CPO First Aid – Flashcards

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EMS System
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a network of trained officials linked to provide advanced, out-of-hospital care for victims of sudden traumatic injury or illness.
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EMT
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Emergency Medical Technician
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ABCs
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Airway, Breathing, & Circulation
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CPR
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Cardiopulmonary Resuscitation
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CJ First Aid Provider Responsibilities
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a. Protect your safety, patient safety, and safety of bystanders b. Gain access to the patient c. Determine life-threatening emergencies d. Maintain composure. e. Keep your appearance neat, clean, and professional. f. Maintain a caring attitude g. Alert EMS h. Provide care based on your assessment and skill level i. Assist EMS personnel j. Keep your skills current k. Participate in the record keeping and data collection your agency requires. l. Act as a liaison with other public safety personnel.
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Duty to Act
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a duty to take some action to prevent harm to another and for the failure of which one may be liable depending on the relationship of the parties and the circumstances.
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Standard or Scope of Care
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the degree of care that a reasonable person should exercise; under the law of negligence it is" the conduct demanded of a person in a given situation.
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Good Samaritan Act
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protects a civilian first aid provider from liability for medical care performed in good faith or medical care similar to that expected of another first aid provider with equal training.
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Abandonment
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the relinquishing of a right or interest with the intention of never again claiming it
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Negligence
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the failure to exercise the standard of care that a reasonably prudent person would have exercised in a similar situation; any conduct that falls below the legal standard established to protect others against unreasonable risk of harm, except for conduct that is intentionally, wantonly, or willfully disregardful of other's rights
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4 condition necessary for Negligence to occur
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a. Duty to Act b. Breach of standard of care c. Causation d. Damages
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Battery
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Unlawful physical contact; when you provide emergency care without the patient's consent, you can be charged if you touch a patient's body or clothes
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Consent
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Agreement, approval, or permission as to some act of purpose, especially given voluntarily by the competent person
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3 types of consent
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a. expressed consent b. implied consent c. informed consent
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DNR/DNRO
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Do Not Resuscitate (Order) only terminally ill patients can get these; must be signed by patient and a physician
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Advanced Directive
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documents the patient's request to withhold specific medical care; anyone can obtain one of these
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Implied Consent
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consent inferred from one's conduct rather than from one's direct expression; this is the type of consent from an unconscious patient
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Expressed Consent
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consent that is clearly and unmistakably stated
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Informed Consent
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a person's agreement to allow something to happen made with full knowledge of the risks involved and the alternatives
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Medic Alert
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identification bracelet or necklace or wallet card, that alerts you to a specific medical condition
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Organ Donor
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someone that has written legal documentation, a signed donor card, or an organ donor designation on driver's license that indicates that patient is an organ donor.
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HIPAA of 1996
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Health Insurance Portability and Accountability Act of 1996; protects the rights of patients and the release of patient information.
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Signs of Stress
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a. inability to concentrate b. anxiety c. guilt d. changes in sexual desire e. changes in work or recreation habits f. difficulty sleeping, nightmares g. inability to make decisions h. changes in appetite i. isolation
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3 Ways to Deal with Stress
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a. Nutrition b. Exercise c. Relaxation
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On-Scene Stress Relief Techniques
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a. breathing: take several long, deep breaths; focus on counting each breath b. thought patterns: concsciously change your thought patterns; remind yourself that you are essential and in control
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5 Grief Stages (both family and officer)
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a. denial b. anger c. bargaining d. depression e. acceptance
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BSI
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Body Substance Isolation
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Universal Precautions
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a set of procedures designed to prevent transmission of human immunodeficiency virus (HIV), hepatitis B virus, and other bloodborne pathogens to first aid or health care providers
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PPE
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Personal Protective Equipment
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Types of PPE
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a. Disposable Gloves b. Hand Washing c. Protective Eyewear d. Protective Clothing e. Masks
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MRSA
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Methicillin-Resistant Staphylococcus Aureus; type of bacteria that is highly contagious and resistant to certain antibiotics (Staph Infections)
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Precautions to Avoid MRSA
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a, Shower with soap and water asap b. do not share equipment, towels, soap, or any personal care items c. do not share drinking containers d. do not share ointments, creams, or antibiotics e. keep your hands away from your nose, mouth, and eyes f. keep all skin wounds completely covered with a bandage g. wash towels, equipment, uniforms, and any other laundry in hot water and detergent daily
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AIDS
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Aquired Immune Deficiency Syndrome
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Airborne Infection
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any infection that is spread from person to person through the air
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CDC
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Center for Disease Control & Prevention
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hepatitis A virus
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technically not bloodborne, highly infectious but is preventable with BSI and appropriate PPE trasmitted through person to person contact, generally through fecal contamination and oral ingestion.
