CWI

Question 1

1. What are the C/I for SGA?

Answer 1

1. Intact gag reflex or resistance to insertion
2. Strong jaw tone or trismus
3. Suspected epiglottitis or upper airway obstruction

Question 2

2. What are the indications and C/I for OPA?

Answer 2

Indications:
1. Uncon pt need to Mx airway
2. Bite block
C/I:
1. Trismus
2. Gag reflex
3. TBI with adequate ventilation

Question 3

3. What are the indications, C/I and Prec for NPA?

Answer 3

Indication: Support airway patency in uncon pt - preferable in pts with trismus, oral trauma or gag reflex
C/I: Nil
Prec: Facial # or basal skull #; TBI (fear of stimulating gag reflex)

Question 4

4. What are the Indications and C/I for CT6?

Answer 4

Indications:
• Middle third femur fractures, including compound.
• Upper two-third tibia fractures, including compound.

C/I:
• Knee or ankle/foot trauma: May increase pain and worsen other injuries.

Question 5

5. What are the Indications and C/I for Pelvic binder?

Answer 5

Indications:
• Suspected pelvic fracture.
• An awake patient c/o pain to pelvic area including lower back (sacroiliac joint), groin or hips.
• An unconscious/ALOC pt with significant MOI
• Traumatic cardiac arrest - a pelvic splint should be applied as a matter of clinical priority if
MOI is suggestive of a pelvic fracture.

C/I:
• Impaled object preventing application.

Question 6

6. What are the precautions for i-gel?

Answer 6

1. Inability to prepare pt in sniffing position
2. Pts who require high airway pressures - advanced pregnancy, obesity, decreased pulmonary compliance, severe asthma (resistance)
3. Paed pts with enlarged tonsils
4. Vomit in the airway

Question 7

7. What are the indications for Rigid Cervical Collar?

Answer 7

1. Major trauma pt following blunt force to head/trunk
2. Awake pt c/o traumatic pain to c-spine, unable to cleared from NEXUS
3. Uncon/ALOC with significant MOI
4. Neuro deficit/changes

Question 8

8. What are the C/I of Rigid Cervical Collar?

Answer 8

1. Vertebral column unable to be neutrally aligned to due disease or anatomical deformity
2. Application causes increase in pain/neuro Sx
3. Unable to size appropriately
4. Pt non-compliant

Question 9

9. What are the C/I for CPAP?

Answer 9

Airway: inability to Mx airway (ACS, vomiting, secretions), UAO
Breathing: hypoventilation, untreated TPT
Circulation: Haemodynamic instability (severe hypotension, ventricular arrhythmias
Other: injuries precluding mask application

Question 10

10. What are the precautions for CPAP?

Answer 10

1. Hypovolaemia
2. Post chest decompression
3. Right ventricular failure
   Pt with these should be closely monitored for haemodynamic compromise or TPT following CPAP

Question 11

11. What are the indications for Quickclot haemostatic dressing?

Answer 11

1. Uncontrolled haemorrhage from a non-compressible wound site
2. Any traumatic haemorrhage that is not controlled by basic haemorrhage control
3. Severe limb wounds not controlled by two Combat Application Tourniquets
4. Multi casualty scenes where numbers require rapid Rx

Question 12

12. What are the C/I of Quickclot haemostatic dressing?

Answer 12

1. Bleeding that can be controlled with basic first aid
2. Ocular trauma
3. Not to be used where unlikely to contact point of bleeding i.e. PV/PR

Question 13

13. What are the indications and C/I of Helmet removal?

Answer 13

Indications:

1. Conscious pt with full face helmet and suspected SCI
2. Uncon pt with suspected SCI

C/I:

1. Penetrating trauma through helmet
2. Removal increases neuro deficit

Question 14

14. What are the C/I for soft cervical collar?

Answer 14

1. Surgical airway
2. Penetrating neck trauma
3. Unable to achieve neutral position

Question 15

15. What are the Indications and C/I for Valsalva?

Answer 15

Indications: AVRT or AVNRT

C/I: 1. SBP<90 2. Unstable/rapidly deteriorating pt 3. Af or Flutter