Primary
Survey
Survey
True or false: you should not be able to feel your patient's pulse after correctly applying a pressure dressing
False! Your patient should still have a pulse after a pressure dressing is applied.
These are the three components to the secondary survey
Head to Toe
Vitals
Patient history taking
ABCDE
What is Airway, Breathing, Circulation, Deficits (Da Brain), Environment
How long should a patient stay in the field with abdominal pain from an unknown cause that is not improving?
No longer than 24 hours
Radial pulse
+100 points if you can also name the pulse in your neck
This is the treatment for a sucking chest wound
what is a three sided occlusive dressing
+50 points if you know what side should be left open
What are the 5 vital signs we obtain and how often?
HR, RR, LOR, SCTM, Pupils.
Every 5–15 minutes depending on severity
ACT-MIST
What is age, chief complaint, time, mechanism of injury, injuries found, vital signs, treatment
This is the only type of wound where cleaning with iodine in addition to potable water is appropriate
What are mammal bites?
The best treatment for patients suffering from heat illnesses
Rapid cooling
These are the 4 airway maneuvers
What are the head tilt-chin lift, head turn and gutter, jaw thrust, log roll
What are the "normal adult" ranges for HR and RR
HR: 60-100 BPM
RR: 12-20 BPM
AVPU
What is Alert, Verbal, Painful, Unresponsive
+100 points if you can remember what A&Ox_ means
These are the joints a WFR can reduce
When should you remove an impaled object?
NEVER... unless it is in the patient's airway
What are the four questions you should ask for your "D check"?
Did you hit your head?
Did you lose consciousness?
Do you have any pain in your head/neck/spine?
Do you have any numbness or tingling?
What are two rules for building splints?
Immobilize above and below the injury
Check CSMs before and after
fill voids, keep it comfortable
make it easily adjustable
remove patient jewelry
SAMPLE/OPQRST
what is Signs/symptoms, allergies, medications, pertinent history, last ins & outs, events leading up
onset, provokes/palliates, quality, radiates, severity, time
What are 3 signs or symptoms of infection in a wound?
Increase in pain, swelling, and redness beyond the wound site, warmth, puss, or lymphatic streaking
How should you transport an amputated limb?
Wrapped in cool, moist dressings
What is one example of when we hypo-wrap a patient? What does these patient's vitals look like?
A patient exhibiting signs and symptoms of shock.
- elevated HH, elevated RR, PCC
This person is in control of patient moves
Whoever is holding/maintaining C-Spine
SOAP
what is subjective, objective, assessment, plan
What is the best treatment for an unresponsive, hypoglycemic patient?
Apply glucose/sugar/honey to the patient's gums and log roll them
When and where should a tourniquet be applied?
Tourniquets should be applied when there is uncontrolled bleeding on an extremity. They should be applied 2-3" above the injury, never in joints.
+50 points: how do you know if a tourniquet has been applied correctly?