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hepatitis B virus
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outside occupational setting, sexual contact or sharing contaminated needles is the primary transmission methods. Can remain infectious in dried body fluids for an undetermined time.
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hepatitis C virus
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most common chronic bloodborne infection in the US, approximately 1/3 of infected persons pass through jails and prisons each year. direct contact with blood is how infected, rarely transmitted through sexual contact
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HIV
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Human Immunodeficiency Virus; attacks the immune system, causes AIDS; three stages: asymptomatic, symptomatic, and AIDS
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STD
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Sexually Transmitted Diseases; among the most common infectious diseases in the US; at least 20 identifiable sexually transmitted diseases and infections, seven are the most common: chlamydia, genital herpes, genital warts, gonorrhea, HIV infection and AIDS, syphilis, and hepatitis B. ALL are PREVENTABLE
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TB
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Tuberculosis; 1/3 of worlds population has TB; is an airborne infection
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OSHA
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Occupational Safety and Health Administration
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Cardiac Muscles
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work constantly to expand and contract the heart
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Central Nervous System
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located in the brain and in the spinal cord
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Circulatory System
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pumps blood throughout the body; functions to deliver oxygen and nutrients to and remove waste from the body's tissues
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Digestive System
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has two main functions: ingesting and digesting food and nutrients
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Endocrine System
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regulates body systems by secreting hormones directly into the bloodstream from glands
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Femur
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The upper leg, the longest, strongest bone in the human body (thigh bone)
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Genitourinary System
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responsible for reproduction and waste removal
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Involumtary Muscles
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smooth muscles; carry out many automatic body functions
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Muscular System
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gives the body shape, protects internal organs, and provides body movement
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Nervous System
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controls voluntary and involuntary body activity; also supports higher mental functions, such as thought and emotion
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Peripheral Nervous System
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includes nerves that connect to the spinal cord and branch out to every other part of the body; serve as a two-way communication system.
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Respiratory System
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delivers oxygen to and removes carbon dioxide from the blood
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Skeletal System
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the supporting framework for the body, giving shape and protecting vital organs
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Skin
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serves as the protective covering for the inside of the body
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Voluntary Muscles
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attached to the skeleton and under the control of the nervous system and brain
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Trachea
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windpipe; passage that connects the upper airway with the lower airway
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Diaphragm
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large muscle below the lungs at the bottom of the chest cavity assists in moving air in and out of the lungs
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Epiglottis
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small leaf-shaped flap at the upper end of the trachea
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Steps to Scene Size-Up
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a. scene safety b. mechanism of injury or nature of the illness c. number of victims d. need for additional rescuers or equipment
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Whose safety is #1 priority
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The officer; patient and bystanders are next
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Mechanism of Injury
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Try to figure out what happened; what was the cause of the incident or injury
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AVPU
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Alert Verbal Pain Unresponsiveness these are the four levels of responsiveness
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When suspect a spinal injury, use what maneuver to establish airway?
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Jaw Thrust
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If initial assessment suggest spinal injury, what is the first step?
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C-Spine; manually stabilize the patient's head and neck in the position you found them
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Initial Assessment consists of what?
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ABCs Airway, Breathing, & Circulation
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LOC
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Level of Consciousness includes attemping to determine if the illness or injury has changed the patient's mental status.
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How do you assess patient's breathing?
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Place side of your face near the patient's mouth and nose and listen for breathing and chest rising and falling
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How do you calculate breathing rate?
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Watch patient's chest rise; count number of breaths taken over 15 seconds; multiply that number by 4
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How do you calculate pulse rate?
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Count number of beats for 15 seconds; multiply that number by 4
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What is normal breathing rates for adults, children, and infants?
