OFA 3 TO EMR BRIDGE COURSE STUDY GUIDE

Transcription

1 OFA 3 TO EMR BRIDGE COURSE STUDY GUIDE Frontline First Aid & Emergency Training [email protected]

2 Welcome to your Canadian Red Cross Emergency Medical Responder training program; and thank-you for choosing Frontline. Print this EMR Study Guide, complete the assignments ahead of time, and bring it with you to each class...so you can ask questions about any answers you are not sure about. By doing so: You will arrive at each EMR class with a greater understanding of the terms and skills you ll be practicing You will be more confident in both your EMR knowledge and hands-on EMR skills You will be better prepared for the Written and Practical Certification Evaluations at the end of your course You will be better prepared for your Provincial BC EMALB Licensing Evaluations These assignments are straightforward with references to where you can find the answers however, they can be time consuming depending on your personal pace and study habits. Start these assignments as soon as possible Get as much done as you can BEFORE the start of your course DO NOT wait until the night before each session to start these assignments You will need the following resources to answer the questions in this EMR Study Guide: Canadian Red Cross Emergency Care Manual BCAS Treatment Guidelines for Medical Responders in BC Frontline EMR Cheat Sheet BC Legislation Supplements o Good Samaritan Act o Emergency Health Services Act o Mental Health Act Lund and Browder Burn Chart Equipment Familiarization Booklet Do Not Resuscitate Order Kendrick Extrication Device Manual Sager Traction Splint Manual 2015/12/ [email protected] Page 2 of 178

3 The table of contents below indicates assignment due dates: Session 1 8 Emergency Care Manual Revisions Due on Session 1 8 EMR Roles and Responsibilities Due on Session 1 10 The Canadian Red Cross Due on Session 1 10 Paramedic Association of Canada Due on Session 1 11 Medical Control Due on Session 1 12 Preventing Disease Transmission Due on Session 1 13 Methods of Transmission Due in Session 1 13 Viruses Due in Session 1 14 Bacteria Due in Session 1 15 Fungi Due on Session 1 16 Protozoa Due on Session 1 17 Ricksettia Due on Session 1 18 Parasitic Worms Due on Session 1 19 Herpes Due in Session 1 20 Meningitis Due on Session 1 21 Tuberculosis Due on Session 1 22 Hepatitis Due on Session 1 23 HIV / AIDS Due on Session 1 24 Influenza Due on Session 1 25 Personal Protective Equipment (PPE) Due on Session 1 26 Anatomy and Physiology Due on Session 1 27 Complete the Body System Chart Due on Session 1 27 Cavities of the Body Due on Session 1 28 Label the Components of the Circulatory System Due on Session 1 29 Label the Circulatory Cycle Due on Session 1 30 Label the Anatomical References Due on Session 1 31 Skeletal System Due on Session 1 32 Label the Bones as indicated on the diagram below: 32 Respiratory System Due on Session 1 33 Equipment Familiarization Due on Session 1 33 Oxygen Equipment Due on Session 1 33 Oxygen Flow Rates Due on Session 1 34 Name the Equipment Due on Session 1 34 Assessment Model Due on Session 1 39 Assessment Model: Fill in the steps Due on Session 1 39 Assessment Model: Scene Survey Due on Session 1 40 Transport Decision Due on Session 1 42 Assessment Due on Session 1 43 Glasgow Coma Scale Due on Session 1 43 Pulse Oximetry: Fill in the blanks Due on Session 1 44 Pulse Oximetry: 12 Limitations Due on Session 1 44 Blood Pressure - Due on Session /12/ [email protected] Page 3 of 178

