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A & E General
A & E General Questions (Stack #116466)
| Question | Answer |
|---|---|
| (Q) Section 135 ? | - Admission for a period of 72 hours. - A person suffering from a mental illness can be removed from a private dwelling to a place of safety (hospital, not casualty) by a police officer or an approved social worker. - A magistrate's warrant is required |
| Section 136 ? | - Admission for a period of 72 hours. - A person suffering from mental illness can be removed from a public place to a place of safety (hospital) by a police officer or approved social worker. |
| (Q) Meningitis is ? | Inflammation of the Meninges due to organisms such as bacteria, viruses & fungi. |
| (Q) Menigitis Causes ? | Fever, Intense Headaches, Intolerance to light & Sound with Rigidity of Muscles (esp Neck) |
| (Q) Menigitis Severe Signs ? | Convulsions with Severe Vomiting. |
| Meningococcal Septicaemia ? | Cerebrospinal Fever. Epidemic form with rapid onset, Detectable by a rash that does not disapear when pressure is applied. |
| (Q) C.V.A.(Stroke) Positioning (Awake) ? | Put in a Semi Recumbent Position with head and shoulders both slightly raised. |
| (Q) C.V.A.(Stroke) Positioning (Unconscious) ? | In a Stable Side position with the Paralysed side UPPERMOST so as to avoid pressure on Injured side. |
| (Q) A.S.W. Travels in the Ambulance when ? | They do not have to travel with the patient, but (if they are travelling seperatley) they must give the admission papers to the ambulance crew. |
| (Q) Trendelenburg Patient Position ? | The body is laid flat on the back (supine position) with the feet higher than the head. |
| (Q) Trendelenburg Uses ? | For Shock. |
| (Q) When to take a Vehicle of the Road (VOR) ? (5) | 1.Dirty Vehicle 2.Break Down 3.Dirty Uniform 4.Welfare Issues 5.Injury or Accident |
| When can you not (VOR) ? (3) | 1.Fuel 2.Service Runs 3.Police Statements |
| What information do you have to provide ? (6) | 1.Reason 2.Callsign 3.Fleet Number, 4.Registration number, 5.Location. 6.If Puncture - tyre size, which tyre, Spare ? |
| (Q) Running Calls, Information Required ? (5) | 1. Callsign 2. Location 3. Incident Details 4. Are you Able to Deal 5. Your Initials |
| (Q) Unconsciousness Steps 1 2 3 ? (multiple patients) | 1. Continue as Normal 2. Procede with care, Keep Control Informed. 3. Withdraw, Isolate Yourself, Request specialist help. |
| (Q) Causes of Unconsciousness (Fish Shaped) | Faint. Infantile Convulsions. Shock. Head Injuries. Stroke. Heart Attack. Asphixia. Poisoning. Epilepsy. Diabieties. |
| (Q) Management of Unconsciousness ? (3) | 1.Primary Survey (D.R. A.B.C.D.E.). 2.Secondary Survey. 3.Positioning of Patient. |
| Danger - Primary Survey ? (4) | 1.Yourself. 2.Crewmate. 3.Bystanders. 4.Patient. |
| Responce - Primary Survey ? (4) | AVPU. 1.Alert. 2.Verbal. 3.Pain. 4.Unresponsive. |
| Airway - Primary Survey ? (4) | 1.Open the Airway as Required. 2.Maintain an Airway (clear obstruction). 3.Suction if required. 4.Protect with NP OP. |
| Breathing - Primary Survey ? (4 B.R.O.S.) ? | 1.BREATHING - Presence. 2.RESPIRATORY - Rate & Effort. 3.OXYGEN - Give High Flow. 4.SKIN - Colour for Changes. |
| Circulation - Primary Survey ? (4) | 1.Assess for Evidence of HAEMORRAGE. 2.Assess Skin Colour & Temperature. 3.Check Pulse, For RATE, VOLUME, REGULARITY. 4.Check CAP REFILL. |
| Disability - Primary Survey ? (3) | 1.Continually asses on AVPU Scale. 2.Check for Neurological Deficit (look for localised Sensations / Paralysis). 3.Assess Pupil Size & Response to Light (PEARL). |
