SOG 430 Flashcards
(97 cards)
1
Q
Who are the only two people who are authorized to change the trauma alert status?
A
Medical Director or physician at receiving facility
2
Q
Use of an ________ is contraindicated in trauma patients.
A
Auto pulse
3
Q
You should use a pedi immobilizer in children weighing less than ______.
A
60 lbs
4
Q
Patients with multi system involvement may deteriorate rapidly. _______ is a priority.
A
Load and Go
5
Q
Bleeding from the ____ and _____ should not be stopped.
A
Nose and ears
6
Q
In cases of _______________ scene time is less critical and care should be taken in performing proper spinal immobilization.
A
Isolated spinal injuries
7
Q
High cervical injury may cause _____
A
Apnea
8
Q
Sucking chest wound treatment:
A
- Apply Vaseline type occlusive dressing to cover wound
- Cover the occlusive dressing with sterile 4x4s
- Tape the dressing on three sides
9
Q
The best treatment for the patient with severe abdominal trauma is:
A
Rapid transport
10
Q
What is the most important indicator of abdominal trauma?
A
Mechanism of injury
11
Q
Abdominal trauma: transport to a trauma center when __________ and/or _________________ are present.
A
Discoloration and/or severe tenderness
12
Q
Treatment for abdominal evisceration:
A
- Never replace abdominal viscera
- Cover with sterile dressing and moisten with IV fluid
- Secure the wet dressing in place if possible
13
Q
Signs and symptoms of shock may be delayed due to:
A
Increased maternal blood volume
14
Q
Immobilizing a pregnant patient greater than _______ may cause supine hypotension
A
20 weeks
15
Q
Elevate trauma pregnancy patients right side ________.
A
Approximately 6 inches
16
Q
Reduce fractures by ______________ if absence of distal pulses.
A
Axial traction
17
Q
Consider ____________ for presumed femur fracture.
A
Traction splint
18
Q
Who is permitted to remove taser probes?
A
Law enforcement
19
Q
Burns are classified according to _____ and ____________.
A
Type and thickness
20
Q
Burn trauma alert criteria (adults):
A
Partial/full thickness burns equal to or greater than 15% of the BSA.
21
Q
Burn trauma alert criteria (pediatric):
A
Partial/full thickness burns equal to or greater than 10% of the BSA.
22
Q
Tx of chemical burns NOT involving Lime, carbolic acid, sulfuric acid, sodium potassium or sodium metals:
A
Irrigate with IV fluids for 20 minutes
23
Q
Tx of chemical burns INVOLVING lime, carbolic acid, sulfuric acid, sodium potassium or sodium metals:
A
- Do not flush wounds with water, IV fluids, sterile water etc.
- contact receiving physician for treatment
24
Q
TX of superficial burns:
A
Apply burn gel dressing(s) if needed
25
Tx of partial thickness/full thickness burns:
- Apply dry sterile dressing
| - leave blisters intact
26
On lightning strike scenes where there are multiple patients, reverse triage shall be applied and patients in cardiac arrest shall be worked _____.
First
27
Penetrating injury to the eye shall be considered a:
Trauma Alert
28
Eye trauma-maintain patient in ______ position to reduce leakage of fluids from the eye.
Supine
29
If blood is noted in the anterior chamber, place patient in the ___________ position.
Semi Fowler’s
30
Early management of __________ can mean the difference between life and death.
Hemorrhage
31
TX for Bleeding to extremity (Life Threatening):
Immediately apply tourniquet
32
TX of Non-Life Threatening bleeding to head neck or torso:
1. Control with direct pressure to bleeding area or vessel
2. Apply trauma dressing
3. Apply pressure bandage on top of any previously applied dressing
33
Treatment of life threatening bleeding to head, neck or torso:
1. Control with DP to bleeding area or vessel
2. Apply hemostatic dressing if available. Otherwise apply trauma dressing
3. Apply pressure bandage on top of any previously applied dressing
34
Assess stroke patient using the CPSS to determine the _________ of a stroke.
Presence
35
Assess stroke patient using LAMS assessment to determine the ________ of a stroke.
Severity
36
Patients with Acute Heart Failure or Pulmonary Edema: place patient in:
Full Fowler’s position
37
Consider early use of the CPAP to treat _____________.
Pulmonary edema
38
PT is considered to be hypertensive when BP is greater than:
220/120
39
Hypertensive pt should be placed in:
Semi Fowler’s position
40
What should guide treatment in patients in respiratory distress?
Lung sounds and degree of distress
41
What is not a reliable indicator of patients level of distress? (Respiratory)
SPO2 reading
42
TX of respiratory arrest: how do you provide O2?
100% oxygen via BVM with an airway adjunct
43
FBAO Treatment for Conscious adults
Mild Obstruction with good exchange: encourage coughing
Severe Obstruction: Heimlich maneuver, if patient is pregnant perform chest thrusts instead of abdominal thrusts
44
FBAO Treatment for UNCONSCIOUS adults:
Reposition airway and remove object with magill forceps
Begin CPR as indicated
Suction as indicated
Assist ventilations w BVM and Nasopharyngeal airway***
45
Many serious medical problems can cause hyperventilation. Consider ___________________.
