Treatments

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Jbrand
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91551
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Treatments
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2011-06-26 23:34:33
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Treatments
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  1. TRAUMA ARREST
    • CONSIDER UNQUESTIONABLE AND/OR BLUNT CHEST TRAUMA DEATH CRITERIA
    • DECLARE "TRAUMA RED"
    • CONSIDER PASG AS AN AIR SPLINT FOR PELVIC OR MULTIPLE LOWER EXTREMITY LONG BONE FRACTURES
    • THE GOAL OF PATIENT CARE IS "LOAD AND GO." LIMIT SCENE TIME TO 10 MINUTES
  2. MULTI-SYSTEM TRAUMA
    • MAY DETERIORATE RAPIDLY. LIMIT SCENE TIME TO 10 MINUTES
    • CONSIDER SAM PELVIC SPLINT
    • CONSIDER PASG AS AN AIR SPLINT FOR PELVIC OR MULTIPLE LOWER EXTREMITY LONG BONE FRACTURES
  3. SHOCK/TRAUMA
    • MAINTAIN BODY WARMTH
    • SHOCK POSITION
    • USE CAUTION WITH TRAUMA PATIENT
    • POTENTIAL RESPIRATORY COMPROMISE
    • DETERMINE UNDERLYING CAUSES
    • PREPARE FOR RAPID TRANSPORT
  4. AIRWAY TRAUMA
    • IMMOBOLIZE IMPALED OBJECTS IN PLACE UNLESS THE OBJECT MUST BE REMOVED TO STABILIZE THE AIRWAY
    • SUCTION AS NEEDED
    • PREPARE FOR RAPID TRANSPORT
  5. HEAD TRAUMA
    • ASSUME SPINE INJURY WITH SIGNIFICANT HEAD TRAUMA
    • IF PRESENTING WITH SHOCK, LOOK ELSEWHERE FOR THE CAUSE
    • FOLLOW SPINE PROTO
    • CONTROL BLEEDING BY DIRECT LOCAL PRESSURE. IF THE UNDERLYING SKULL IS UNSTABLE, PRESSURE SHOULD BE APPLIED TO THE PERIPHERY OF THE LACERATION OVER INTACT BONE
    • BLEEDING FROM THE NOSE AND/OR EARS SHOULD NOT BE STOPPED, BUT A STERILE DRESSING SHOULD BE PLACED OVER THE NOSE AND/OR EARS
    • TREAT COEXISTENT INJURIES OR PROBLEMS
    • IF SHOCK IS PRESENT, SUSPECT AND ASSESS FOR OTHER INJURIES
  6. SPINAL TRAUMA
    SPINAL PROTO
  7. CHEST TRAUMA
    BEST TREATMENT RAPID TRANSPORT
  8. CHEST TRAUMA
    SPECIFIC TREATMENT
    FLAIL CHEST
    • STABILIZE FLAILED SEGMENT NO LONGER INDICATED
    • CONSIDER POSITIVE PRESSURE VENTILATION (BVM)
  9. CHEST TRAUMA
    SPECIFIC TREATMENT
    SUCKING CHEST WOUND
    • VASELINE-TYPE GAUZE OCCLUSIVE DRESSING, PLASTIC OR ALUMINUM FOIL TAPED ON THREE SIDES
    • IF TENSION PNEUMOTHORAX, RELEASE DRESSING
  10. CHEST TRAUMA
    SPECIFIC TREATMENT
    PENETRATING TRAUMA
    STABILIZE IMPALED OBJECTS IN PLACE; DO NOT REMOVE
