| DISPATCH | PRIMARY SURVEY | HISTORY TAKING | VITALS | SECONDARY SURVEY |
|---|---|---|---|---|
|
What is non-life threatening
Urgerny (30 mins) CODE 5
What is a CODE 3?
What is a CTAS 3? What CODE is Legally Dead? |
AVPU
Chief Complaint Secondary Survey
What is after Introducing oneself?
What do you do after History? What do you do after first set of Vitals? |
Keytones, insulin pump, insulin pen, medication, med alert, bystander information
What would you be looking for for diabetes (name 4)
|
RR- 12-20 *
BP- 90-140/60-90 HR- 60-100
What is regular vitals for a adult?
|
Hypothalamus and above 37.2
What is the thermostat of the body and what is a fever?
|
|
Air Ambulance
Advance Life Support (ACP)
Who is 799?
Who is ALS? |
Alert.
earlobe squeeze, trap squeeze, nail bed decompression
What is this pt: Pt opens eyes after a noxious stimuli and keeps thier eyes open and tracking.
Nmae 3 acceptable painful stimuli for this pt. |
(see BLS)
What is the signs of stroke according to the BLS?
|
stridor- narrowing of upper airway (swelling/ croup/ FBAO-partial)
Wheezing- constriction of bronchioles (asthma) Coarse crackles- rattling mucous in mid airways (bronchitis) Fine crackles- liquid in alveoli (pulmonary edema/pnuemonia)
What is the difference between coarse crackles, fine crackles, stridor, and wheezing?
|
GCS 9-12
Stupor- decreased LOC Obtunded- Decreased LOC due to medication Lethardy- State of indifference, sluggish or apathetic
What is considered a moderate brain injury?
Define Stupor, Otunded, Lethargy? |
|
Confidence
Competence Compassion
What are the 3 C's
|
C3-C5
Where is the vagus (controls diaphragm) nerve and why is it important?
|
cardiogenic, anaphalatic, hypovolemic, neurogenic, septic.
alcohol, epilipsy, insulin, overdose, uremia, truama, infection, psychosis/poison, syncope/stroke/sepsis/ shock
What is AEIOUTIPS? Name 3 types of shock?
|
Kussmaul's - increase rate and depth due to metabolic (hypothermia, drug OD, diabetic ketoacidosis)
Cheyne Stokes- irregular breathing characterized by descending dyspnea followed by period of apnea (head injury or stroke) Hypopnea- descreased volume below normal hypoventilation- decreased rate and volume than whats metabolically required Bradypnea- Decreased rate
What is the difference between Kussmauls and Cheyne Stokes and Hypnpnea, Bradypnea and hypoventilation?
|
Cervical, thoracic, lumbar, sacrum, coccyx
What is the different spines in order
|
|
-Caller calls to dispatch
-Disptach asks "fire, police, ambulance" and sends it to call taker -Calltaker collects details and sends it to sipatch -Dispatch notifies crew -Crew Drives to Pt. -Leaves Scene to GO to hospitalLeaves hospital to ideally get back to base
What is the timeline of a call, starting with the caller?
|
Holes in the lungs, air is escaping
JVD, tracheal deviation, cyanosis, subcutaneous emphesema, adventitious sounds externally and in lungs, clavicular retrations, abnormal breathing, sucky SPO2, tripoding, word dyspnea, pursed lip breathing, cough, barrel chest, digital clubbing, LOC, head bobbing, accessory muscle use, nasal flaring
What is the cause of Subcutaneous emphesema?
What are 10 signs of breathing distress? |
S/S, Allergies, Meds, Past Hx, Last intake, Events prior
Recap the story fiven by repeating it.
What is sample? What is the action you do for E in Sample?
|
CO2, then Oxygen
chemoreceptors- aortic arch, corotid bodies, medulla oblongata C6H12O6+O2--> CO2+H2O+ATP
What is the control chemicla of breathing? What receptors are used for breathing?
What is the equation for cellular metabolism |
UNit identification, pt age and sex, ctas level, CC, pertinent hisotry, Pertinient assessment findings, pertinent management and response to management, ETA, confirm report was recieved
What is an example of a radio report?
|
|
The UTM is the geocode, which is the location.
Runnumber is the number associated with the call.
What is a run number?
What is a geocode? |
One lung is collapsed and pressure is pushing against the structures on the opposite side. We may see difficulty breathing, trauma, tracheal deviation.
What isWhat is a tension pnuemothorax? S/S? Where would you auscultate to listen?
|
eyes- 2
pain- 4 verbal- 4 unconsciousness is thier CC.
A 15 year old patient is was complaining of chest pain. Thier friend guides you to the room where they are currently on the floor. You approach them and they do not respond to painful stimuli. After ten minutes upon reassessment they open thier eyes, say "lemons are nice in pie please" and withdraw from a painful stimuli.
|
The pressure of the blood flowing out of the ventricles when contracting over the volume of blood when the ventricles are relaxing.
BP=COxTPR (resistance) CO=HRxSV Place cuff 2 inches about antecubital fossa Palpate to find pulse, inflate cuff, listen for Korotkoff sounds
What is a blood pressure measuring? How do you take a blood pressure?
What is the BP formula |
INtro of pt (name, age, sex)
CTAS level CC Incident Hx Medications, Med HX, allergies Pertinent assessments and negatives field diagnosis Managment and response Vitals SBAR Situation Background Our assessment Our reccommendation CONFIRM the permission
What is an example of a verbal report and a patch to a base hospital?
|
Support Us on Ko-fi