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Final Exam Wilderness Medicine
lkjfg;
67
Medical
11th Grade
12/11/2011

Additional Medical Flashcards

 


 

Cards

Term
What are the seven vital signs?
Definition

Pulse- Rate, rythym, quality

Respiratory rate- rate, rythym, quality

Blood Pressur- Capilary refil

Skin: Color, temperature, moisture

Temperature

MS/LOR

Pupils- round, equal, responsive to light

 

Term
What are the three elements of a scene size-up?
Definition

MOI

Number of Patients

Safety

Term
What are the five elements of an initial assesment? 
Definition

Airway

Breathing

Circulation

Disability

Enviornment

Term
What are the three elements of a focuses history and physical exam? 
Definition

Focused History

Physical Exam

Vital Signs

Term
What is the purpose of an initial assesment? 
Definition
To find immediate life threatning injuries or illnesses
Term

What does APVU stand for?

 

Definition

Awake

Pain responsive

Voice responsive

Unconcious

 

Term
What does SAMPLE stand for?
Definition

Signs/Symptoms

Allergies

Medications 

Past history

Last intake/output

Events

Term
What does OPQRST stand for?
Definition

Onset

Provokes 

Quality

Palliates

Radiates/refers

Severity

Time

Term
Define basic life support (BLS)
Definition
The process of supporting the three major body systems: Respiratory, Circulatory, and Nervous system using CPR, bleeding control, and spine stabalization 
Term
What is the difference between Cardia Arrest and Heart Attack?
Definition

Cardiac arrest- heart stops beating completely

Heart attack- lack of perfusion the heart

Term
Define oxygenation?
Definition
The exchange of oxygen and carbon dioxide in the lungs 
Term

Define perfusion?

Definition
The passage of blood to the capilaries 
Term

Define inschemia?

Definition
Lack of perfusion to a place in body due to an illness or injury
Term
Define Infarction?
Definition
Tissue death due to prolonged inschemia
Term
Define compensation
Definition
An autonomic response to replace the body's inability to perform a function. EX. during hypothermia body starts shivering
Term
Define decompensation
Definition
Lack of compensation. EX. during severe hypothermia patient is unable to continue shivering because brain is no longer sending message to shake due to lack of energy.
Term
Define Swelling?
Definition
Accumilation of fluids due to injury or illness 
Term
Define Compartment Syndrome
Definition
Swelling in a confined space due to illness or injury
Term
Define Shell/Core effect
Definition

Compensation mechanism seen in shock and cold response, which reduces blood flow to the body shell in order to perserve perfusion and warmth in vital organs. 

Term
What is acute stress reaction
Definition

An autonomice reaction to stress. The symptoms are: pale, cool, and clamy which mimic shock and are reversible

 

Term
What is the basic requirement for life?
Definition
Providing oxygenated blood to all body parts under all circumstances
Term
What is the first rule of first aid?
Definition
Don't become a victim yourself
Term
What are two ways you can tell the difference between a normal cold response and mild hypothermia?
Definition

MS/LOR 

Ataxia 

Term
3 Ways you can the difference between mild and moderate/severe hypothermia?
Definition

Shivering will stop around (85 degrees) with moderate/severe hypothermia

moderate hypo you start to become unresponsive

Moderate hypo their body temp should be from 90-95 degrees. Severe hypo is below 90 degrees

Term
What are the mechanisms of heat production?
Definition

resting metabolism 

exercise 

shivering

Term
What are the mechanisms of heat loss
Definition

Conduction 

Convection 

Radiation 

Evaporation 

Expiration

Term

In what weather conditions does hypothermia most often occur

 

Definition

Wet 

Windy

Below 40 degrees

Term
5 examples of mild to moderate mental status changes that might indicat that someone has moderate hypo?
Definition

Letharfy

Personality changes

Blindly following orders 

Cranky

Withdrawl

Term
List four different signs of mild hypothermia besides MS changes?
Definition

Ataxia/uncoordinated

Increased shivering

Cyanosis

Temp. between 90-95 degrees

Term

3 ways you can tell someone is dehydrated before you start feeling thirst or exhausted?

 

 

 

Definition
Urine is a darker color
Term

What are the components of the Upper Airway?