  11. ABDOMINAL TRAUMA
    MOI MOST IMPORTANT INDICATOR BEST TREATMENT RAPID TRANSPORT
  12. ABDOMINAL TRAUMA
    SPECIFIC TREATMENT
    ABDOMINAL EVISCERATION
    • NEVER REPLACE
    • COVER WITH STERILE DRESSING AND MOISTEN WITH NS (REMOISTEN)
    • SECURE WET DRESSING WITH LARGE DRY DRESSING TO KEEP WARM
  13. TRAUMATIC PREGNANT PATIENT
    ONSET S AND S OF SHOCK MAY BE DELAYED DUE TO INCREASED MATERNAL BLOOD VOLUME
  14. TRAUMATIC PREGNANT PATIENT
    SPINAL IMMOBILIZATION CONSIDERATION
    • THIRD TRIMESTER MAY ELICIT SUPINE HYPOTENSIVE SYNDROME FROM PRESSURE ON THE INFERIOR VENA CAVA AND MAY ALSO IMPAIR VENTALIZATION AS FETUS AND UTERUS PRESS AGAINST DIAPHRAGM
    • LSB ELEVATED 6 INCHES ON RIGHT SIDE (15 DEGREES) UTERUS AND FETUS TOT HE LEFT OFF INFERIOR VENA CAVA
    • IF LSB CANNOT BE ELEVATED, MANUALLY DISPLACE
  15. SOFT TISSUE INJURIES
    • TREATMENT DEPENDS ON MOI AND SEVERITY OF FINDINGS
    • MAINTAIN O2
    • IMMOBOLIZE AND BANDAGE IMPALED OBJECTS
    • RETURN TISSUE FLAPS
    • APPLY DRESSING AND BANDAGE
    • UNABLE TO CONTROL BLEEDING, APPLY TOURNIQUET
    • TREAT COEXISTENT INJURIES
  16. BURNS
    ARE CLASSIFIED ACCORDING TO
    THERMAL, ELECTRICAL, CHEMICAL AND THICKNESS
  17. SEVERITY OF BURN DETERMINED BY
    • THICKNESS/DEPTH AND LOCATION
    • BSA INVOLVED
    • AGE AND HEALTH
    • ASSOCIATED INJURIES
  18. MAJOR BURN
    • PARTIAL THICKNESS GREATER THAN 25% IN ADULT, GREATER THAN 20% IN CHILD
    • FULL THICKNESS GREATER THAN 5%
    • HANDS, FEET, FACE, EYES, EARS, OR GENETALIA
    • INHALATION INJURY
    • ELECTRICAL BURNS
    • COMPLICATED BY FRACTURE OR MAJOR TRAUMA
    • HIGH RISK
  19. HIGH RISK
    VERY YOUNG, ELDERLY, PATIENTS WITH CHRONIC MEDICAL PROBLEMS
  20. MODERATE BURN
    • PARTIAL THICKNESS 15-25% IN ADULTS, 10-20% IN CHILD
    • FULL THICKNESS 2-5%
  21. MINOR BURN
    • PARTIAL THICKNESS LESS THAN 15% IN ADULTS, LESS THAN 10% IN CHILD
    • FULL THICKNESS LESS THAN 2%
  22. TREATMENT SUPERFICIAL BURNS
    • IMMERSE IN COOL, STERILE WATER OR COOL STERILE COMPRESSES
    • HANDS OR FEET MAY BE SOAKED IN COOL, STERILE WATER
    • TOWELS SOAKED IN COOL, STERILE WATER MAY BE APPLIED TO FACE OR TRUNK
    • MAINTAIN BODY WARMTH WITH DRY SHEET OR BLANKET OVER WET DRESSINGS TO MINIMIZE HEAT LOSS
  23. TREATMENT PARTIAL THICKNESS
    MINOR BURNS
    • MINOR BURNS WRAP WITH STERILE CLOTHS OR SHEETS COOLED IN AMBIENT TEMP NS OR STERILE WATER OR BURN GEL