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adult: 12 - 20 breaths per minute (bpm) child: 15 - 30 bpm infant: 25 - 50 bpm
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What is the normal pulse rates for adults, children, and infants?
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adult: 60 - 100 bpm Child: 100 - 120 bpm infant: 120 - 160 bpm
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Quality of breathing is classified how? What does each classification mean?
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a. rhythm - interval between breaths - regular: equal time between - irregular: time varies between b. depth of breath - manner of breathing - normal: average/hardly noticeable - shallow: short gasps;very little flow - deep:hyperventilation;largeairflow c. labored or painful breathing (relay rate first and then the qualities, for example, "slow, irregular, and shallow")
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Perfusion
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pulse rate
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How do you assess circulation of patient?
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perfusion (pulse rate), skin color, and skin temperature
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Pulse quality is classified how? What does each classification mean?
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a. rate: normal or outside normal b. rhythm: interval between beats - regular: equal time between beats - irregular: time varies between beats c. force: strength of the pulse - bounding: strong pulse - weak: pulse you can barely feel - also called "thready" (relay rate first and then the quality; example: "slow, irregular, and weak")
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Where do you check pulse on patients, dependent of consciousness and age?
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conscious adult/child: radial pulse unconscious adult/child: carotid pulse infant: brachial pulse
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How do you check skin temperature?
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Use back of hand on the patient's forehead
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Where are the following pulse found: carotid, brachial, radial, and pedal
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carotid: neck brachial: inside of upper arm radial: inside of wrist on the thumb side pedal: top of foot (on bridge) or near ankle
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Cool skin could mean?
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could be suffering from heat exhaustion, shock, or exposure to a cold environment
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Hot feeling skin could mean?
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could have a fever or heat stroke
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If skin feels hot in one spot only, this could mean?
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Could be an infected area
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Change in body temperature could mean?
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could indicate poor circulation
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Skin quality indicates possible circulation problems; list the skin color and conditions
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a. pale b. red (flush) c. blue (cyanosis) d. yellow (jaundice) e. moist f. dry
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Closed Fracture
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The skin at the injury site remains intact
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Signs/Conditions that Rapidly lead to Shock
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a. uncontrolled bleeding b. tender and/or distended abdomen (internal bleeding) c. unstable pelvis d. femur fractures e. anaphylaxis (severe allergic reaction)
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Physical (Secondary) Assessment
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a thorough head-to-toe evaluation performed to find other signs of injury or illness by looking, listening, and feeling. carefully work from head-to-toe, inspecting and palpating (touching) each body part before moving to the next
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DOTS
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Deformities Open Injuries Tenderness Swelling This is what trying to assess during the physical assessment.
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Steps of the Physical Assessment
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a. Start at the head b. gently palpate the scalp and skull c. gently palpate the cervical or neck area d. gently squeeze the shoulders e. palpate the chest f. squeeze lightly on the ribcage g. palpate the abdomen h. palpate the pelvis, gently squeeze inward and down i. gently palpate the entire length of each leg; check the PMS (pulse, motor, and sensory capacity in each extremity; check CR j. gently palpate the entire length of each arm; check the PMS and CR k. Check back area for any fluids or injury
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Cyanosis
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skin is blue in color; caused by lack of oxygen
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distal circulation
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circulation that occurs at the furthest point of the central core (arms and legs)
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PMS
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Pulse, Motor, & Sensory Capacity when completing DOTS, in each extremity check the pulse, motor (can the feet push against your hands, can the hands squeeze two fingers), and the sensory capacity (can they tell you that your are pinching the bottom of their foot or their palm and where).
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SAMPLE
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Signs & Symptoms (what can see vs. what they tell you) Allergies (any they have) Medications (prescribed & over counter) Past History (vital/pertinent info) Last Oral Intake (food & medications) Events (what led to incident) method to help acquire vital information in determining causes of injury or illness when completing the physical assessment.
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If patient is stable, reassess when vs. unstable, reassess when?