 

Definition

Nose 

Mouth

Throat 

 

Term
What are the three major components of the Lower Airway?
Definition

Aveoli

Bronchioles 

Bronchi

Term
 What is the function of the Chest wall/Diaphram?
Definition
Forces air in and out
Term
What is the last of the 5 major components of the respiratory system?
Definition
Intact Nervous System
Term
What are the requirements for normal function for each of the 5 major components?
Definition

Open Upper Airway

Open Lower Airway

Functioning "bellows" Mechanism

Aveoli- exposed to air, increased surface area

Nervous system drive

Term

What is the generic treatment for respiratory distress?

 

Definition

P-Position

R-reassurance

O-Oxygen

V-Ventilation

Term
What is the wheezing hallmark of what respiratory system problem?
Definition
Lower Airway constriction
Term
Six way pulmonary fluid can accumilate in the lungs?
Definition

HAPE
Lacerations

Contusions

Altitude

Trauma

Toxins 

Term

How do you position the patient with a flail chest?

 

Definition
On the injure side on a smooth surface
Term
Symptoms of Pulmonary Edema?
Definition

Frothing at the mouth

Wheezing sound 

Coughing up blood 
Sever headache

Pale and cool skin 

Term
What is the specific treatmen for HAPE?
Definition
Evacuate to lower ground immediatley
Term
What is the assesment for respiratory distress?
Definition

Able to say short sentences

A on APVU scale

Term
What is the assesment for Respiratory failure?
Definition

Able to say 1 or 2 words 

A,v,p on APVU scale

Term
What is the assesment for respiratory arrest?
Definition

Not breathing 

U on APVU

Term
What is the condition when blood pools in the chest cavity causing lung to collapse?
Definition
Hemothorax
Term
What is the condition when air fills the chest cavity causing lung to collapse?
Definition
Pneumothorax
Term
What is the condition when there is swelling in the lung tissue following a blunt injury leading to an accumilation of fluid?
Definition
Lung Cuntusion
Term
Define Concussion
Definition
Temporary loss of conciousness or brain disfunction due to a blow to the head
Term
What are the causes of ICP?
Definition

Head Trauma

HACE 
Brain Tumor

Stroke 

Term
What is the assesment of ICP
Definition

MOI

Unequal pupils 

seizure

Severe headache

Abnormal MS/LOR

Vomitting

Term
What is the field treatment of ICP
Definition
Evacuate rapidly
Term
What is the cause of a concussion>
Definition
Trauma/blow to the head
Term
What is the assesment of a concussion?
Definition

Vomitting 

Disoriented 

Severe Headache 

Dizzy

Sleepy

Term

What is the field treatment for a concussion?

 

Definition
Monitor for increased ICP
Term
What is the cause of Spinal Cord Trauma?
Definition
Blow to the spine
Term
What is the assesment of spinal cord trauma?
Definition

Deformity

Pain/tenderness in spine

Decreased CSM

MOI

Term
What is the difference between hemothorax and hematoma?
Definition

Hemo- accumilation of blood in lungs

Hema-accumilation of blood in brain

Term

What is the treatment for Spinal Cord Trauma?

 

Definition
Immobilize
Term
What are the three major components of circulatory system and what is their function?
Definition

Heart- pumps blood throughout body

Blood vessels- pumps blood to and from heart

Blood- contains fluids/enzymes

Term
Define Shock
Definition
Physiologic condition caused by acute loss of perfusion pressure in the circulatory system?
Term
What is the generic temporary treatment for shock?
Definition

Stop bleeding, stabalize fractures

Maintain ABC, CPR if needed 

Maintain Temperature

Elevate legs 8-10 inches off ground

Consider fluids if surgery in next 6 hours

Oxygen if needed

Term
What is the most common cause of shock?
Definition
Blood loss 
Term
What are 2 ways to differentiate between Shock and ASR?
Definition

ASR is temporary and reversible 

Shock has an MOI

Term

What are the symptoms of decompensatory shock?

 

Definition

Cool clamy skin 

rapip strong pulse

rapid weak pulse 

drowsy

Nausea thirst vomitting 

Decreased urine output 

Term
4 sypmtoms of decompensatory shock?
Definition

Altered level of conciousness

rapid weak pulse

rapid shallow respirations 

low blood pressure

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