    • COOL AREA WITH NS OR STERILE WATER IN SUFFICIENT QUANTITIES TO RELIEVE THE HEAT PENETRATION IN LIEU OF BURN GEL TREATMENT
    • CAUTION: DO NOT OVERSATURATE
  24. TREATMENT PARTIAL THICKNESS
    MODERATE AND MAJOR BURNS
    • COVER WITH DRY STERILE DRESSING(S)
    • LEAVE BLISTERS INTACT
    • MAINTAIN TEMP AND BODY WARMTH
    • DO NOT ALLOW HYPOTHERMIC
    • SHIVERING FURTHER COMPLICATES SHOCK
  25. TREATMENT FULL THICKNESS BURNS
    • DRY STERILE DRESSING, CLOTHS OR SHEETS
    • PT BURNS FOUND WITHIN
    • MAINTAIN TEMP AND BODY WARMTH
    • DO NOT ALLOW HYPOTHERMIC
    • SHIVERING FURTHER COMPLICATES SHOCK
  26. TREATMENT ELECTRICAL BURNS
    • REMOVE FROM ELECTRICAL SOURCE IF NO DANGER TO RESCUER
    • ASSESS AND DRESS ENTRANCE AND EXIT WOUNDS
    • FOLLOW ELECTRICAL PROTO AND SPINAL PROTO
  27. TREATMENT CHEMICAL BURNS

    FOR EYE EXPOSURES
    • WEAR APPROPRIATE PPE
    • FLUSH BURN AREAS WITH NS OR STERILE WATER FOR 20 MIN
    • AFTER FLUSHING COVER WOUND WITH DRY STERILE DRESSING
    • IF PATIENT REMAINS SYMPTOMATIC AFTER INITIAL CARE, CONTINUE IRRIGATION THROUGHOUT TRANSPORT
    • IRRIGATE WITH AMBIENT TEMP NS AS NEEDED OR A MINIMUM OF 20 MIN
    • AFTER IRRIGATION, BANDAGE BOTH EYES WITH DRY STERILE DRESSING
  28. ELECTRICAL INJURIES
    • ON LIGHTNING STRIKE SCENES WITH MULTI PT, REVERSE TRIAGE
    • MAINTAIN O2
    • TREAT COEXISTENT INJURIES
  29. SOME COEXISTENT INJURIES ENCOUNTERED WITH ELECTRICAL INJURIES; FOLLOW APPROPRIATE PROTOCOL
    • HEAD TRAUMA
    • EXTREMITY INJURIES
    • SOFT TISSUE INJURIES
    • BURNS
  30. TREATMENT EYE EMERGENCIES
    • MAINTAIN O2
    • CONTROL HEMORRHAGE
    • ASSESS NATURE OF OPTHALMOLOGIC EMERGENCY
  31. EYE EMERGENCIES
    DIRECT TRAUMA
    • PATCH BOTH EYES GENTLY WITHOUT PRESSURE TO THE GLOBES
    • SUPINE POSITION TO REDUCE LEAKAGE
    • IF BLOOD IS NOTED IN ANTERIOR CHAMBER (HYPHEMA), ELEVATE HEAD OF THE PATIENT'S BED TO 40 DEGREES
    • STABILIZE ANY IMPALED OBJECT AND COVER AFFECTED EYE WITH SHIELD
    • DIM LIGHTS
  32. EYE EMERGENCIES
    CHEMICAL TRAUMA
    • IRRIGATE AFFECTED EYE WITH AMBIENT TEMP NS FOR 20 MIN. IF REMAINS SYMPTOMATIC CONTINUE IRRIGATION
    • APPLY DRY STERILE DRESSINGS TO BOTH EYES
    • DIM LIGHTS
  33. EYE EMERGENCIES
    ATRAUMATIC
    • PATCH BOTH EYES GENTLY W/O PRESSURE TO THE GLOBES
    • DIM LIGHTS
    • WITH CENTRAL RETINAL ARTERY OCCLUSION - 100% O2 AND SHOCK POSITION
