BLS MedTech Final

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1st aid

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Description and Tags

182 Terms

1

1st aid

immediate care given to an injured or suddenly ill person before someone with more advanced training arrives and takes over. Provides temporary assistance until the victim receives proper medical care.

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2

consent

MUST HAVE;

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3

-Introduce yourself and level of training,

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-Why you think care is needed

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-What care you plan to provide

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-Consequences related to providing that care or refusal of care

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7

battery

unlawful touching of another person without consent

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8

in the absence of consent.......

-Explain the situation, stay calm

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9

-Inform dangers of refusal

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-Identify reasons for refusal

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-Stay with them until EMS arrives... (if condition is serious)

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12

expressed consent

consent given by legal adults in good mental state either verbally or nonverbally

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13

implied consent

-When working with an unresponsive or confused victim that cannot answer in a life threatening condition.

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14

-When a child is in a life threatening situation and parent/guardian is not available.

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15

abandonment

leaving a patient after beginning the provision of care

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16

negligence

not acting when there is a duty to act

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17

duty to act

if employer or preexisting requirement requires care (ex. firefighter or babysitter)

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18

breach of duty

When a first aid responder does not give the care that their level of training would allow, causing injury - did not provide acceptable standard of care

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19

acts of omission

failure to do what a responsible person with the same training would do in that situation.

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20

acts of commission

doing something that a reasonable person with the same training WOULD NOT do in that situation.

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21

HIPPA (Health Insurance Portability and Accountability Act)

-do not speak about patient details

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22

-do not give names

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-do not give identifying information

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24

-only release information if patient consents in writing or in a court of law

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-authorization not required if transferring patient to continued care

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26

Good Samaritan Law

-Provider is acting during an emergency

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-Acts in good faith - with good intentions

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-Acts without getting paid

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-Not guilty of malicious misconduct or gross negligence (deviating from first aid guidelines).

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life threatening conditions

  • airway obstruction

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  • no breathing

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  • no circulation

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  • profuse bleeding

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  • shock

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  • unresponsive

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  • signs of stroke

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  • burns, seizures, assault, poisoned

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38

Blood borne pathogens

Transmitted fluid to fluid - requires contact of mucous membrane or open wound to contaminated fluid

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39

Examples of bloodborne pathogens

  • Hepatitis A through C (no vaccine) - viral infections of the liver; can lead to cirrhosis (liver damage).

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  • HIV

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41

PPE (personal protective equipment)

mask, goggle, face shield, respirator, gloves

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42

Body Substance Isolation (BSI)

precautions taken to minimize exposure to all body fluids assumed to be a risk of transmission

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BSI precautions

-PPE

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-avoid contact

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-clean with 10% bleach

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-discard materials in specialized waste

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-wash exposure sites with soap and water

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-use paper towels

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scene safety (SAFE)

-stop, think, act

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-access the scene

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-find additional resources

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-exposure protection

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mechanism of injury (MOI)

trauma

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nature of illness (NOI)

medical

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level of response (AVPU)

-alert

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-verbal stimuli

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-painful stimuli

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-unresponsive

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alert

able to answer questions; responsive; interactive

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verbal

responds in a meaningful way; call 911

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painful

responds to muscle/pain stimulus; call 911

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unresponsive

eyes closed; doesn't respond to verbal/painful stimuli

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(call 911 ASAP)

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ABC

airway, breathing, circulation

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65

airway

open and reposition

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breathing

chest rise vs gasping

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circulation

check for pulse and bleeding/blood loss

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checking pulse

-adults: carotid

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-babies: brachial

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70

-5-10 seconds

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BPDOC (rapid or focused)

bleeding, pain, deformities, open wounds, crepitus

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head physical exam

-check cspine

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-check sides and back for bleeding, deformities, leakage

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PERRL

pupils equal, round, reactive to light

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neck physical exam

-check for jugular vein distention

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-check for tracheal deviation

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chest/back physical exam

-check for symmetry

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-check for spinal palpation

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abdominal physical exam

-check four quadrants

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-check for sensitivity (visceral organ damage)

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-check for hardness (internal bleeding)

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pelvis physical exam

-check incontinence

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-squeeze hips down and together

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84

extremities physical exam

-check symmetry

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-check CSM

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86

CSM

circulation, sensation, movement

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CSM circulation

-pulse

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-color

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-capillary refill >2 seconds

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90

CSM sensation

-check for feeling in toes and fingers

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CSM movement

-check that toes and fingers can move

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92

OPQRSTU

onset, provoking factors, quality, region, severity, time, understanding

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93

true

True or False: pulse rates are higher in children

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94

<60 BPM

dangerous pulse rate for children -> begin CPR

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Checking Respirations

-check while taking pulse

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-check rhythm

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-check effort

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skin color vitals

-pale/white = shock

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99

-blue = hypoxia

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100

-red = high BP, fever

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