1
Q
Intranasal Adrenaline Indications (2)
A
- Mild Epistaxis if bleeding isn’t controlled with firm compression for 15 mins
- Moderate to severe epistaxis
2
Q
Intranasal Adrenaline Contraindications
A
None
3
Q
Intranasal Adrenaline Cautions (2)
A
- Myocardial Ischaemia
- Tachydysrhythmias
4
Q
Intramuscular Adrenaline Indications (2)
A
- Anaphylaxis
- Severe Asthma
5
Q
Intramuscular Adrenaline Contraindications
A
None
6
Q
Intramuscular Adrenaline Cautions (2)
A
- Myocardial Ischaemia
- Tachydysrhythmias
7
Q
Nebulised Adrenaline Indications (1)
A
- Stridor causing moderate to severe respiratory distress
8
Q
Nebulised Adrenaline Contraindications
A
None
9
Q
Nebulised Adrenaline Cautions (2)
A
- Myocardial Ischaemia
- Tachydysrhythmias
10
Q
Topical Adrenaline Indications (1)
A
- If clinically significant external bleeding continues despite direct pressure and the wound is unsuitable for tourniquet application
11
Q
Topical Adrenaline Contraindications
A
None
12
Q
Topical Adrenaline Cautions (2)
A
- Myocardial Ischaemia
- Tachydysrhythmias
13
Q
Abdominal Assessment Indications (1)
A
Any patient with a suspected abdominal condition or injury
14
Q
Abdominal Assessment Cautions (1)
A
Severe abdominal pain (some pts can’t tolerate a comprehensive assessment because of their pain)
15
Q
Abdominal Assessment Contraindications
A
None
16
Q
Lumbar Back Pain Assessment Indications (1)
A
Presence of non-traumatic lumbar back pain
17
Q
Lumbar Back Pain Assessment Contraindications
A
None
17
Q
Lumbar Back Pain Assessment Cautions (1)
A
A time critical condition (transport can be more important than comprehensive assessment)
18
Q
Neurological Assessment Indications (2)
A
- Patients with impaired LOC
- Patients with suspected neurological dysfunction
18
Q
Cardiovascular Assessment Indications (1)
A
All patients who have a condition that may affect/be affected by the cardiovascular system
18
Q
Cardiovascular Assessment Contraindications/Cautions (2)
A
- Immediately life threatening condition (can help make a provisional diagnosis)
- Abridged/modified version (injuries or complications that impair ability to complete the assessment eg lowered GCS)
19
Q
Neurological Assessment Contraindications
A
None
20
Q
Neurological Assessment Cautions (1)
A
- Time critical condition
21
Q
Respiratory Assessment Indications (1)
A
All patients with abnormal signs or symptoms associated with the respiratory system
22
Respiratory Assessment Contraindications/Cautions (2)
1. Immediately life threatening condition (can help make a provisional diagnosis)
2. Abridged/modified version (injuries or complications that impair ability to complete the assessment eg lowered GCS)
23
Bimanual Compression Indications (1)
PPH when bleeding is severe and patient is deteriorating
24
Bimanual Compression Contraindications/Cautions
None
25
Cervical Collar Application Indications (3)
1. Cervical spine cannot be cleared AND
2. Significant posterior midline tenderness OR
3. Signs and symptoms of SCI
26
Cervical Collar Application Cautions (2)
1. Patient is uncooperative (can cause movement and/or agitation)
2. Pre-existing abnormality of cervical spine (can alter normal anatomical position)
26
Cervical Collar Application Contraindications (1)
1. Patient is unconscious
27
Valsalva Manoeuvre Contraindications (3)
1. Patient cannot obey commands
2. Has been attempted by crew twice with no success of reversion
3. Dysrhythmia is not the primary problem
27
Valsalva Manoeuvre Indications (2)
1. SVT with ventricular rate > or = to 150bpm AND
2. 12 lead has been acquired
28
Valsalva Manoeuvre Cautions (1)
1. <12 years old (seek clinical advise)
29
Sager Splint Indications (1)
1. Suspected fracture involving the shaft of femur
2. aged < or = to 6 (paeds sager indication)
30
Sager Splint Contraindications
None
31
Sager Splint Cautions (3)
1. Time critical injury (tie legs together instead)
2. Suspected pelvis fracture
3. Suspected lower leg, foot, or ankle fracture
32
LMA and Magill Forceps for FBAO Indications (3)
1. Foreign body airway obstruction AND
2. Unconscious with inadequate ventilation AND
3. Can't be removed under direct vision with finger sweep
33
LMA and Magill Forceps for FBAO Contraindications (1)
1. Patient is conscious
34
LMA and Magill Forceps for FBAO Cautions
None
35
LMA Indications (3)
1. GCS 3 and airway is poor despite OPA/NPA/jaw thrust
2. Cardiac arrest providing endotracheal tube cannot be placed
3. Rescue airway in a failed intubation
36
LMA Contraindications/Cautions (5)
1. Trismus/restricted mouth opening
2. Gag reflex present
3. Active vomiting
4. Upper airway obstruction
5. Distorted airway (trauma or pre-existing)
37
PEEP Indications (2)
1. When manual BVM is being used to provide ventilation
2. CPO is CPAP is indicated but unavailable
38
PEEP Contraindications (1)
1. Cardiac arrest for an adult or child (excludes neonates)
39
PEEP Cautions (2)
1. ETT or LMA is being used and there are signs of shock
2. Ventilation being given via BVM and patient has altered LOC, vomiting, or signs of shock
40
Patella Relocation Indications (1)
1. Isolated patella dislocation
41
Patella Relocation Contraindications
None
42
Patella Relocation Cautions (1)
1. Dislocation is complicated by obvious fracture, significant trauma, or dislocations that appear to involve more than just the patella
43
Blocked Urinary Catheter Indications (1)
1. Blocked urethral or suprapubic indwelling urinary catheter that cannot be replaced within the next few hours
44
Blocked Urinary Catheter Contraindications/Cautions (2)
1. Surgery on the renal tract or prostate in the last 4 weeks
2. Signs of sepsis
45
Tourniquet Indications (4)
1. Severe bleeding from a limb that is uncontrolled despite firm, direct and sustained pressure
2. Life threatening bleed from limb
3. Severe bleeding from a limb when the bleeding site cannot be reached
4. Crush injury of a limb (or more) that is trapped under a weight for more than 60 minutes, prior to release
46
Tourniquet Contraindications/Cautions
None
47
Pelvic Splint Indications (2)
1. Pelvic fracture is possible or suspected and there are signs of hypovolaemia
2. Cardiac arrest secondary to trauma, if pelvic injury is suspected
48
Pelvic Splint Contraindications
None
49
Pelvic Splint Cautions (1)
1. Isolated neck of femur fractures should not have a pelvic splint applied as the pressure exerted on the greater trochanter may worsen pain and the severity of injury
50
Shoulder Relocation Indications (5)
1. The patient has had previous dislocation of the
same joint AND
2. The shoulder is dislocated anteriorly AND
3. There is no clear evidence of acromioclavicular
joint dislocation AND
4. There is no clear evidence of a fracture, including
the humerus AND
5. The dislocation is a result of malpositioning and/or
a relatively minor force
51
Shoulder Relocation Contraindications (5)
1. First time dislocation of the joint
2. Dislocation other than anterior eg posterior
3. Possible acromioclavicular joint dislocation
4. Possible fracture, including the humerus
5. Dislocation which has occurred because of a major
force, due to an increased likelihood of associated
fractures
52
Shoulder Relocation Cautions
None
EMT
flashcards
Decks in class (3)
# Cards
