|(Q) Section 135 ? ||- 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
5.Injury or Accident|
|When can you not (VOR) ? (3) ||1.Fuel
|What information do you have to provide ? (6) ||1.Reason
6.If Puncture - tyre size, which tyre, Spare ?|
|(Q) Running Calls, Information Required ? (5) ||1. Callsign
3. Incident Details
4. Are you Able to Deal
5. Your Initials|
|(Q) Unconsciousness Steps 1 2 3 ?
(multiple patients) ||1. Continue as Normal
2. Procede with care, Keep Control Informed.
3. Withdraw, Isolate Yourself, Request specialist help.|
|(Q) Causes of Unconsciousness (Fish Shaped) ||Faint.
|(Q) Management of Unconsciousness ? (3) ||1.Primary Survey (D.R. A.B.C.D.E.).
3.Positioning of Patient.|
|Danger - Primary Survey ? (4) ||1.Yourself.
|Responce - Primary Survey ? (4) ||AVPU.
|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)|
|Identification, Check ? Secondary Survey (1) ||1.Identification & Medical Cards or Bracelets.|
|(Q) Elderly Medical Conditions ? (AC DC Probe) ||A.Arteriosclerosis.
C.Congestive Cardiac Failure.
C.Cerebro Vascular Accident (CVA).
|(Q) What is Valid Consent ? (IVC) ||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.|