Vitals
What are we looking for when we assess a pulse?
Rate/Rhythm and Quailty
What is a critical Intervention for Breathing?
Oxygen Therapy or assisted ventilation
What is the criterial for using the Canadian C-spine Rule?
Alert (GSC Score =15) and stable trauma patients
What is the first thing you need to do when you arrive on scene?
Is the scene safe!
How often do you assess vitals?
Every 15 min for stable, 5 min of unstable
What is the normal range of respirations in accordance to the Standard Approach and Ongoing Assessment?
12-20 /min
What is a critical intervention for an Airway?
Open Airway
Suction
OPA/NPA
What is one of the high risk factors for C-spine control?
Age Greater or equal to 65
Dangerous Mechanism
What is Crepitus?
Crepitus is a palpable or audible grating or crunching sensation produced by motion.
What does TIC stand for?
Tenderness
Instability
Crepitus
What Does and SPO2 below 94% indicate?
The need for supplemental oxygen therapy
What is a critical intervention for circulation?
chest compressions
AED
Uncontrolled bleeding
How many degrees to left and right do we ask the patient to move their head?
45 Degrees
During the primary survey when would you auscultate for lung sounds?
During the assessment of the chest
At what point would you assess if the trachea is Midline or not or if there was and Jugular Vein Distention
Neck asssessment
What is the normal range of pulse in accordance to the Standard Approach and Ongoing Assessment for a newborn?
110-160 BPM
Name one of the transport decisions?
Load and Go
Stay and Stabilize
Are we assessing delayed onset or immediate onset when applying low risk factors for c-spine control?
Delayed onset
When assessing someone for alertness and Orientation, what is assesses?
Person/Place/Time/Event
will accept AVPU
When would you "patch" to dispatch or Banff Medics?
After Primary and Secondary Survey with history and vitals
you have a normally healthy 65 year old female patient and you are having trouble finding a radial pulse, what do you do next?
Try a different location, other arm, brachial or carotid
You have 25 year old patient complaint of confusion and dizziness, heart rate of 130BPM and increasing, slightly elevated, stable blood pressure which starts to drop, Respiration rate of 30/min, and cold, pale, clammy skin. Name 2 critical interventions you would use in order?
oxygen therapy (Breathing)
uncontrolled Bleed (Circulation)
You have a 45 year old patient in a fender bender rear end MVC is sitting up-right with no stated next pain or on palpation and is able to turn his head 45 degrees to the right and and only 20 degrees in the left. Do we apply c-spine control?
Yes!
You have a 35 year old normally healthy male with unremarkable vital signs. Upon exam he has sensation in his left leg but no sensation on his right. Pedial pulse is strong and regular, and he is able to move it. What is the transport decision?
Stay and stabilize. His foot fell asleep.
You have a chronically un-healthly 52 year old male complaining of abdominal pain, that starts around the belly button. He says he is very nauseated and has trouble breathing a speaks between breaths. He has a mild fever, elevated heart rate and low to normal blood pressure. What could it be?
acute appedicitis