  34. TREATMENT CHEST PAIN/DISCOMFORT
    O2 VIA NASAL CANNULA, UNLESS S AND S INDICATE SEVER RESPIRATORY DISTRESS
  35. TREATMENT CHF/PULMONARY EDEMA
    • 100% O2
    • FULL FOWLER'S
  36. TREATMENT HYPERTENSIVE URGENCY
    • 220/120
    • O2 AS INDICATED
    • SEMI-FOWLER'S OR POSITION OF COMFORT
  37. TREATMENT CARDIAC ARREST
    • CONSIDER UNQUESTIONABLE DEATH CRITERIA
    • DECLARE "CARDIAC RED"
    • 100% O2
    • BLS ALGORITHM UNTIL ALS UNIT ARRIVES (THEN PULSELESS ALGORITHM)
  38. GOOD AHA STANDARDS EMPHASIZE THE IMPORTANCE OF:
    UNWITNESSED ARREST
    WITNESSED ARREST
    • GOOD AGGRESSIVE BLS WITH CONTINUOUS CPR
    • MINIMIZE INTERRUPTIONS IN CPR
    • PERFORM 2 MIN OF CPR PRIOR TO ANY OTHER INTERVENTION ASSESSMENT/DEFIBRILLATION BY AN AED/DEFIBRILLATOR
    • IMMEDIATE DEFIB
    • VENT WITH BVN AND 100% O2
  39. TREATMENT PVC'S
    • ASSESSMENT (INCLUDING 12 LEAD ECG) INDICATES AN EVOLVING AMI, FOLLOW CHEST PAIN PROTO
    • 100% O2
  40. TREATMENT POST CARE AFTER CARDIAC ARREST
    • MAY DISPLAY WIDE RANGE OF RESPONSES
    • 100% O2
  41. TREATMENT RESPIRATORY INSUFFICIENCY
    SEVERE RESPIRATORY COMPROMISE
    ANXIETY IS ONE OF THE FIRST SIGNS OF:
    • MAINTAIN O2 BETWEEN 95-100%
    • AGGRESSIVE TREATMENT TO PREVENT RESPIRATORY ARREST
    • HYPOXIA
  42. ________ OCCURS WITH SEVERE HYPOXIA/ANOXIA
    OBTUNDATION
  43. TREATMENT RESPIRATORY ARREST
    FBOA
    CONSCIOUS
    MILD OBSTRUCTION
    ENCOURAGE PATIENT'S OWN SPONTANEOUS COUGHING AND BREATHING EFFORTS
  44. TREATMENT RESPIRATORY ARREST
    FBOA
    CONSCIOUS
    SEVERE OBSTRUCTION
    • ABDOMINAL THRUSTS
    • IF PATIENT IS PREGO OR FAT, PERFORM CHEST THRUSTS
  45. TREATMENT RESPIRATORY ARREST
    FBOA
    UNCONSCIOUS
    • REPOSITION AIRWAY
    • BEFORE VENTILATING AND AFTER OPENING THE AIRWAY, LOOK FOR OBSTRUCTIN AND REMOVE IF VISIBLE
    • BEGIN CPR
    • SUCTION AS INDICATED
    • IF CHOKING RELIEVED, THEN FOLLOW BLS ALGORITHM
  46. TREATMENT RESPIRATORY ARREST
    VENT WITH 100% O2
  47. _________ SHOULD BE PERFORMED TO PREVENT RESPIRATORY ARREST
    AGGRESSIVE AIRWAY PROCEDURES AND SUPPLEMENTAL VENTILATION
  48. TREATMENT HYPERVENTILATION
    • 100% O2
    • NO CO2 REBREATHING TECHNIQUES
  49. HYPERVENTILATION SYNDROME IS CHARACTERIZED BY
    RAPID BREATHING, CHEST PAINS, NUMBNESS AND OTHER SYMPTOMS USUALLY ASSOCIATED WITH ANXIETY OR A SITUATIONAL REACTION.
