1. Sampler- history
    • Signs and symptoms
    • Allergies
    • Medications
    • Pertinent past medical history
    • Last oral intake
    • Events leading up to this illness or injury
  2. March- initial assessment
    • Massive hemorrhage
    • Airway
    • Respiration
    • Circulation
    • Hypothermia/ help move
  3. Water source are expectable
    • Heat
    • Chemical
    • UV
  4. AMS- how to diagnosis (symptoms)
    • HAH plus:
    • GI symptoms
    • Insomnia
    • Dizziness
    • Fatigue
  5. HAH- how to diagnosis
    • Mild to moderate headache
    • Bilateral or frontotemporal
    • Dull or pressing
    • Aggravated by cough
    • Starts within 24 hrs of ascent
    • Resolves within 8hrs of decent/ 24 at elev
    • Treatment: any HA med, rest fluids PO, O2
  6. How to reduces AMS incident
    Staged ascent 1,000 ft day above 10k ft
  7. Mange AMS in the field
    • Symptomatic treatment
    • Medication- Acetazolamide, dexamethasone, oxygen
    • Evaluated for HAPE and HACE
  8. 5 golden rules of AMS
    • AMS until proven otherwise
    • Do not ascend with AMS
    • Descend if AMS is severe, or not improving
    • Never let descend alone
    • Red hats Corpsmen. Even if the been in that elev previously can get it.
  9. HACE- symptoms and treatments
    • Encephalopathy
    • Ataxia
    • Confusion
    • Drowsiness
    • Nerve palsy
    • Seizures
    • Hemiplegia
    • Paralysis
    • Hallucinations
  10. Dyspnea-
    difficult or labored breathing.
  11. Frostbite 1 degree
    • Pain
    • Erythematic/ white to yellowish/edema skin will be pliable but rubbery
  12. Frostbite 2 degree
    • Numbness/ no sensation
    • Superficial blisters with clear or milky fluid erythema and edema surrounding blisters
  13. Frostbite 3 degree
    • No sensation
    • Deeper blisters characterized by being filled with sanguineous (bloody) fluid
  14. Frostbite 4 degree
    • No sensation
    • Injury that extends through the skin into muscle and bone, leads to mummification
  15. Trench foot- physiology
    It is a process of ling lasting vasoconstriction causing nerve damage.
  16. Risk factor for developing hypothermia
    • Increased heat loss
    • Decreased head production
    • Impaired regulation
  17. Treating hypothermia-
    • Mild: shivering, remove wet clothing, insulate, encourage warm drinks
    • Moderate: handle gently, evac, horizontal postion, NPO, O2, IVF warm
    • Severe: feel for pulse
  18. Afterdrop
    A continual drop in body temp after removal from cold. A process of chilled blood from the periphery returning to the body core as peripheral circulation improves.
  19. Phase of cold water immersion
    • 1st- cold shock and dive response
    • Rapid skin cooling. Cardiac arrhythmia
    • 2nd-cold incapacitation
    • Loss of motor control, panic exhaustion
    • 3rd-onset hypothermia
    • Lasts more than an hour unconsciousness
    • 4th-circumrescue collapse
    • Afterdrop hypothermia
  20. Nutrition- caloric intake and what portions
    Carbohydrates 55-65%
  21. trauma and hypothermia
  22. treatment of heat injuries
  23. When treat frostbite in the field
    • Prevent further exposure
    • Immediately evaluate for hypothermia
    • Remove wet or constrictive clothing
    • Rewarm superficial frostbite
    • Frostbite extensive and hypothermic evac
  24. When not treat frostbite in the field
    • During evacuation
    • Must walk for treatment
    • Due not re warm with Open flame
  25. Pathophysiology- predocs undressing
  26. Giardia-
    • Explosive diarrhea, cramps, foul gas, vomiting, fever and malaise for 3-4 days.
    • Treatment tindamaxTM 2grams/ Metronidazole 250 mg.
  27. RLQ right lower quadrant-
    • males -pancreatitis, appendicitis, stomach ulcer, inflammatory, bowel disease
    • females- ectopic pregnancy
  28. patient carries
  29. when to move a patient
  30. open air way
    • head tilt/chin lift
    • jaw thrust if spinal cord injury
  31. how to treat abdominal injuries
    transport to higher echelon of care
  32. abdominal injuries (Penetrating)
    can help to identify possible injured organs
  33. Signs of internal bleeding
  34. Neurological symptom’s concerning for spinal injuries
  35. spinal injuries what’s more like to get injured
    cervical, lumbar.
  36. Signs of basal
    • Raccoon eyes
    • Battle sign
  37. skull fracture.
    Direct pressure soft bulky dressing
  38. Concussion –
    Slowness, memory, loss of balance, tiredness, photosensitivity
  39. How to dress wounds in field environment
  40. Principles of splitting
    • Reduces pain and bleeding
    • Too lose no help
    • Too tight neurovascular compromise
    • Immobilize join above and below
    • Remove watches rings
    • Rigid sam, sticks, ski poles etc
    • Padded
  41. How to treat burns
    • Nonstick dressing
    • Prevent moisture
    • Prevent body heat loss
  42. Definition hypovolemic shock
    It is a condition that occurs when you lose more than one-fifth of your body’s blood.
  43. Dosage of epie pen and how to use it
    .3 mg thigh or shoulder
  44. Physical signs nemo thoraces
    collapsed lung
  45. Physical signs attention thoraces-
    pressure in chest
  46. Local and generalize allergic reactions.
    • Generalized: itchy, headache, runny nose.
    • Local: skin, respiratory, cardiac
  47. Anaphylactic shock defines
    Severe, life threating allergic reaction
  48. Carbon monoxide poisoning prevention, treatment
    • ?
    • Cavities in the body where you will bleed out
    • ?
  49. Needle d locations
    2 inch from nipple.
  50. Lightning strike that cause death
  51. Lightning strike treatment
    • cspine
    • Internal injury
    • Treat what you see
  52. Types of lightning strikes
    • Direct strike
    • Splash
    • Step voltage
    • Contact strike
    • Upward stream current
    • Blunt trauma
  53. How to treat overuse injuries
Card Set