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What is the acronym for scene assessment? HEMPPBC
What is the first step in primary survey? Delicate spine
What are the different levels of consciousness? Alert, Verbal, Pain, Unresponsive
When do you do CABs instead of ABCs? For unresponsive patients
What does SOAP mean? Skin, oxygen, airway/auscultate, position, packaging, protocols
What happens after primary survey? Transport decision
What happens after transport decision? Protocol choice
What does HEMPPBC mean? Hazards, environment, mechanism of injury, patients, PPE, backup, BSI and condition of patient.
What are the goals of the primary survey? Complete in 60-90 seconds, rapid assessment, critical interventions, decision making.
What does RTC mean? How long should it take to get someone in an ambulance if they are deemed RTC? Rapid transport criteria. 15 minutes.
How long should it take to get someone in an ambulance if they are deemed non-RTC? 30 minutes.
What are the three general categories for RT criteria? Mechanism of injury(Great fall, near drowning) Anatomy of injury(Severe brain injury, flail chest) Findings in the primary survey(Decreased LOC, bleeding, stroke)
What injury is the exception to the RT criteria after critical interventions and minimal stabilization is done? Spinal cord injury. Should fully immobilize patient and then transport as quickly as possible.
What does BSI stand for? Body Substance Isolation
What can fire do? Stretcher, equipment, documentation. Use as extra hands or to delicate a problems. (Eg. start O2, c-spine, pressure on bleed, etc.)
What can the driver do? Vitals
What can the attendant do? Critical history, pain assessment
What is the golden hour? Getting a patient to definitive care within the hour they got injured.
What is included in the secondary survey? Vital signs, SAMPLE Questions, OPQRRRST if applicable with pain, Head to Toe + Functional Inquiry (1-3 questions per system)
What does SAMPLE stand for? Signs and Symptoms, Allergies, Medications, Past Medical History, Last oral intake, Events prior
What does OPQRRRST stand for? Onset, provocation, quality, region, radiation, relief, severity and time
What does ISBAR stand for? Identification, situation, background, assessments, recommendations or results.
When do you use ISBAR? For hospital notification, triage report, beside report
What are the vital signs? GCS, Blood pressure, heart rate + quality , respiratory rate + quality, SPO2, Skin, pupils, temperature. If indicated: auscultation, BGL
What does RBS stand for? And when is it done? Rapid Body Survey - After ABCs
What is the order of the primary survey? Delicate spine, LOC, ABCs(Or CAB), RBS, Skin, Oxygen, Airway/Auscultate, Position, Protocol, Package. (SOAP)
How long should an RBS take? How long should a head-toe survey take? 2 or 3 minutes. 15 minutes or more.
What is a critical intervention? An immediate intervention on life/limb threatening emergencies addressed in the primary survey.
Where are all the areas you should RBS? Head, neck, shoulders, chest, back, abdomen/pelvis, legs, feet and arms.
When should you recheck ABCs? After a major move. (Eg. ground to cot, rolling onto cot)
During the S in SOAP, other than checking the skin. What else should you consider doing for the patient? Giving them a blanket.
During the A in SOAP, when do you auscultate? If the patient is suffering from respiratory distress due to a medical cause. Should be done for all short of breath patients
What is the difference between decorticate and decerebrate? How do they score on the GCS? Decorticate is flexion of the arms(T-rex arms) to pain, scores 3. decerebrate is extension of the arms to pain, scores 2
When should you use WHIPS? During the P in SAMPLE and for patients who are experiencing shortness of breath/bronchospasms. Can also be used for patients who are experiencing heart attacks and anaphylaxis/allergic reaction.
What does WHIPS stand for? Worst ever? Hospitalization? Intubated? Puffers? Steroids?
Created by: Levelstorm3950
 

 



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