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Environmental

Conditions and treatment

QuestionAnswer
Hyperthermia Body gets too hot, typically above 101F
Hypothermia Body gets too cold, typically below 95F
Normothermia Body is at normal temperature, typically 97-99F
Barometric emergencies Issues due to pressure changes
HACE High Altitude Cerebral Edema
HAPE High Altitude Pulmonary Edema
HAFE High Altitude Flatus Expulsion
3 types of heat illnesses Heat exhaustion, heat cramps, and heat stroke
Paradoxical undressing Phenomenon where hypothermia progresses and the brain gets confused, thinking the body is hot the patient will start to remove their clothes
What heart rhythm are hypothermia patients most likley to go into? Ventricular Fibrillation
What type of medication has the purpose of getting rid of excess fluid? Diuretics
What populations should we worry the most if they are experiencing a temperature emergency? Geriatrics and pediatrics
For water emergencies, what needs to be considered for AED usage? Wiping the patient off before applying AED pads and moving them out of the water
Coral snake bite Neurotoxic
Pit viper bite Hemotoxic
Pit viper snakes Rattle snakes, copperheads, water mocassins, etc
Jellyfish sting treatment Removal of tentacles with a gloved hand and rinsing with vinegar or sea water
Decompression sickness Occurs when a diver surfaces too suddenly
AGE Arterial Gas Embolism
AMS Acute Mountain Sickness
Convection Heat transfer through circulating air
Conduction Heat transfer through direct contact
Radiation Heat transfer through radiant energy (such as sunlight)
Evaporation Heat transfer through liquid becoming a gas
Respiration Heat transfer through breathing
What are the 5 ways to gain/lose heat? Convection, conduction, radiation, evaporation, respiration
Frostnip Beginning stage of frost bite
Frostbite Body parts become frozen
What parts of the body are most prone to frostbite? Fingers, toes, cheeks, nose, and ears
Frostbite is what type of injury? Localized
Hypothermia is what type of injury? Systemic
What needs to be considered when wrapping frostbitten extremities? Wrapping between fingers/toes so they do not freeze together
What heart rhythm are hypothermic patients most likely to go into? Ventricular fibrillation
How long does a pulse check need to be for hypothermic patients? At least 45 seconds
What heat illness is the most life-threatening? Heat stroke
What temperature is considered cirteria for heat stroke? 104F or above
Patients in heat stroke need to be cooled to what temperature before transport? At least 102F
What is the most common heat illness? Heat exhaustion
What heat illness is mainly caused by low electrolytes? Heat cramps
Dehydration Loss of fluids and electrolytes
What type of medications increase heat illness likelihood? Diuretics, antihistamines, antidepressants, anticholinergics, cholinergics, and blood pressure medications
Thermoregulation Patient's ability to fix their body temperature back to homoeostasis
Responders should not attempt rewarming if there is a chance of what? Refreezing the affected body parts
What is the typical first sign of heat illnesses? AMS
Typical skin condition of heat exhaustion patient Hot and diaphoretic
Typical skin condition of heat stroke patient Cool and dry or cool and clammy
What is the priority treatment for drowning victims? Respiratory
Lightning strike victims need what type of triage? Reverse triage
Diving reflex Whenever a person dives/jumps into very cold water their heart rate will decrease
SCUBA Self-Contained Underwater Breathing Apparatus
What are the 3 main concerns for snake/insect bites/stings? Soft tissue damage, infection, and envenomation
What is the most common diving injury? Air embolism
The Bends is also known as what? Decompression sickness
Decompression sickness Bubbles of gas (typically nitrogen) build up and block blood vessels
Brown recluse spider bite Cytotoxic
Black widow spider bite Neurotoxic
Most common chief complaint for black widow bites Abdominal cramping/pain
Most common chief complaint for the bends Joint pain
Hymenoptera Group of insects that includes bees, wasps, yellowjackets, and ants
Urticaria Hives
Pit viper snake examples Cottonmouths, rattlesnakes, and copperheads
Pit viper venom Hemotoxic
Coral snake venom Neurotoxic
Tick bites can lead to what? Lyme disease
What should you rinse most marine stings with? Vinegar or sea water
Bull's eye rash is a sign of what? Tick bite
Neurotoxic Toxic to the brain
Hemotoxic Toxic to the blood
Cytotoxic Toxic to the cells/tissue
Drowning Process of experiencing respiratory impairment from submersion/immersion in liquid
What are the body's 2 main mechanisms for cooling itself? Sweating and vasodilation
What should be removed for snake/insect bite victims? Tight clothing, watches, rings, bracelets, etc
What should be removed for cold injuries? Wet clothing
Acute Mountain Sickness Beginning stage of high altitude illnesses
Acclimitize Body adjusting to new conditions, such as atmospheric pressure
High Altitude Pulmonary Edema Fluid accumulation and swelling of the lungs due to increased altitude
High Altitude Cerebral Edema Fluid accumulation and swelling of the brain due to increased altitude
What is the best treatment for high altitude illnesses? Descent to a lower altitude
 

 



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