COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
Duty to act
Your legal responsibility to do something in the case of an emergency. You must
proceed promptly to the scene and render emergency medical care within the limits of
your training and available equipment.
Standard of care
Written, accepted levels of emergency care expected by reason of training and
profession; written by legal or professional organizations so that patients are not
exposed to unreasonable risk or harm.
expressed consent
-The patient actually lets you know-- that he or she is willing to accept treatment.
-The patient must be of legal age and able to make a rational decision.
carotid pulse
the pulse felt along the large carotid artery on either side of the neck. Blood pressure is
at least 60 systolic
femoral pulse
Pulse felt on either side of the groin; Femoral artery. blood pressure is at least 70
systolic.
brachial pulse
,the pulse felt in the upper arm. (often used for infants.)
radial pulse
the pulse felt at the wrist. blood pressure is at least 80 systolic.
pedal pulse
The pulse rate obtained on the top of the foot. blood pressure is at least 90-100 systolic
how to take pulse
count for 15 sec and multiply beats by 4
AVPU score
Alert, Verbally responsive, Pain responsive, Unresponsive
how to open airway
head tilt chin lift-
*do not perform on suspected c-spine injury
jaw thrust maneuver- *use if you suspect a neck injury and tilt head to slight sniffing
position or neutral position. use thumbs to pull down lower jaw.
OPA (oropharyngeal airway)
Oral airway
Used to maintain or open a patient's airway. It does this by preventing the tongue from
covering the epiglottis.
, *used in patients with no gag reflex
*measure from the edge of the mouth to the angle of the jaw to determine the correct
size .
*insert with the tip pointing to the top of the head then rotate 180 degrees until position
NPA (nasal trumpet)
-can use on patients with a gag reflex
-patients who are snoring or have ETOH are common
-measure from the nare to the tip of the earlobe
-use surgical lube to help with insertion
- right nare is usually largest
FiO2
fraction of inspired oxygen
percent of O2 being delivered. may be expressed as percent or decimal.
Golden Hour
the 60-minute period after a severe injury; it is the maximum acceptable time between
the injury and initiation of surgery for the seriously injured trauma patient.
Blast Injuries phases
1.primary
2.secondary
3.tertiary