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stable: 10 to 15 minutes unstable: Every 5 minutes
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Emergency Move
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when a patient is in immediate danger or the patient's location prevents providing care to that patient or another patient
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Positional Asphyxia
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used to describe the placement of a body in a position that interferes with the ability to breathe; application of physical restraints can contribute to this when subject is placed face down
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Recovery Position
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helps maintain an open airway if the patient becomes nauseated or vomits and may prevent positional asphyxia
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Walking Assist
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Most Common non-emergency move for a responsive, ambulatory patient; patients with leg injuries or visual impairments benefit from a walking assist
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Ambulatory
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Capable of walking
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Emergency Drags
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use if the patient is on the floor or ground; make every effort to maintain the patient's head, neck, and shoulder alignment
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Types of Emergency Drags
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One or Two Person Drag Blanket Drag Shoulder Drag Extremity Lift or Carry Two-Person Extremity Lift Two-Person Seat Carry
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Log Roll
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Use only when moving the patient is necessary or when assisting medical personnel; used to roll patient on to their back, front, or side
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MCI
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Multiple Casualty Incident Any incident that involves more than one victim.
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START
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Simple Triage And Rapid Treatment
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FOG
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Field Operations Guide
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RPM
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Respiration, Perfusion, Mental Status
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Classification of patients according to START protocols?
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RED - immediate YELLOW - delayed GREEN - ambulatory (minor) BLACK - deceased (expectant/non- salvageable)
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CR
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Capillary Refill
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Steps of RPM Assessment
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Assess respirations a. if rate is 30/min or less, go to perfusion b. if rate is over 30/min, tag RED c. if the victim is not breathing open the airway, remove obstructions if seen, and assess for (a) or (b) above. d. if the victim is still not breathing, tag BLACK Assess perfusion a. palpate a radial pulse or assessing CR time b. if no radial pulse is present or the CR time is greater than two seconds, tag RED c. if radial pulse is present or CR is two seconds or less, go to mental status assessment Assess mental status a. assess victim's ability to follow simple commands and their orientation to time, place, and person b. if the victim follows simple commands, tag YELLOW c. if the victim does not follow simple commands, is unconscious, or disoriented, tag RED d. Note: Depending on injuries (burns, fractures, bleeding) it may be necessary to tag YELLOW
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ICS
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Incident Command System
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Triage
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term given to sorting and classifying patients; determines which order patients receive medical attention
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Shock
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the failure of the heart and blood vessels to maintain enough oxygen-rich blood flowing to the vital organs of the body; occurs to some degree with every illness or injury Can be life-threatening
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Signs and Symptoms of Shock
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a. anxiety, restlessness, and fainting b. nausea and vomiting c. excessive thirst d. eyes that are vacant and dull with large pupils e. shallow, rapid, and irregular breathing f. pale, cool, or moist (clammy) skin g. weak, rapid, or absent pulse (distal)
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Treatment for Shock
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a. maintain an open airway b. prevent further blood loss by controlling bleeding c. elevate the lower extremities - 6 to 12 in. - if suspect serious head, neck, spinal, or pelvic injuries do not elevate d. keep the patient warm (imperative) e. perform ongoing assessment/maintain ABCs f. be prepared to perform CPR and use an AED if available.
