A & E General Questions (Stack #116466)
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| (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
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| 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.
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| (Q) Meningitis is ? | Inflammation of the Meninges due to organisms such as bacteria, viruses & fungi.
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| (Q) Menigitis Causes ? | Fever, Intense Headaches, Intolerance to light & Sound with Rigidity of Muscles (esp Neck)
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| (Q) Menigitis Severe Signs ? | Convulsions with Severe Vomiting.
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| Meningococcal Septicaemia ? | Cerebrospinal Fever. Epidemic form with rapid onset, Detectable by a rash that does not disapear when pressure is applied.
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| (Q) C.V.A.(Stroke) Positioning (Awake) ? | Put in a Semi Recumbent Position with head and shoulders both slightly raised.
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| (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.
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| (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.
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| (Q) Trendelenburg Patient Position ? | The body is laid flat on the back (supine position) with the feet higher than the head.
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| (Q) Trendelenburg Uses ? | For Shock.
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| (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
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| When can you not (VOR) ? (3) | 1.Fuel
2.Service Runs
3.Police Statements
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| 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 ?
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| (Q) Running Calls, Information Required ? (5) | 1. Callsign
2. Location
3. Incident Details
4. Are you Able to Deal
5. Your Initials
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| (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.
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| (Q) Causes of Unconsciousness (Fish Shaped) | Faint.
Infantile Convulsions.
Shock.
Head Injuries.
Stroke.
Heart Attack.
Asphixia.
Poisoning.
Epilepsy.
Diabieties.
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| (Q) Management of Unconsciousness ? (3) | 1.Primary Survey (D.R. A.B.C.D.E.).
2.Secondary Survey.
3.Positioning of Patient.
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| Danger - Primary Survey ? (4) | 1.Yourself.
2.Crewmate.
3.Bystanders.
4.Patient.
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| Responce - Primary Survey ? (4) | AVPU.
1.Alert.
2.Verbal.
3.Pain.
4.Unresponsive.
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| 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.
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| 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.
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| 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.
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| 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).
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| 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.
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| 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)
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| 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).
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| Thorax, Check ? Secondary Survey (3) | 1.Clavicles for Fractures.
2.Sternum for Fractures.
3.Ribs for Fractures & Abnormal Movement.
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| Abdomen, Check ? Secondary Survey (2) | 1.Pelvis for Fractures, Abnormal Movement or Guarding.
2.Groin for Dampness.
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| Back, Check ? Secondary Survey (2) | 1.Spine for Irregularity.
2.Scapulae for Fractures.
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| 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)
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| Identification, Check ? Secondary Survey (1) | 1.Identification & Medical Cards or Bracelets.
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| (Q) Elderly Medical Conditions ? (AC DC Probe) | A.Arteriosclerosis.
C.Congestive Cardiac Failure.
D.Diabeties.
C.Cerebro Vascular Accident (CVA).
P.Parkinsons Disease.
R.Rheumatoid Athritis.
O.Osteo-Arthritis.
B.Brochitis.
E.Emphysema.
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| (Q) What is Valid Consent ? (IVC) | Information + Volation + Capacity.
= Valid Consent.
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| 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.
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| Consent VOLATION ? | Patient Making a Conscious Decision or Expressing an Intention. Freedom of Choice witout COERSION.
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| 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.
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| 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.
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| Consent - What can EFFECT Capacity ? (MAIDS) | M - Mental State.
A - Age.
I - Illness.
D - Drugs / Alcohol.
S - Shock / Pain.
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| Consent Age ? | Over 16 to 17 years of age. However somebody with perental control can overrule them unless they are over 18.
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| Parts of the Brain ? (3) | Cerebrum, Cerebellum & Brain Stem.
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| Cerebrum - Componets ? | Consists of 2 Large Hemispheres. Left Controls Right side of the body & Vise Versa.
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| 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.
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| 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.
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Created by:
Paul Wakefield
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