine presentation/dose

A

Presentation:
200mg in 2mL

Dose:
IN: 75mg (0.75mL + 0.1 space), 50mg 20/60
E/F: 50mg (0.5mL + 0.1 space), 25mg 20/60
no max
IV - consult

24
Q

Ondansetron indications/contraindications

A

Indications:

  • nausea + vomiting
  • stabilisation for SCI or TBI
Contraindications:
- Hypersensitivity
- Concurrent apomorphine use
- Long Q-T syndrome
- Hypokaelemia + hypomagnesium 
-
25
Q

Ondansetron presentation/dose

A

Presentation:
4mg tablets. 8mg in 4mL

Dose:
Oral: 4mg, 4mg 5-10/60
IV: 8mg in 4mL, single dose

26
Q

Prochlorperazine indications/contraindications

A

Indications:

  • Nausea + vomiting
  • Vertigo
  • Ondansetron contraindicated
  • Air evacuation
  • Travel sickness
  • Headache

Contraindications:

  • Hypersensitivity
  • <21 years old
  • Pregnancy
  • circulatory collapse
  • CNS depression
27
Q

Prochlorperazine presentation/dose

A

Presentation:
12.5mg in 1mL

Dose:
IM: 12.5mg in 1mL

28
Q

Normal saline indications/contraindications

A

Indications:

  • Volume TKVO when administering drugs
  • Blood volume to increase perfusion and circulation
  • Flush or dilute other drugs

Contraindications:
- none, but be cautious of hypothermia etc

29
Q

Normal saline presentation/dose

A

Presentation:
10mL polyamp, 500-1000mL soft pack

Dose:
Traumatic arrest: 20mL/kg

clin prac 4 - trauma (7 decks)

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