Possible underlying causes
46
Hyperventilation treatment: Do NOT administer what?
CO2 rebreathing techniques
47
Abdominal/flank pain patient position:
Position of comfort
48
Place alcohol related illness patient in what position?
Recovery position
49
What should you anticipate in patients suffering from allergic reaction or anaphylaxis?
Rapid deterioration, need for intubation.
50
How should you position PT with altered level of consciousness?
Recovery Position
51
How should you position patients with a nose bleed?
Sitting position with their head leaning forward.
52
How do you control hemorrhage in nose bleed patients?
Facilitate clotting by instructing patient to hold pressure by pinching the nostrils for 20 minutes and not to sniff, blow, or manipulate the nasal passages in any way.
53
What should you suspect in patients complaining of severe “Thunderclap” headache?
Stroke
54
How do you position seizure patients?
Recovery position
55
What do you do if a patient is actively seizing?
Protect patient from further injury
| Look for underlying causes
56
Signs of poor perfusion:
- cool mottled skin
- diminishes pulses
- AMS
- increased capillary refill time
- tachycardia AND systolic BP < 90
57
How do you position medical shock patients?
Place patient supine, legs elevated
58
In shock patients, if they are febrile you should:
Apply cooling measures
59
How do you position syncope/bear syncope patients?
Recovery position
60
Place decompression sickness patients in what position?
Recovery Position (LEFT SIDE)
61
How much oxygen should you administer to decompression sickness patients?
100% via NRB
62
What should you try to retrieve if appropriate and ensure transport of with patients suffering from decompression sickness?
- Dive computer
| - Try to obtain depth and length of dive from PT or bystanders
63
Where do you transport decompression sickness patients?
Closest most appropriate ER
64
What can mimic several medical conditions including hypoxia, hypoglycemia, stroke, or intracranial bleeding?
Excited Delirium
65
What should raise a red flag in combative patients?
Previously combative patient who suddenly becomes quiet
66
Approved JFRD restraints:
Soft limb restraints
Stretcher straps/harnesses
Wide cloth restraints
67
How often do you evaluate circulation of extremities when restraints are in use?
At least every 5 minutes
68
What do you document in report with patients that need to be restrained?
- Patients behavior necessitating use of restraints
- Type of restraint used
- Status of circulation distal to restraints
69
Treat heat stroke:
Aggressively
70
If reported temperature is greater than or equal to 104 degrees and ice water immersion cooling has been initiated, consider:
Allowing continued TX for up to an additional 10 minutes after arrival
71
How do you position patients suffering from hypothermia?
Supine position
72
How should you handle hypothermic patients?
Gently. The hypothermic heart is irritable.
73
What is the priority I. Treating hypothermia?
Rewarming
74
How do you rewarm hypothermic patients
Remove any wet clothing
Increase core temp with blankets
Increase temp in pt compartment
75
How do you treat insects and spider bite and stings?
Remove stinger if present, cleanse with peroxide.
76
How do you treat marine stings?
Remove clinging tentacles by salt water rinse or by using a gloved hand.
Avoid rinsing with fresh water.
Irrigate affected eye with IV fluids
77
How do you treat snake bites?
If constricting bands in place upon arrival, remove.
Mark initial edematous area with pen and note time.
Attempt to identify type of snake.
78
Abnormal SpCO values:
Nonsmoker: greater than 5%
Smoker: greater than 10%
79
What may be falsely high in the presence of carbon monoxide?
SPO2 readings
80
How should you administer O2 to carbon monoxide/cyanide exposure patients?
100% O2 via NRB
81
Vaginal bleeding-place patient in:
Position of comfort
82
How do you place a pt experiencing vaginal bleeding who is pregnant?
If greater than 20 weeks, recovery position (LEFT SIDE)
83
How do you position patient with suspected eclampsia/pre-eclampsia?
If greater than 20 weeks pregnant, recovery position left side.
84
Eclampsia and severe pre eclampsia can occur up to:
Six weeks after delivery
85
Where do you apply clamps when delivering a baby?
Apply 2 clamps (2-3 inches apart) 7-10 inches from abdomen of the neonate.
86
When do you assess APGAR score?
One minute and 5 minutes post delivery
87
How do you suction newborns
Suction the mouth then the nostrils.
Suction should be done after delivery of the head but before delivery of the body.
88
How often should you re-assess a newborn?
Every 30 seconds
89
Symptoms of pediatric bradycardia:
Cool mottled skin, diminished pulses, altered mental status, increased capillary refill time.
90
How do you position patients in pediatric shock?
Supine
91
Signs and symptoms of pediatric respiratory distress:
```
Increased respiratory rate
Increased work of breathing
Retractions
Nasal flaring
SPO2 less than 95%
```
92
What are the contraindications of a king tube?
Intact gag reflex
| Caustic ingestion
93
A correctly applied tourniquet should only be removed by who?
The receiving hospital
94
Injury due to a properly applied tourniquet is unlikely if the tourniquet is removed within:
1-2 hours.
95
What kind of tourniquet is preferred?
Commercially made tourniquet
96
If no tourniquet is available, what can be used as an alternative?
BP cuff inflates to a pressure sufficient to stop bleeding
97
If you’re reading these notecards
Go fuck yourself. They’re all fakes.
