Shocked!
What are 4 signs of compensated shock?
pale cool clammy skin, tachypnea, tachycardia, anxiety
apnea
no breathing
How do we verify adequate ventilation?
Chest rise and fall
how do you stimulate a neonate
warm dry and flick the feet
Any patient with decreased level of conciousness (unresponsive) should be considered
critical (rapid tranport)
how and when do you treat for shock?
high flow oxygen, keep them warm, rapid transport, treat for shock once it is suspected
epistaxis
nose bleed
Why do we complete a primary assessment first?
To identify life threats that need to addressed immediately.
you arrive on scene to a patient that is about to delivery her baby. What should you do to prepare the scene and the patient
have the mom remove her pants and put sheets over the legs
how do you manage a snake bite to an extremity
you apply pressure to the entire affected extremity (after contacting medical control)
what vital sign is indicative of decompensated shock?
hypotension
3 layers of meninges
dura, arachnoid, pia
In behavioral emergencies (when the patient is concious), what should always be obtained prior to a physical assessment?
Mental status
what should you do to help the mom in between delivery of the baby and the placenta
massage the fundus (top of the uterus)
common reaction a provider would have after finding teenager dead from an overdose
short term loss of appetite
Name the 3 emergencies that would cause obstructed shock.
Pericardial tamponade, tension pneumothorax, pulmonary embolism
3 signs of becks triad and what it indicates
JVD, muffled heart sounds, hypotension (narrowing pulse pressure)
We continue to assess to identify any changes that may have developed
what does APGAR stand for
appearance, pulse, grimace, activity, respirations
how do you manage delivery of a nuchal cord
gentle lift he cord over the babys head
What happens to the circulatory system when it goes into shock
3 signs of cushings triangle and what it indicates
hypertension, bradycardia, irregular respirations. increased ICP
When do you preform a rapid secondary assessment?
When the patient is critical (high priority)
how many beats per minute should you compress a neonate
What physiological reason would cause difficulty in ventilating a patient from a submersion incident
larygngospasm