  50. CONSIDER HYPERVENTILATION INDICATIVE OF
    A SERIOUS MEDICAL PROBLEM UNTIL PROVEN OTHERWISE
  51. TREATMENT ABDOMINAL/FLANK PAIN
    • MAINTAIN 95-100% O2
    • FOLLOW SHOCK MEDICAL PROTO
  52. TREATMENTS ALCOHOL RELATED ILLNESSES
    • MAINTAIN O2 BETWEEN 95-100%
    • BGL
    • DETERMINE UNDERLYING ETIOLOGY
  53. TREATMENTS ALLERGIC REACTION/ANAPHYLAXIS
    • MAINTAIN O2 BETWEEN 95-100%
    • SHOCK/MEDICAL PROTO
    • AUTO-INJECTOR EPINEPHRINE
    • ANTICIPATE RAPID TRANSPORT IN THE SETTING OF ANAPHYLAXIS
  54. THE PATIENT WHO PRESENTS WITH RESPIRATORY COMPROMISE AND SHOCK SHOULD BE TREATED FOR
    ANAPHYLACTIC SHOCK
  55. TREATMENTS COMA/ALTERED CONSCIOUSNESS
    • 100% O2
    • SPINAL PROTO
    • BGL
  56. COMA/ALTERED CONSCIOUSNESS
    MAINTAIN ASPIRATION PROPHYLAXIS BY PLACING THE PATIENT IN THE RECOVERY POSITION
  57. TREATMENTS DIABETIC EMERGENCIES
    • MAINTAIN O2 BETWEEN 95-100%
    • BGL
    • DO NOT ALLOW INSULIN OR ORAL DIABETIC MEDICATION FOR PATIENTS PRESENTING WITH S AND S OF A DIABETIC EMERGENCY
  58. TREATMENT EPISTAXIS
    • MAINTAIN O2 BETWEEN 95-100%
    • NO NASAL CANNULA
    • IF NO OTHER INJURIES EXIST, PREVENT ASPIRATION OF BLOOD WITH SITTING POSITION AND HEAD LEANING FORWARD
  59. TREATMENT HEADACHE
    • WITH DECREASED LEVEL OF CONSCIOUSNESS MAINTAIN ASPIRATION PROPHYLAXIS IN THE RECOVERY POSITION
    • MAINTAIN O2 BETWEEN 95-100%
    • CLOSELY MONITOR BLOOD PRESSURE
  60. TREATMENTS NAUSEA/VOMITING
    MAINTAIN O2 BETWEEN 95-100%
  61. TREATMENTS SEIZURES
    • MAINTAIN ASPIRATION PROPHYLAXIS BY PLACING THE PATIENT IN THE RECOVERY POSITION
    • 100% O2
    • BGL
    • SPINAL PROTO
  62. TREATMENTS SHOCK/MEDICAL
    • 100% O2
    • MAINTAIN BODYWARMTH
    • SHOCK POSITION
    • DETERMINE UNDERLYING CAUSE
    • RAPID TRANSPORT
  63. TREATMENTS DROWNING/NEAR-DROWNING SUBMERSION
    • SPINAL PROTO
    • PROTECT FROM HEAT LOSS
    • REMOVE WET CLOTHING AND COVER
  64. TREATMENTS DECOMPRESSION SICKNESS/DYSBARISM
    SPINAL IMMOBILIZATION
  65. TREATMENTS HYPERTHERMIA
    • MAINTAIN O2 BETWEEN 95-100%
    • MOVE TO COOLER ENVIRONMENT
  66. HEAT CRAMPS
    • ORAL FLUIDS AS TOLERATED
    • SPONGE WITH COOL WATER
  67. HEAT EXHAUSTION
    • PATIENT TRANSPORTED IN POSITION OF COMFORT
    • REMOVE CLOTHING AS APPROPRIATE
    • SPONGE WITH COOL WATER AND FAN
  68. HEAT STROKE
    • SEMI-FOWLER'S WITH HEAD ELEVATED 30 DEGREES
    • RAPID COOLING (PREVENT SHIVERING)
    • COLD PACKS
    • SPONGE WITH COOL WATER AND FAN
  69. HYPERTHERMIA
    EXTREMELY HIGH TEMPERATURE
    GREATER THAN 104F
  70. TREATMENTS HYPOTHERMIA
    DETERMINE?
