WFR Flash Cards 2
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Help!
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| Upon Entering the scene first 5 steps | show 🗑
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| show | -ID Self
-Gain Consent
-Spine stabilization?
- ABC (blood sweep) DE
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| Step 3 | show 🗑
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| CSM (Step 4) | show 🗑
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| Step 5 | show 🗑
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| SOAP Report (s) | show 🗑
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| SOAP Report (o) | show 🗑
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| show | suspect the following problems
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| show | Treatment, EVAC, Anticipated Problems
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| Vitals | show 🗑
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| Patient History | show 🗑
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| SAMPLE | show 🗑
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| show | 1. Name
2. Place
3. Time
4. Event
Can be A+ox__ or V (verbal), P (pain), U (unresponsive)
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| show | 50-100 bpm
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| show | 12-20 for adults, kids can be higher
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| SCTM | show 🗑
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| OPQRST(u?) | show 🗑
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| Mechanisms for Spinal injury | show 🗑
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| S/S Spinal injury | show 🗑
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| show | 1. stabilize head
2. check CSM's before moving
3. Protect Spine
4. CSM's after moving
5. EVAC
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| When to do a FSA | show 🗑
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| S/S Fractured Ribs/Clavicle | show 🗑
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| show | - Pain/Tenderness
- Deformity to chest
- Respiratory distress
- Possible paradoxical respiration
- S/S shock
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| Rx Unstable chest wall | show 🗑
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| show | -Closed (air enters pleural space through tear in pleural linings , typically secondary to rib fracture)
-Open (air enters through open chest wound)
-Tension (air compresses lung +major vessels)
-Spontaneous (air enters spontaneous tear in pleura)
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| show | mix of air/blood in pleural space
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| show | blood enters pleural space
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| show | -Short of breath (esp at rest)
- Pain + Tenderness
- wounds, bruises, deformity, instability of chest wall
- Shock like vitals
- Subcutaneous emphysema (air bubbles under skin)
- Diminished breath sounds/wet sound
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| S/S worse lung injury | show 🗑
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| show | 1. Stabilize (immobilize/occlusive)
2. support breathing
3. consider pain mgmt
4. monitor for shortness of breath
5. admin O2
6. Consider Evac
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| show | decrease fluid volume from bleeding, sweating, vomiting, diarrhea, severe burns (dehydration)
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| Cardiogenic Shock | show 🗑
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| Vasogenic Shock | show 🗑
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| show | 1. Compensatory (vasoconstriction, up HR, up RR)
2. Decompensatory (efforts begin to fail, BP down, brain no longer O2 Blood)
3. Irreversible (organs begin to die)
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| Early stages of shock | show 🗑
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| show | LOR Deteriorates, eventually unresponsive, HR (rapid/weak/slows), RR up and more shallow to slowing, SCTM eventually cyanotic/ashen, BP down, pupils slower to respond
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| Shock Rx | show 🗑
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| show | -brief change in LOR, temp blurred/starry vision, nausea, headache, dizzy, lethargic, personality change, amnesia
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| show | monitor, physical/cognitive rest for at least 24 hrs
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| S/S serious head injury | show 🗑
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| S/S skull Fracture | show 🗑
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| Rx serious head injury | show 🗑
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| show | 1. assess (look, ask, feel/check CSM/ Acute or chronic MOI/ usability)
2. manage pain (ice, elevation, compress, pain meds)
3. heat for spasm/strain
4. joint/muscle movement may help decrease swelling
5. support/check CSM's
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| show | 1. passive ROM
2. Active ROM
3. Weight bearing
4. preform essential functions
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| RX obvious fractures/unusable musculoskeletal injuries | show 🗑
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| show | padded, rigid, adjustable, CSM in tact, immobilize above/below
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| show | increased pressure in a muscle secondary to fractures, crush injury, burn, most common inn lower leg/forearm, but can occur in hand/foot/thigh/upper arm
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| show | -Pain out of proportion to injury stimulated by stretching/mvmt
- pallor: pale/cyanotic
-Pulseless, muscle tight, full
- Rapid EVAC
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| show | - Manual direct pressure/elevation
- wound packing
- pressure dressing (roll and twist over wound)
- Tourniquet
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| Single rescuer roll | show 🗑
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| show | -Completed head2toe, vitals, history
