Emergency Medical Procedures
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Questions and Answers

What can be assumed if a responding victim speaks?

  • Their airways are patent (correct)
  • They are breathing normally
  • They are not choking
  • They do not require further assessment
  • What is the ideal thoracic compression rate in paediatric CPR?

  • 60 bpm
  • 80 bpm
  • 150 bpm
  • 100 bpm (correct)
  • What is the primary function of the inner cannula in a tracheostomy?

  • To prevent tube obstruction
  • To connect to a mechanical ventilator
  • To allow regular cleaning and replacement (correct)
  • To administer medications
  • What is the initial response to an unconscious baby with complete airway obstruction?

    <p>Start with 5 back blows</p> Signup and view all the answers

    What is the purpose of the Lesser Maneuver?

    <p>To prevent intravenous administration of drugs</p> Signup and view all the answers

    When performing an intramuscular injection into the dorsogluteal site, which part of this muscle should be used?

    <p>The upper lateral quadrant</p> Signup and view all the answers

    What can be suspected if you find an unconscious casualty who has a blue puffer inhaler in their pocket?

    <p>The casualty suffers from asthma</p> Signup and view all the answers

    What is the safest site of choice for an intramuscular injection in adults?

    <p>Ventrogluteal site</p> Signup and view all the answers

    What is the purpose of a subcutaneous injection?

    <p>To allow slow absorption of a drug than the intramuscular or intravenous route</p> Signup and view all the answers

    What should you do when examining a conscious casualty?

    <p>Take a thorough history</p> Signup and view all the answers

    What is indicated by a watery fluid in the ear?

    <p>Basilar skull fracture</p> Signup and view all the answers

    What is the characteristic of drugs administered orally compared to other routes?

    <p>Slower onset and a more prolonged, but less potent effect</p> Signup and view all the answers

    What may indicate a skull fracture?

    <p>A clear fluid or watery blood coming from both nostrils</p> Signup and view all the answers

    Why is crushing a tablet before administration potentially dangerous?

    <p>It can alter the absorption rate of the drug</p> Signup and view all the answers

    What type of tablets should never be crushed?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Injection Techniques

    • The Z-track technique is used to prevent leakage of drugs in the subcutaneous tissue and minimize irritation caused by the drug.

    CPR and Airways

    • In a reacting/responding victim, if the victim speaks, their airways should be free.
    • Coughing can indicate choking, but it does not definitely exclude choking.
    • Neurological assessment should not be skipped in a reacting/responding victim.

    Paediatric CPR

    • The ideal thoracic compression rate in paediatric CPR is around 100 bpm.

    Tracheostomy

    • The inner cannula in a tracheostomy allows for regular cleaning to prevent tube obstruction.

    Airway Obstruction

    • If an unconscious baby has a complete airway obstruction, the indications are to start with 5 back blows.

    Injection Safety

    • The Lesser Maneuver ensures that the drug is not inadvertently administered intravenously.
    • The safest site of choice for an intramuscular injection in adults is the ventrogluteal site.

    Patient Assessment

    • When examining a conscious casualty, take a thorough history, check for signs, and ask about the presence of pain and its characteristics.

    Injection Sites

    • When performing an intramuscular injection into the dorsogluteal site, use the upper lateral quadrant of the muscle.
    • Avoid the sciatic nerve site and areas near major blood vessels.

    Medical Conditions

    • Finding a blue puffer inhaler on an unconscious casualty may indicate that the patient suffers from asthma.
    • A watery fluid in the ear is a sign of a basilar skull fracture.
    • Clear fluid or watery blood coming from both nostrils may indicate a skull fracture.

    Drug Administration

    • The purpose of a subcutaneous injection is to allow slow absorption of a drug compared to intramuscular or intravenous routes.
    • Drugs administered orally have a slower onset and a more prolonged, but less potent effect than drugs administered by other routes.
    • Crushing a tablet before administration can be ineffective for the patient and a dangerous practice, with certain tablets (e.g., sustained-release tablets) that should never be crushed.

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