    TEMP OF PATIENT
  71. GENERALIZED HYPOTHERMIA POSITION
    SUPINE
  72. GENERALIZED HYPOTHERMIA
    HANDLE PATIENT _______
    AVOID ___________
    THE HYPOTHERMIC HEART IS ______
    ROUGHNESS MAY RESULT IN ______
    • GENTLY
    • ROUGH MOVEMENT AND EXCESS ACTIVITY
    • IRRITABLE
    • VENTRICULAR ARRYTHMIA
  73. WITH GENERALIZED HYPOTHERMIA __________ IS THE PRIORITY
    REWARMING
  74. LOCALIZED HYPOTHERMIA (FROSTBITE)
    HANDLE INJURIED PART _____ & ____
    DO NOT ALLOWED INJURED PART ___
    MAINTAIN ____ WITH BLANKETS
    • GENTLY & LEAVE UNCOVERED
    • TO THAW IF CHANCE EXISTS FOR REFREEZING BEFORE ARRIVAL AT THE ED
    • CORE TEMP
  75. TREATMENT BITES & STINGS
    INSECTS AND SPIDERS
    REMOVE
    STINGER IF PRESENT AND CLEANSE
  76. SUSPECTED BLACK WIDOW OR BROWN
    RECLUSE
    IF PATIENT EXHIBITS S AND S OF SHOCK,
    SHOCK/MEDICAL PROTO
  77. MARINE STINGS
    REMOVE ______ WITH _____
    IRRIGATE EYE STINGS WITH ___
    APPLY ____ TO AFFECTED AREA
    • CLINGING TENTACLES WITH SALT WATER RINSE OR GLOVED HAND
    • NS
    • ICE PACK WRAPPED IN GAUZE
  78. SNAKE BITES
    ____ REMOVE
    MARK___
    ATTEMPT___
    • IF CONTSTRICTING BANDS IN PLACE UPON ARRIVAL
    • INITIAL EDEMATOUS AREA WITH PEN AND NOTE TIME
    • TO IDENTIFY TYPE OF SNAKE AND BRING TO ED
  79. FOR ALL BITES AND STINGS
    ADMINISTER ____
    APPLY____
    • O2 95-100%
    • DRY, STERILE DRESSING
  80. TREATMENTS TOXIC INGESTION/EXPOSURE
    FOLLOW _______
    IF SUBSTANCE IDENTIFIED ___
    REQUEST ___
    • CO-OXIMETER ZOLL E-SERIES PROTO
    • CONTACT POISEN CONTROL AT 800-222-1222
    • HAZ MAT TEAM FOR AIR MONITORING AND EXPERTISE
  81. TOXIC INGESTION/EXPOSURE
    ORGANOPHOSPHATE EXPOSURE
    WEAR PPE INCLUDING _____
    TOXICITY MAY RESULT FROM __OR__
    • MASK, GLOVES AND EYE PROTECTION
    • INHALATION OR TOPICAL EXPOSURE
  82. TOXIC INGESTION/EXPOSURE
    DECON PATIENT
    • REMOVE CLOTHING
    • IRRIGATE WITH NS; MAY ALSO USE SOAP AND WATER
    • CONTAIN RUN-OFF
  83. TOXIC INGESTION/EXPOSURE
    DECONTAMINATE ____ INCLUDING ___
    • EQUIPMENT
    • TRANSPORT VEHICLE
  84. DECON
    REMOVE CLOTHING AND JEWELRY
    WASH PATIENT WITH COPIOUS AMOUNTS OF SOAP AND WATER
    CONTAIN RUN-OFF
    WHICH MATERIALS?