- No evidence spinal/in remote location
1. A+Ox?
2. Any pain meds, alcohol, drugs, sober?
3. Distracted?
4. Check CSM's in hands and Feet
5. Walk fingers down spine
6. Decision
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| show | -landmark 2" above ankle
- 3 stirrups under arch to landmark
- Secure with tape around landmark
- 3 J's: under arch, across top of foot, back to start
- 3 Figure 8's: under arch, over top, behind achilles, across top, under arch
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| show | acute stress response as part of a physiological defense system that helps us respond quickly to dangerous situation
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| show | -re-engage neocortex immediately following stress incident,
- listen, assure safety and basic needs are met, decrease stress, aid engagement with support groups
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| Principles of Psych 1st aid | show 🗑
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| Hypoxia | show 🗑
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| show | - sensation of suffocation, dizzy, tingling/numb hands/feet/face, rapid HR/RR, hand and foot cramps, chest pain, possible loss of responsiveness with transient respiratory arrest
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| Rx hyperventilation | show 🗑
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| show | -chest tightness
- wheezing + coughing
- short of breath
- up HR/RR
- Up mucus
- fatigue
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| S/S severe asthma | show 🗑
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| show | -calm patient
- begin treatment promptly
- support plan if patient has one
- maintenance = 2puff/hr ; aggressive = 4-8 puff/20min for up to 4 hours
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| show | a clot (usually leg vein) breaks loose and lodges in blood vessel of lung. Caused by decreased mobility, smoking, recent surgery
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| S/S pulmonary embolism | show 🗑
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| Testicular Pain | show 🗑
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| CPR Flowchart | show 🗑
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| show | -Use 1 or 2 hands to compress at least 2" deep
- Preform 5 cycles of CPR if emergency unwitnessed
- If witnessed and sudden call 911 and go get AED then return
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| Infant CPR | show 🗑
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| Burn Depths | show 🗑
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| show | -cool burn
- cover with clean dressing
- pain mgmt
- hydrate
-monitor
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| s/s Stress response | show 🗑
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| Mild hypothermia | show 🗑
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| show | uncontrollable violent shivering, worsening "umbles" stumbling, change in LOR
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| Severe | show 🗑
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| show | 1. change environment
2. insulate patient
3. add heat packs/hot water bottles
4. add calories
5. exercise if tolerated
6. maintain temp
7. may req 24hrs rest, hydration, food to recover
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| Rx Severe hypothermia | show 🗑
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| S/S heat exhaustion | show 🗑
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| show | 1. rest
2. hydrate
3. treat cramps with stretching
4. evac if not improving
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| show | - LOR : disoriented, irritable, combative, unresponsive
- Hallucination/seizure
- Ataxia
- HR/RR up
- SCTM: hot, color and moisture can vary
- Temp above 104
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| Heat stroke Rx | show 🗑
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| Rhabdomyolysis | show 🗑
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| S/S rhabdomyolysis | show 🗑
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| Rhabdomyolysis rx | show 🗑
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| s/s dehydration | show 🗑
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| dehydration Rx | show 🗑
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| s/s hyponatremia | show 🗑
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| Hyponatremia Rx | show 🗑
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| S/S mild altitude sickness | show 🗑
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| Mild altitude sickness rx | show 🗑
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| Severe altitude sickness (HACE) S/S | show 🗑
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| show | -deceased ability to exercise
- persistent dry cough
- short of breath at rest
- HR/RR elevated
- SCTM pale/cyanotic
- wet lung sounds
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| Severe altitude sickness Rx | show 🗑
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| Snake Bite Rx | show 🗑
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| S/s widow spider bite | show 🗑
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| show | 1. clean and ice the bite
2. consider main meds
3. EVAC
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| show | - red blisters appear 1-5 hrs after initially painless bite
- blisters begin to develop in to a non healing wound
-chills, fever, rash, weakness
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| show | -clean, monitor, evac if symptoms become systemic ro will not heal
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| show | -immediate pain, increased by tapping
-swelling and redness
- numbness and tingling
-nausea, vomit, incontinence
-slurred speech, difficulty swallowing, blurred vision, seizures
-respiratory or cardiovascular involve
