General
In a nervous system injury, what area is our biggest concern.
Brainstem injuries (these types of injuries are often life threatening)
What medication do you give for a drug overdose according to new guidelines
Narcan / Naloxone
Patient has a deformity of an upper extremity-what is a sign of shock needing attention
pale, cool and clammy. HR and resp may also be elevated but skin is a noticeable sign of shock
How much oxygen should be given to a patient that is being given CPR
As much as available (mouth to mouth / mouth to barrier / adjunct device with and without O2)
primary goal of triage is
which patients will receive treatment first Colors: Green / Yellow / Red / Black are most common
A patient that needs to be put on a long spine board but has spinal curvatures, What step can be taken to help help the patient be more comfortable.
Pad all the voids under the back in the natural curve spaces. This way they will be more natural when you tighten the straps
Patient has a knife sticking out of his belly. What steps are needed for treatment
Oxygen and rapid transport. Will probably need surgery so do not give anything by mouth. Stabilize the object / transport and give oxygen
A patient has a radial pulse that is absent initially but during a repeat assessment, they are both gone. What is potentially the cause (patient has not been moved)
a drop in blood pressure. Especially if you had one, did not move the extremity and it is now missing
What is the proper method to hold the head to manage an airway of patient with suspected spinal injury
Jaw thrust while holding the head. (don't worry about neck right now, airway is the key)
First thing looked at by a triage officer to help determine factor of need using START system
Ability to walk is usually first (walking wounded can be moved) but keep an eye on the group as things can change quickly
What would you most likely see if your patient has a suspected spinal cord injury
paralysis of the extremities
Patient with a stab wound to the abdomen has a drop in BP...what would be helpful to benefit him
lay on back and put legs higher. (trendelenberg) Effective in treating shock for this type of injury if applicable.
When doing your ongoing assessment, a large decrease in this vital sign is MOST serious
Drop in BP - means the patient could be decompensating. The patient has probably shown some other signs of shock (skin etc) but a loss of BP would mean the body could be losing ground)
What splinting device should be used for a fractured clavicle
Sling and swathe...extra ties can also be helpful to keep limbs immobile
Brain bruised from trauma
Contusion
What can be a critical injury for an airbag deployment
Collapsed lung - airbags put alot of pressure on that needed area during a critical accident. (think pneumothorax)
Difference between bandage and dressing
Put dressing over the wound to prevent infection and help clotting / bandage to hold dressing in place
In an accident with potential for severe injury but nothing visible - what is a likely cause for the patient being unresponsive
A head injury
A patient complains that his fingers are numb after splint is applied...what questions would a responder want to know
When did the numbness start (before or after splinting? etc........)
What sign could tell you to take a closer look at a potential spinal cord injury
Patients breathing with their diaphragm
Diaphragmatic breathing, or “belly breathing,” involves fully engaging the stomach, abdominal muscles, and diaphragm when breathing. This means actively pulling the diaphragm down with each inward breath. In this way, diaphragmatic breathing helps the lungs fill more efficiently.
For a sucking chest wound, what is the dressing preferred to help patient
Occlusive dressing ( If this dressing does not sound familiar...good time to get familiar)
Your patient ( instructor) has fallen, taken out an end table, and a large hematoma has appeared...what do you do
Splint the limb to minimize damage
You have a geriatric patient that has been vomiting, is pale - sweaty and has rapid breathing. The heart rate is only 74. What would be a good explanation for the decreased heart rate.
They can be taking medication to lower their BP (limits heart rate) so having these other symptoms would make the BP even lower.
What is the main thing we HAVE to remember when treating patients as the primary concern.
THE AIRWAY
Patient has had a major blow to his abdomen. What position might the patient want to be transported in
lay on his side (his knees can be bent if he also is guarding.) don't put in positions that can cause more difficulty or will not do alot of good for issues