    • ANHYDROUS AMMONIA
    • CHLORINE
    • HYROGEN SULFIDE
  85. PROTECT PERSONNEL FROM EXPOSURE
    AIN'T IN THERE
    CARBON MONOXIDE
  86. IF POSSIBLE REMOVE PATIENT TO FRESH AIR
    AIN'T IN THERE
    • PHENOLS (CARBOLIC ACID)
    • NITRITES/NITRATES
    • HYDROFLUORIC ACID
    • CARBON MONOXIDE
  87. RESCUER MUST WEAR SELF-CONTAINED BREATHING APPARATUS DURING EXTRICATION OF PATIENT FROM SCENE
    • ANHYDROUS AMMONIA
    • CARBON MONOXIDE
    • CHLORINE
    • CYANIDE
    • HYDROGEN SULFIDE
  88. IF POSSIBLE, REMOVE PATIENT FROM SOURCE OF CONTAMINANT
    • HYDROFLUORIC ACID
    • NITRITES/NITRATES
    • PHENOLS (CARBOLIC ACID) - THE PRINCIPLE TREATMENT FOR THE PATIENT IS TO REMOVE THE CONTAMINANT BC PHENOLS ARE NOT WATER SOLUBLE
    • CARBAMATE
  89. Follow pulse CO-Oximeter Protocol
    CARBAMATE
  90. FOLLOW PULSE CO-OXIMETER ZOLL E-SERIES PROTOCOL
    • CYANIDE
    • NITRITES/NITRATES
    • CARBON MONOXIDE
  91. REMOVE PATIENT'S CLOTHING AND JEWELRY
    AIN'T IN THERE
    CARBON MONOXIDE
  92. WASH PATIENT WITH COPIOUS AMOUNTS OF SOAP AND WATER
    AIN'T IN THERE
    • CARBON MONOXIDE
    • CYANIDE - MILD SOAP & COPIOUS AMOUNTS OF WATER
    • PHENOL (CARBOLIC ACID) - AFTER APPLICATION OF DECON SOLUTION, WASH WITH SOAP AND WATER AND RINSE FOR 15 MINUTES
  93. CONTAIN WATER RUN-OFF IF PRACTICAL
    AIN'T IN THERE
    • CARBON MONOXIDE
    • CYANIDE
    • PHENOL - CONTAIN WATER-RUN OFF (DOESN'T SAY IF PRACTICAL)
  94. REMOVE SOLID PRODUCT BY DRY DECON
    HYDROFLUORIC ACID
  95. REMOVE DRY PRODUCT BY BRUSH OR VACUUM
    • NITRITES/NITRATES
    • CARBAMATE
  96. REMOVE LIQUID PRODUCT BY BLOTTING
    • NITRITES/NITRATES
    • CYANIDE
    • HYDROFLUORIC ACID
  97. EXPOSURE TO SPECIFIC HAZARDOUS MATERIALS
    ADMINISTER 100% O2
    • ALL NINE
    • CARBON MONOXIDE RECORDING TIME O2 THERAPY WAS STARTED
  98. EXPOSURE TO SPECIFIC HAZARDOUS MATERIALS
    CONTINUES TO INJURE THE PATIENT EVEN AFTER DECON BC THE FLUORIDE ION PENETRATES THE SKIN AND BONDS WITH CALCIUM AND MAGNESIUM CAUSING CONTINUED INJURY WITH THE TISSUE AND BONE NECROSIS. CHANGES IN ELECTROCARDIO GRAPHS MAY ALSO BE SEEN.
    HYDROFLUORIC ACID
  99. HYDROFLUORIC ACID
    SKIN INJURIES
    FLUSH EXPOSED AREA WITH COPIOUS AMOUNTS OF WATER AT LOW PRESSURE
  100. EXPOSURE TO SPECIFIC HAZARDOUS MATERIALS
    CONTACT POISEN CONTROL (1-800-222-1222) FOR DECON AND TREATMENT GUIDANCE
    PHENOLS (CARBOLIC ACID)
  101. PHENOLS (CARBOLIC ACID) DECON BY...
    APPLYING AN OIL IF AVAILABLE ON SCENE OR ISOPROPYL ALCOHOL
  102. CARBON MONOXIDE DECON
    CHEMICAL RESIDUE WILL NOT PROVIDE CROSS CONTAMINATION. HAZ MAT TEAM PERSONNEL SHOULD LOCATE THE SOURCE AND MONITOR AIR QUALITY TO ESTABLISH IF TREATMENT AREA IS SAFE.
  103. CARBON MONOXIDE NON CARDIOGENIC PULMONARY EDEMA MAY DEVELOP
    AS LATE AS 24-72 HOURS AFTER INHALATION OF SOME IRRITANT SUBSTANCES

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