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Abrasion
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open wound caused by scraping, shearing away, or rubbing the outermost skin layer
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Amputation
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gross removal of appendage
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3 Types of Bleeding and description
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Arterial Bleeding: bright red blood spurts from a wound, indicating a severed or damaged artery; carries oxygenated blood Capillary Bleeding: dark red blood oozes slowly from a wound, indicating damaged capillaries (i.e. road rash) Venous Bleeding: dark red blood flows steadily from a wound, indicating a severed or damaged vein (deoxygenated blood)
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Avulsion
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injury characterized by a flap of torn or cut skin that may not be completely loose from the body
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Bruising
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is the obvious discoloration (black & blue) of the soft tissue at the injury site
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How to Treat/Control Bleeding
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a. BSI & PPE b. Cover the wound with a clean dressing c. apply direct pressure - if the 1st layer does not control, do NOT remove it, apply additional layers d. elevate and injured extremity - raise above the heart, while still applying pressure e. Use pressure point - brachial artery: inner arm just above elbow - femoral artery: inner portion of each leg just below the groin f. Last resort is a tourniquet
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Contusion
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a closed injury that is discolored and painful at the injury site; indication of internal bleeding
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Evisceration
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open wound where the organs protude
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Hematoma
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a closed injury that appears as a discolored lump
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Laceration
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open wound that varies in depth and width
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Puncture Wound
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result of driving a sharp or blunt, pointed object into soft tissue
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Swelling
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the soft tissue raised when blood or other body fluids pool beneath the skin at the injury site
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Tourniquet
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a device that restricts blood flow to an extremity, such as an arm or leg; only used as a last resort when the amount of blood lost endangers the victim's life and all other methods have failed
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Dressing vs. Bandage
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Dressing - covering applied directly to wounds. Bandages - coverings that hold dressings in place; they do NOT touch the wound
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Treatment for Closed Soft Tissue Injuries
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Treat a large contusion by applying a cold compress to the injury site and elevating if the injury is in an extremity - contusion is an indication of internal bleeding; large contusions the size of the victim's fist may indicate a 10% blood loss due to the blood pooled at the injury site Small contusions normally do not require treatment; applying cold compress can reduce pain and swelling
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Open Fracture
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the skin at the injury site is broken, and the bone may protrude through the skin; if lacerations appear near the fractured bone, treat the break as an open fracture because you do not know if the bone penetrated the skin
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MOI
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Mechanism of Injury Force breaks a bone
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Types of Force for MOI
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Direct Force: causes injury at the point of impact; force may be delivered from a blow to the head with a baseball bat or as a driver's chest hits the steering wheel Indirect Force: causes injury past the point of impact; the break may occur when a falling person extends the arms to break the fall and breaks his or her elbows Twisting Force: causes injury when one part of a limb remains stationary, while the other twists; the result can be a spiral fracture, a bone break often caused by a sports injury or physical abuse
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Dislocation
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occurs when the end of a bone comes out of its socket at the joint; treatment is the same as with sprains, strains, and fractured bones
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Fracture
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medical term for a broken bone
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Steps to Assessing Prior to and After Splinting
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a. BSI & PPE b. check for DOTS c. check for PMS d. ask patient if feels pain at injury area e. compare the injured extremity to the uninjured extremity f. look for deformities
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Treatment for Fractured Bones
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a. BSI & PPE b. if bone is exposed - cover the exposed bone with dressing - splint the extremity in position found - if suspect: - fractured rib: watch for both sides of the chest to rise and fall equally as the patient breathes. (flail chest or collapsed lung) - fractured skull: assess by gently palpating the head to find deformity - fractured neck, back, or pelvis: assess for pain, movement, and sensation in the feet; unless life-threatening, perform spinal immobilization and wait for EMS - ankle injury: if wearing boots, leave them on and splint around boot - femur fracture: may be life- threatening due to blood loss Treating life-threatening conditions takes precendence over treating fractured bones; life over limb!!
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Splint, Sling, and Swath (SSS)
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Remove jewelry from patient's injured extremity before splinting or have the patient family remove the jewelry; if you remove it, then make sure you document it. To splint properly, immobilize the joints above and below the injury. If you feel a distal pulse, splint the extremity as you find it. To support an injured upper extremity, splint first, then sling and swath. A swath supports the arm, taking pressure off the collarbone; it prevents the arm from moving away from the body.
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Two types of Amputation
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Complete & Incomplete
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Impaled Object
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an object that punctures the soft tissue and stays in place; DO NOT remove the object, unless it obstructs the airway
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Occlusive Dressing
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Airtight bandage used for deep lacerations where it is imperative to keep air from entering the area (i.e. neck wounds). If none available, can use other items such as aluminum foil, saran wrap, plastic bag, etc.
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How to treat Nosebleeds
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A nosebleed can cause shock if enough blood is lost and can be a threat to an unresponsive patient's airway. Instruct patient to sit down and lean forward - NEVER tip patient's head backwards - but not so far that their head is below the heart. If cannot sit and are lying down, elevate the head and shoulders so blood does not drain down the throat. Instruct patient to not blow their nose for several hours, doing so can dislodge naturally clotted blood.
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Signs and Symptoms of Spinal Injuries
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a. constant or intermittent pain or tenderness in the spinal column b. weakness in the legs with or without movement c. respiratory distress d. injury to the head, neck, shoulders, back, and abdomen e. tingling, numbness, loss of sensation in upper or lower extremities f. obvious deformity of the spine (rarely seen) g. loss of bladder or bowel control h. persistent erection in males (lower back injury)
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If suspect Spinal Injury what do you do?
