Water and Hypothermia
What does the 1:10:1 rule stand for?
1 minute to control breathing
10 minutes of purposeful movement
1 hour till you succumb to hypothermia
List common IV fluids
Saline
Lactated Ringers
Hetastarch
Dextrose
When would you use an NG tube?
Deliver nutrition
Empty stomach contents: poisoning, etc
Bowel obstruction
How many kgs is 22 pounds?
10 kgs
Differentiate a strain vs a sprain
Strain = injury to muscle or tendon
Sprain = injury to a ligament
Primary treatments for hypothermia
Passive rewarming: remove wet clothes, dry patient, then hypowrap
Prevent after drop by encouraging pt to remain still and supine
How often should an IV catheter/site be replaced?
Every 72-96 hours
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
Why should we never give sterile water through an IV?
It is hypotonic and therefore dilutes electrolytes and can cause many problems such as hemolysis and cerebral edema.
How many teeth does the average adult have?
32
List signs and symptoms of severe hypothermia
Pale
Cold
Absence of shivering
Decreased LOC/AMS
Core temp below 82 degrees F
List the parts of an IV
Needle
Catheter
Flash Chamber
Catheter Hub
What is a contraindication for placing an NG tube?
Facial Trauma
Basilar Skull Fracture
Esophageal Varices
How many pounds is 50 kgs?
110 lbs
What type of organism is a cryptosporidum?
Protozoa
How many miles off shore does the MPIC certification apply?
200 nautical miles from shore
What is the ideal gauge IV to rapidly infuse fluids for a trauma patient?
16
On what type of wound should we use staples for wound closure?
Large, gaping wounds
As an MPIC on a vessel, what are some tasks to accomplish in your downtime?
Organize, and inventory gear
Research diseases common in your destination
Practice any procedures
What is a downside to boiling water to make it potable?
Does not remove inorganic/abiotic toxins like pesticides, herbicides, road runoff, heavy metals etc.
66 ft of seawater equals how many ATM of pressure
2 ATM
Describe the steps for placing an IO
Clean the site
Choose the correct needle size and sink it through the soft tissue
Stabilize while you drill
Remove needle leaving the catheter
Attach primed extension tubing and saline flush
Confirm placement by aspirating bone marrow
Flush with saline
What are some reasons to place a foley catheter?
Monitor urine output
Keep pt clean when sedated
Assist a pt who is unable to urinate on their own
What is the adult dose of epinephrine? Pediatric?
Adult 0.3 mgs
Peds 0.15 mgs
What is a CAUTI and why is it dangerous?
Catheter Associated Urinary Tract Infection
Can lead to kidney infection, sepsis, septic shock