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| show | 1. clean wound
2. ice
3. evac if patient has s/s of envenomation
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| show | 1. provide life support with supplemental o2
2. remove water and vomit from airway as needed
3. consider protecting the spine
4. treat for hypothermia
5. monitor
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| Angina | show 🗑
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| Myocardial Infarction | show 🗑
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| show | -Persistant chest pain: crushing, tight, pressing, vise like, constricting
- Pain radiating to arms/jaw
-short of breath
-anxiety/denial
-nausea/vomiting
-lightheaded/dizzy
-pale, cool, sweaty
-Rapid, slow, weak, irregular heart rate
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| Myocardial Infarction Rx | show 🗑
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| show | reduced blood flow
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| show | Tissue death (can be caused by ischemia)
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| Pneumonia | show 🗑
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| S/S Pneumonia | show 🗑
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| show | 1. Encourage patient to cough and breathe deep
2. Consider fever reducing meds
3. Admin O2
4. Evac
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| Transient Ischemic Attack (TIA) | show 🗑
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| Cerebrovascular Accident (CVA) or stroke | show 🗑
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| S/S CVA/Stroke | show 🗑
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| CVA/Stroke Rx | show 🗑
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| show | sudden episode of uncontrolled electrical activity in brain
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| Causes of seizure | show 🗑
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| S/S seizure | show 🗑
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| Seizure Rx | show 🗑
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| show | -TOxins
-Sugar/seizure/shock
-temp
-oxygen
-pressure
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| show | 1. Protect spine
2. Manage airway
3. Look for clues
4. Sugar?
5. Consider narcan
6. Monitor LOR for changes
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| Syncope | show 🗑
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| show | -Prodromal symptoms: dizzy, vision change, warmth, light head
-Faint or collapse which may include seizure like activity
- Pallor, diaphoresis
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| Syncope Rx | show 🗑
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| show | -Too much sugar not enough insulin
-Patient become dehydrated
-Appears gradually
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| Rx Hyperglycemia | show 🗑
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| Hyperglycemia S/S | show 🗑
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| Hypoglycemia | show 🗑
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| show | -LOR: weak, disoriented, irritable, progressing to unresponsive/seizure
-HR: Rapid
-RR: normal/shallow
-SCTM: pale, cool, clammy
-BP: no change or slightly elevated
-Breath odor: no change
-Blood sugar less than 80mg/dl
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| show | 1. Check blood sugar
2. give sugar
3. give a more hearty snack once recovered
4. Rapid evac
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| S/S Ectopic pregnancy | show 🗑
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| S/S vagnitis | show 🗑
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| show | -wash area thoroughly
-air dry
-consider antifungals
-evac if does not respond
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| S/S UTI | show 🗑
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| show | -hydrate
-considder urinary tract analgesic
-consider antibiotics
-rest
-evac if not respond to rx or develops tenderness in kidney reigon
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| Ingested Poison rx | show 🗑
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| Inhaled poison rx | show 🗑
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| Absorbed Poison rx | show 🗑
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| Injected poison rx | show 🗑
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| show | 1. Are you thinking of harming or killing yourself
2. have you planned how you would do this
3. Do you have the means with you now to carry out this plan
4. when are you thinking of doing this
5. do you have a history of any past suicide attempts
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| Mental health patient Treatment principles | show 🗑
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| show | -Harm to expedition outweighs benefit to patient
-condition beyond responders ability
-patient danger to self/others
-unsafe or unable to continue
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| Toothache Rx | show 🗑
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| show | 1. assess inside of mouth with light ,bite, if teeth don't come together may be jaw fracture
2. look for broken dental fragments
3. seal expoed nerves
4. if biting causes pain consider rolled up gauze on back molars
5. pain meds
6. evac?
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| tooth knocked out or loose rx | show 🗑
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| Periodontal abscess s/s | show 🗑
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| Periodontal abscess rx | show 🗑
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| Acetaminophen | show 🗑
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| Aspirin | show 🗑
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| Ibuprofin | show 🗑
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Created by:
bouzianeju