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Stablize the patient's head and neck (C-Spine) and keep in position until EMS completely immobilizes the patient
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Abdominal Evisceration
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an open wound where the organs protrude from the abdominal cavity; use moist dressing to wrap the organs in before using a occlusive dressing over the dressed organs and wound.
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Closed Chest Injury
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results from blunt trauma to the chest area; it damages internal organs and/or causes internal bleeding
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Flail Chest
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a type of closed chest injury; it occurs when two or more adjacent ribs are fractured in two or more places and become free floating
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Open Chest Injury
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occurs when penetration opens the chest area; must use occlusive dressing (taped on three sides to allow a flap for air to escape the chest area, but no air is let into the chest through the wound)
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Sucking Chest Injury
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a type of open chest injury in which air and blood escape into the area surrounding the lungs, creating a change in the pressure in the chest cavity.
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Full Thickness Burn
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3rd degree; damage all skin layers and affect muscles and nerves; skin looks waxy, white, or charred.
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Inhalation Burn
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a burn to any part of the airway; may cause swelling that will obstruct the airway
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Partial Thickness Burn
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2nd degree; damage the first two skin layers, which blister and feel very painful; Do NOT puncture blisters, as the open wound is vulnerable to infection; try to keep blisters intact
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Superficial Burn
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1st degree; damage the first layer of skin, which becomes red and feels very painful; i.e. sunburn
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Amniotic Sac
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bag of fluid surrounding the fetus
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Birth Canal
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passage the fetus is pushed through during delivery
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Cervix
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neck of the uterus; contains a mucus plug
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Dilation
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preparation; first stage begins with the first contraction and continues until the fetus enters the birth canal
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Expulsion
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delivery of the baby; the second stage, the fetus moves through the birth canal and is born
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Labor
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begins the birthing process; begins with the 1st contraction and ends when completely dilated and baby is born
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Placenta
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disk-shaped inner lining of the uterus; provides nourishment and oxygen to the developing fetus
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Placental
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delivery of the placenta; the third stage, the placenta separates from the uterine wall and moves through the birth canal for delivery. This stage usually occurs within 30 minutes of the delivery.
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Umbilical Cord
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cord connecting the fetus and the mother; transports nourishment to the fetus
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Uterus
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organ that holds te developing fetus
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Asthma
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results from the narrowing of airway passages, which causes breathing difficulties; signs and symptoms are breathing difficulty while exhaling, rapid breathing, cyanosis, and a wheezing or whistling sound
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Heart Attack
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caused by oxygen deprivation to part of the heart, typically from blocked blood vessel; may lead to cardiac arrest
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Stroke
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damage to part of the brain due to rupture or blockage of a blood vessel; time is of the essence for transportation and professional treatment; have 3 hours from onset of symptoms for an obstructive stroke
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Thermal Burn
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external heat source (i.e. iron, curling iron); seperate patient from the heat source and apply water
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Chemical Burn
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When chemicals come in contact with the skin (i.e. dry lime); brush off any dry residue and then irrigate the burn with water for at least 20 minutes
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Electrical Burn
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occurs from manmade electricity or lightning; safety first, be sure that the power company shuts off the power if manmade; check for ENTRANCE and EXIT wounds to determine if exposure affected major organs
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What is the first thing the mother should do when the baby is born?
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Should encourage the mother to nurse, it stimulates contractions of the uterus and helps to deliver the placenta and slow bleeding.
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Complications During Childbirth
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a. Prolapsed Umbilical Cord - umbilical cord comes out before the baby's birth b. Umbilical Cord Around the Neck - cord wraps around the baby's neck and you cannot remove the cord c. Breech Birth - occurs when the fetus's feet or buttocks present down the birth canal first d. Limb Presentation - fetus's leg or arm appear first; ER situation e. Excessive Bleeding After Delivery - mother loses about one or two cups of blood during normal childbirth f. Stillborn Delivery - baby who dies long before delivery generally has an unpleasant odor and exhibits no signs of life g. Multiple Births - Deliver in the same manner as single babies
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