- Admission for a period of 72 hours.
- A person suffering from a mental illness can be removed from a private dwelling to a place of safety (hospital, not casualty) by a police officer or an approved social worker.
- A magistrate's warrant is required
Section 136 ?
- Admission for a period of 72 hours.
- A person suffering from mental illness can be removed from a public place to a place of safety (hospital) by a police officer or approved social worker.
(Q) Meningitis is ?
Inflammation of the Meninges due to organisms such as bacteria, viruses & fungi.
(Q) Menigitis Causes ?
Fever, Intense Headaches, Intolerance to light & Sound with Rigidity of Muscles (esp Neck)
(Q) Menigitis Severe Signs ?
Convulsions with Severe Vomiting.
Meningococcal Septicaemia ?
Cerebrospinal Fever. Epidemic form with rapid onset, Detectable by a rash that does not disapear when pressure is applied.
(Q) C.V.A.(Stroke) Positioning (Awake) ?
Put in a Semi Recumbent Position with head and shoulders both slightly raised.
(Q) C.V.A.(Stroke) Positioning (Unconscious) ?
In a Stable Side position with the Paralysed side UPPERMOST so as to avoid pressure on Injured side.
(Q) A.S.W. Travels in the Ambulance when ?
They do not have to travel with the patient, but (if they are travelling seperatley) they must give the admission papers to the ambulance crew.
(Q) Trendelenburg Patient Position ?
The body is laid flat on the back (supine position) with the feet higher than the head.
(Q) Trendelenburg Uses ?
For Shock.
(Q) When to take a Vehicle of the Road (VOR) ? (5)
1.Dirty Vehicle
2.Break Down
3.Dirty Uniform
4.Welfare Issues
5.Injury or Accident
When can you not (VOR) ? (3)
1.Fuel
2.Service Runs
3.Police Statements
What information do you have to provide ? (6)
1.Reason
2.Callsign
3.Fleet Number,
4.Registration number,
5.Location.
6.If Puncture - tyre size, which tyre, Spare ?
(Q) Running Calls, Information Required ? (5)
1. Callsign
2. Location
3. Incident Details
4. Are you Able to Deal
5. Your Initials
1.Primary Survey (D.R. A.B.C.D.E.).
2.Secondary Survey.
3.Positioning of Patient.
Danger - Primary Survey ? (4)
1.Yourself.
2.Crewmate.
3.Bystanders.
4.Patient.
Responce - Primary Survey ? (4)
AVPU.
1.Alert.
2.Verbal.
3.Pain.
4.Unresponsive.
Airway - Primary Survey ? (4)
1.Open the Airway as Required.
2.Maintain an Airway (clear obstruction).
3.Suction if required.
4.Protect with NP OP.
Breathing - Primary Survey ? (4 B.R.O.S.) ?
1.BREATHING - Presence.
2.RESPIRATORY - Rate & Effort.
3.OXYGEN - Give High Flow.
4.SKIN - Colour for Changes.
Circulation - Primary Survey ? (4)
1.Assess for Evidence of HAEMORRAGE.
2.Assess Skin Colour & Temperature.
3.Check Pulse, For RATE, VOLUME, REGULARITY.
4.Check CAP REFILL.
Disability - Primary Survey ? (3)
1.Continually asses on AVPU Scale.
2.Check for Neurological Deficit (look for
localised Sensations / Paralysis).
3.Assess Pupil Size & Response to Light (PEARL).
Evaluate - Primary Survey ? (2)
1. If the patient is unresponsive or if there is any un-correctable problems with Airway, Breathing or Circulation, then the patient is deemed TIME CRITICAL, Contact control for advice.
2. Get help from Front-Line Crew,1sr Responder, Manager or Doctor.
Head, Check ? Secondary Survey (1 to 4 of 8)
1.Skull for Irregularity or Scalp Wounds.
2. Ears for Fluid (Blood or CSF)
3. Eyes for Pupil Size & Reaction (PEARL)
4. Lips for Colour (Cyanosis)
Head, Check ? Secondary Survey (5 to 8 of 8)
5. Jaw for Displacement.
6. Mouth for Loose Teeth or Abnormal Staining.
7. Airway & Insert an Oro-Pharyngeal Airway
8. Skin for Colour (pale, flushed etc), Texture (dry, moist etc) & Temperature (hot, cold etc).
Thorax, Check ? Secondary Survey (3)
1.Clavicles for Fractures.
2.Sternum for Fractures.
3.Ribs for Fractures & Abnormal Movement.
Abdomen, Check ? Secondary Survey (2)
1.Pelvis for Fractures, Abnormal Movement or Guarding.
2.Groin for Dampness.
Back, Check ? Secondary Survey (2)
1.Spine for Irregularity.
2.Scapulae for Fractures.
Limbs , Check ? Secondary Survey (3)
1.Irregularity, Deformity & Fractures (compare the limbs with each other).
2. For Flexation of the Joints without aggravating any Injuries.
3.For Signs of Drug Abuse (neddle Marks)
Information + Volation + Capacity.
= Valid Consent.
Consent Information ?
Giving the Patient FULL & Clear Information about their condition including Consequnces, & the Nature & Effect of the Treatment you are offering, upon which they can make an Informed and Balanced Decision.
Consent VOLATION ?
Patient Making a Conscious Decision or Expressing an Intention. Freedom of Choice witout COERSION.
Consent CAPACITY ?
Being Able to Understand & Retain Information Material to the Decision, Especialy the Potential Consequences of Both Having & Not Having the Treatment, & to Use & Weigh up this Information to make a Decision.
Consent - How do you Measure Capacity ? (4)
Patient being able to -
1.Comprehend the Information Given.
2.Retain this Information.
3.Weigh up this Information.
4.Communicate Their Decision.
Consent - What can EFFECT Capacity ? (MAIDS)
M - Mental State.
A - Age.
I - Illness.
D - Drugs / Alcohol.
S - Shock / Pain.
Consent Age ?
Over 16 to 17 years of age. However somebody with perental control can overrule them unless they are over 18.
Parts of the Brain ? (3)
Cerebrum, Cerebellum & Brain Stem.
Cerebrum - Componets ?
Consists of 2 Large Hemispheres. Left Controls Right side of the body & Vise Versa.
Cerebrum - Function ? (1 to 3 of 5)
1.Motor Areas which Initiate the Contraction of Voluntary Muscles.
2.Sensory Areas which Receive Impulses from the Skin, Muscles, Bones & Joints.
3.Special Sense Centres which deal with Sight, Hearing, Smell, Taste & Touch.
Cerebrum - Function ? (4 to 5 of 5)
4.Centres of "Higher Mental Powers" which allow for Consciousness, Memory, Intelligence, Reasoning etc.
5.The Centres (Thalamus & Hypothalamus) Which Control the Autonomic Nervous System & are Deep Inside the Base of the Cerebrum.
MedTemCP5 Word+Pics
