Enviro Flashcards

(34 cards)

1
Q

Passive cooling

A

Removing a patient in the hot environment
Remove clothing turning on the AC, gentle Fanning

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2
Q

Active cooling

A

Applying anything internal or external
Tempt water
Ice to growing in armpits, never directly on the skin

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3
Q

Stop active cooling if

A

The target is 38°
Shivering start as the body temperature can cause thermogenesis, which is shivering

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4
Q

Heat cramps

A

Decrease in water and electrolytes through sweating
Cramps and fingers
Mentally alert
Skin warm, moist and pale
May pass out

Passive cooling

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5
Q

Heat Exhaustion

A

High temperature, but under 40°
Cool clan the skin
Possible altered LLC
Abdo cramps
Risks for athletes, elderly, and children, and outside workers

Passive cooling

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6
Q

Heat stroke

A

Temperature over 40°
Hot dry skin
Altered mental status
Total failure of thermal regulation

Acceptable to do active cooling

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7
Q

Normal body temperature

A

36.5to 37.5

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8
Q

Mild hypothermia

A

35
Shivering
Increase in blood pressure, heart rate, and respiratory rate

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9
Q

Moderate hypothermia

A

30-34
Shivering stops
Altered
Decrease in heart rate bp

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10
Q

Severe hypothermia

A

Anything under30
Coma
Not shivering
Undetectable pulse

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11
Q

Passive rewarming

A

Removing the patient from the cold environment
Do not rush handle and moderate or severe as this can cause cardiac arrest
Remove wet clothing, crank up the heat cover patient with a blanket

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12
Q

Actively warming

A

Heat packs
Warm drinks
Nothing to direct skin or extremities warming to quickly can lead to rewarming shock

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13
Q

What happens in rewarming shock?

A

Vasoconstriction in the extremities due to the cold and build up a metallic acidosis warming too fast, causes a peripheral reflex phase of dilation,
a.k.a. pushing cold, bad blood to the core

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14
Q

What is the treatment for moderate to severe

A

Supine
Active rewarming
Plus, all your typical things

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15
Q

Treatment for hypothermic cardiac arrest

A

Max of three shocks in hypothermic arrest, and we want no brakes and CPR
Remember kids a patient is not dead until they’re warm and dead prolong revival is expected

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16
Q

Frostbite superficial 1 degree /2degree

A

1st Freezing of the epidermal tissue
Redness, followed by blanching

Both white, and waxy swelling

2nd BLISTERS

17
Q

Deep Frostbite

A

Freezing of the epidermis and sub
White yellow mollted blue cold and frim
No sensation
Thawing equals extremely painful and purple This is where you can get a risk of amputation gangrene.

18
Q

Superficial treatment

A

Passive rewarming
Do not use direct heat
Do not massage
Separate toes and fingers
Dry, sterile dressing
Reduce swelling by elevating

19
Q

Deep Frostbite treatment

A

Do not thaw
Don’t allow it to thaw then refreeze keep it frozen

20
Q

Direct diving emergency

A

Barotrauma expansions of gases

21
Q

Indirect diving emergencies

A

Decompression illness

22
Q

Hape vs hace

A

Hape is high, altitude, pulmonary oedema

Hace high altitude, cerebral oedema

Number one priority is getting out of the altitude

23
Q

Freshwater versus saltwater, drowning

A

Fresh water washes out surfactant = aveoli collapse
Saltwater draws fluids from the bloodstream and pulmonary oedema occurs

24
Q

Risk Factors to drowning

A

Male
Under 20
Pre-existing conditions
Ineffective, safety
Hyperventilation

25
Three factors that increase heat loss
hypothyroidism Age Hypocalcaemia Malnourished Inability to shiver Immobility
26
Cold diuresis
The cardiovascular system hyperthermia, and do several changes in ability as a personal days of construction sensitive, watch the body core, the body volume receptors, interpret for increased slow as increase volume. Therefore the kidneys start to produce more urine
27
two types of heat stroke
Classic an external
28
How often do we take heat stroke finals?
Rectal temperature every 10 minutes 39
29
When does the body stop shivering
Once all glucose and glycogen is decompleted
30
Every drowning is classified and three categories
Hypoxia Acidosis Hypercapnia
31
Thermal burns
115
32
Live up to a what water submersion
90 Body starts preserving at any water under 21°
33
Fasciotomy
Incisions put into the skin to to relieve pressure in a burn
34
Cold sepsis
Dangerous stage of septic shock where a persons extremities such as hands feet become pale, cool and clammy, indicating impaired blood flow