| Evaluate - Primary Survey ? (2) | 1. If the patient is unresponsive or if there is any un-correctable problems with Airway, Breathing or Circulation, then the patient is deemed TIME CRITICAL, Contact control for advice. 2. Get help from Front-Line Crew,1sr Responder, Manager or Doctor. |
| Head, Check ? Secondary Survey (1 to 4 of 8) | 1.Skull for Irregularity or Scalp Wounds. 2. Ears for Fluid (Blood or CSF) 3. Eyes for Pupil Size & Reaction (PEARL) 4. Lips for Colour (Cyanosis) |
| Head, Check ? Secondary Survey (5 to 8 of 8) | 5. Jaw for Displacement. 6. Mouth for Loose Teeth or Abnormal Staining. 7. Airway & Insert an Oro-Pharyngeal Airway 8. Skin for Colour (pale, flushed etc), Texture (dry, moist etc) & Temperature (hot, cold etc). |
| Thorax, Check ? Secondary Survey (3) | 1.Clavicles for Fractures. 2.Sternum for Fractures. 3.Ribs for Fractures & Abnormal Movement. |
| Abdomen, Check ? Secondary Survey (2) | 1.Pelvis for Fractures, Abnormal Movement or Guarding. 2.Groin for Dampness. |
| Back, Check ? Secondary Survey (2) | 1.Spine for Irregularity. 2.Scapulae for Fractures. |
| Limbs , Check ? Secondary Survey (3) | 1.Irregularity, Deformity & Fractures (compare the limbs with each other). 2. For Flexation of the Joints without aggravating any Injuries. 3.For Signs of Drug Abuse (neddle Marks) |
| Identification, Check ? Secondary Survey (1) | 1.Identification & Medical Cards or Bracelets. |
| (Q) Elderly Medical Conditions ? (AC DC Probe) | A.Arteriosclerosis. C.Congestive Cardiac Failure. D.Diabeties. C.Cerebro Vascular Accident (CVA). P.Parkinsons Disease. R.Rheumatoid Athritis. O.Osteo-Arthritis. B.Brochitis. E.Emphysema. |
| (Q) What is Valid Consent ? (IVC) | Information + Volation + Capacity. = Valid Consent. |
| Consent Information ? | Giving the Patient FULL & Clear Information about their condition including Consequnces, & the Nature & Effect of the Treatment you are offering, upon which they can make an Informed and Balanced Decision. |
| Consent VOLATION ? | Patient Making a Conscious Decision or Expressing an Intention. Freedom of Choice witout COERSION. |
| Consent CAPACITY ? | Being Able to Understand & Retain Information Material to the Decision, Especialy the Potential Consequences of Both Having & Not Having the Treatment, & to Use & Weigh up this Information to make a Decision. |
| Consent - How do you Measure Capacity ? (4) | Patient being able to - 1.Comprehend the Information Given. 2.Retain this Information. 3.Weigh up this Information. 4.Communicate Their Decision. |
| Consent - What can EFFECT Capacity ? (MAIDS) | M - Mental State. A - Age. I - Illness. D - Drugs / Alcohol. S - Shock / Pain. |
| Consent Age ? | Over 16 to 17 years of age. However somebody with perental control can overrule them unless they are over 18. |
| Parts of the Brain ? (3) | Cerebrum, Cerebellum & Brain Stem. |
| Cerebrum - Componets ? | Consists of 2 Large Hemispheres. Left Controls Right side of the body & Vise Versa. |
| Cerebrum - Function ? (1 to 3 of 5) | 1.Motor Areas which Initiate the Contraction of Voluntary Muscles. 2.Sensory Areas which Receive Impulses from the Skin, Muscles, Bones & Joints. 3.Special Sense Centres which deal with Sight, Hearing, Smell, Taste & Touch. |
| Cerebrum - Function ? (4 to 5 of 5) | 4.Centres of "Higher Mental Powers" which allow for Consciousness, Memory, Intelligence, Reasoning etc. 5.The Centres (Thalamus & Hypothalamus) Which Control the Autonomic Nervous System & are Deep Inside the Base of the Cerebrum. |
Created by:
Paul Wakefield
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