Help, I'm wet and cold and I can't get up
What is the 1:10:1 rule?
1 minute to control breathing
10 mins of purposeful movement
1 hr before succumbing to hypothermia
What are four common IV fluids?
Normal saline, hetastarch, lactated ringers, Sodium Chloride
BONUS: what is the most common IV solution?
When would you use an NG tube?
Deliver nutrition
Empty stomach contents: poisoning, etc
Bowel obstruction
How many kgs is 22 pounds?
10 kgs
How many teeth does the average adult have?
32
Priorities in treating a hypothermic patient
1. Prevent further heat loss (remove wet clothes and dry patient)
2. Passive rewarming (hypowrap)
3. Prevent after drop: supine & still
What are the five main components of an IV needle?
Bevel
Needle
Catheter
Catheter hub
Flash chamber
What are the sizes of iGel that will fit an adult patient?
Size 3 - yellow - small adult 30-60 kgs
Size 4 - green - medium adult 50-90 kgs
Size 5 - orange - large adult 90+kgs
How many pounds is 50 kgs?
110 lbs
Difference between strain and sprain
Strain = injury to muscle or tendon
Sprain = injury to a ligament
S/Sx of severe hypothermia
Pale
Cold
Absence of shivering
Decreased LOC/AMS
Core temp below 82 degrees F
Tell me about the relationship between needle sizes (#s) and the needle's actual diameter
Bigger numbers = smaller diameters
Smaller numbers = bigger diameters
What is a contraindication for placing an NG tube?
Facial trauma
Basilar skull fractures
Esophageal Varices
As an MPIC on a vessel, what are some tasks to accomplish in your downtime?
Inventory supplies and medications
Research common diseases in your next destination
Practice procedures
Consider risk management for hazards aboard vessel
What type of organism is a cryptosporidum?
Protozoa
How many miles off shore does the MPIC certification apply?
200
How often should we replace IV sites? Why are we replacing IV sites?
every 72-96 hrs, to prevent infection
On what type of wound should we use staples for wound closure?
Large, gaping wounds
Adult and pediatric doses of epinephrine
Adult: 0.3 mgs
Pediatric: 0.15 mgs
3 mins, will not kill toxins
66 ft of seawater equals how many ATM of pressure
What is the ideal gauge IV to rapidly infuse fluids for a trauma patient?
16
What are some indicators for Foley catheter placement?
Monitor urine output
Keep pt clean when sedated
Assist a pt who is unable to urinate on their own
What size suture thread is appropriate for a hand? Thick skin (scalp, soles of feet)?
Hand: 5-0
Thick skin: 3-0
What is a CAUTI and why is it dangerous?
Catheter Associated Urinary Tract Infection
Can lead to kidney infection, sepsis, septic shock