Skills Test FRG

CPR/AED

Hey hey are you okay

check opposite pulse, and watch for breathing

delegate calling ALS and getting AED

remove clothing, take out of water, dry off

compressions at 30:2 ratio

CK hold and dont fully squeeze bag

AED placement

Traction Splint

PMS before

Manual traction must be pulled while measuring splint on uninjured side

apply ankle strap

apply ischial strap first

pull traction

add 2 straps below and above the knee

PMS after

Tk, Pressure Bandage, Bleeding Control

israeli bandage, steps of bleeding control, tourniquet usage

how to size OPA

from corner of mouth to corner of jaw

when to perform HTCL

when no c-spine injury

when to perform jaw thrust

C-spine injury

steps of scoop stretcher

1. Check for pelvic stability

2. Size the Scoop Stretcher on one side of the patient  

3. Seperate the Stretcher after sizing it and place halves on either side of the patient  

4. Check PMS

5. Gently nudge the Stretcher sides underneath the patient

6. Clip the head side of the Stretcher first 

7. Clip the foot side second 

8. Check PMS

AOx4 questions

What is your name? Where are you? What day/time is is? What just happened? Who is the president of the US?

contraindications of traction splint

major injuries on thigh or unstable pelvis, other breaks in leg

makeshift TK

tie once around arm, once around object, tie in back of arm against way tourniquet is turned

TK

apply high and tight/ 2-3 inches above, apply winless before remaining strap is secured

steps of bleeding control

pressure, elevation, pressure at artery, tourniquet

israeli bandage

for dark red flowing blood, check PMS before and after, place gauze over wound and twist and wrap counter clockwise, twist every other wrap

how to size OPA, how to size NPA

corner of mouth to corner of jaw, corner of nostril to ear

when no NPA

facial trauma

Sling and swath

For shoulder or clavicles injuries, tie corner of bandage and put on elbow, put inner side over closest shoulder and outer side over farther shoulder and tie in back, tie it down w ace bandage, check PLS

Lincoln log bandaging

For penetrating object, two on bottom, two on top, anchor on top and bottom

How does sucking chest wound present

Hole with pink frothy blood coming out, occlusive dressing taped on 3 sides on front or asherman dressing, taped on 4 sides in back

FAST Test

Can you smile for me?

Can you hold your arms out like you’re holding a pizza box? (Can also ask to squeeze hands)

Can you repeat “the sky is blue in Cincinnati”

How long they have been feelings symptoms (when last seen normal)

EPI Pen

Anaphylaxis, only can give EpiPen to patient it’s prescribed to

Blue to the sky, Orange to thigh, put in patients hand

Remove blue cap

Guide into side of thigh, leave for 5 seconds, remove and tell them to massage area for 10 seconds or so

Half life of EpiPen is 20 minutes, 0.3 mg dose

MDI

Asthma attack/ COPD w wheezing, only if prescribed to patient, shake MDI, tell them to exhale, squeeze and inhale, hold for 10 seconds, exhale, and repeat

Neck wound bandaging

Cover with gauze, then occlusive dressing (prevent air from entering), pressure bandage or ace bandage wrapped around armpit

Eye wound bandaging

Cup, cover eye, maintain same eye position, then penetrating object wrap, wrap both eyes so they don’t move

Always wrap…

distal to proximal

Spiral bandaging

For capillary bleeding, don’t cross a joint

Figure 8 bandaging

Anchor distal, cross, anchor proximal, keep crossing and tuck

Scoop stretcher

Unstable pelvis (pelvic fracture), assume someone holding c-spine

Check pelvis by pushing in and down

Lie next to patient and measure using flaps

Separate two sides and put on sides of patient, shimmy under patient, click top clamp and then bottom clamp

When to check AOx4

When administering something orally, if fam says they’re off or they’re just acting weird

PERRL

Can indicate neurogenic shock, ICP, drug overdose

Check that both eyes constrict individually with light

Ask patient to close eyes, then shine light in left and ask to open while looking at right eye to see that it reponds equally— repeat on other side

Halo test

Indicated by fluid coming from nose or ears, could indicate neurogenic shock or cspine

Fold gauze into square (twice)

Dip inner corner in fluid and unravel, if there is ring of lighter fluid then it is positive