4 Blood Glucose Monitoring - Due on Session 1 45 Head to Toe Assessment Mnemonics - Due on Session 1 45 Label the Pulse Points Due on Session 1 46 Shock Due on Session 1 47 Types and Causes of Shock Due on Session 1 47 Eight Signs and of Head or Spinal Injury Due on Session 1 48 Label the Components of the Spinal Column Due on Session 1 48 Label the Components of the Spine Due on Session 1 49 KED Strapping Sequence - Due on Session 1 50 Spinal Grips - Due on Session 1 50 Session 2 52 Drip Set Calculations - Due on Session 2 52 IV Complications Worksheets Due on Session 2 53 Circulatory Overload Due on Session 2 53 Catheter Embolism Due on Session 2 54 Allergic Reaction Due on Session 2 55 Interstitial Swelling Due on Session 2 56 Thrombosis and Thrombophlebitis Due on Session 2 57 Site Infection Due on Session 2 58 Pharmacology Worksheets Due on Session 6 59 Bromide Due on Session 2 59 Adrenaline - Due on Session 2 60 Nitrous Oxide - Due on Session 2 61 Salbutamol - Due on Session 2 62 Routes of Drug Administration - Due on Session 2 63 Entonox Administration - Due on Session 2 64 CPR Techniques - Due on Session 2 66 Treatable CPR - Due on Session 2 66 Changing CPR Positions - Due on Session 2 67 Hypothermic CPR Patients - Due on Session 2 67 When to Stop CPR - Due on Session 2 67 Definitions - Due on Session 2 67 Do Not Resuscitate / No CPR forms - Due on Session 2 68 The 6 Rights - Due on Session 2 69 Nitroglycerin - Due on Session 2 70 Oral Glucose - Due on Session 2 71 Oxygen - Due on Session 2 72 Angina Due on Session 2 73 Heart Attack Due on Session 2 74 ASA - Due on Session 2 75 Chest Pain Protocol - Due on Session 2 76 Diabetic Protocols - Due on Session 2 77 Diabetes Due on Session 2 78 Seizures Due on Session /12/ [email protected] Page 4 of 178

5 Session 3 80 Musculoskeletal Worksheets Due on Session 3 80 Strain - Due on Session 3 80 Sprain - Due on Session 3 81 Fracture - Due on Session 3 82 Dislocation - Due on Session 3 83 Musculoskeletal Injuries Due on Session 3 84 Principles of Splinting Due on Session 3 84 Transient Ischemic Attack Due on Session 3 85 Stroke Due on Session 3 86 Soft Tissue Injury Worksheets Due on Session 3 87 Internal Bleeding Due on Session 3 87 Laceration Due on Session 3 88 Abrasion Due on Session 3 89 Avulsion Due on Session 3 90 Puncture - Due on Session 3 91 Scalp Injury - Due on Session 3 92 Cheek Injury - Due on Session 3 93 Eye Injury - Due on Session 3 94 Extruded Eyeball - Due on Session 3 95 Ear Injury - Due on Session 3 96 Mouth and Jaw Injuries - Due on Session 3 97 Infection - Due on Session 3 98 Pulmonary Edema Due on Session 3 99 Pulmonary Embolism Due on Session Asthma Due on Session Pneumonia Due on Session Chronic Obstructive Pulmonary Disease Due on Session Hypoxic Drive - Due on Session Anaphylaxis Due on Session Hyperventilation Due on Session Assisted Ventilations and Rescue Breathing - Due on Session Trauma Worksheets Due on Session Amputation - Due on Session Impaled Object - Due on Session Pneumothorax/Hemothorax Due on Session Flail Chest Due on Session Crush Syndrome Due on Session Compartment Syndrome Due on Session Blast Injuries Due on Session Abdominal Aortic Aneurysm Due on Session Burns Worksheets Due on Session Superficial Burns Due on Session Partial Thickness Burns Due on Session Full Thickness Burns Due on Session Lund & Browder Burn Estimation Chart Due on Session Rule of Nines Burn Estimation Due on Session /12/ [email protected] Page 5 of 178

6 Burn Protocols Due on Session Congestive Heart Failure Due on Session Childbirth Complications Worksheets Due on Session Miscarriage Due on Session Third Trimester Bleeding Due on Session Multiple Births Due on Session Breech Birth Due on Session Prolapsed Cord Due on Session Ectopic Pregnancy Due on Session Limb Presentation Due on Session Premature Labour Due on Session Post-Partum Bleeding Due on Session APGAR - Due on Session Session Sudden Illness Worksheets Due on Session Appendicitis Due on Session Peptic Ulcers Due on Session Gastroenteritis Due on Session Bowel Obstruction Due on Session Kidney Stones Due on Session Urinary Tract Infection Due on Session Fainting (Syncope) Due on Session Peritonitis Due on Session Sager Traction Splint Due on Session Poisons Worksheets Due on Session How Poisons Enter the Body Due on Session Commonly Misused and Abused Substances Due on Session Spider Bites Due on Session Marine Life Due on Session Ticks Due on Session Snakes Due on Session Hanta Virus Due on Session Misused and Abused Substances Worksheets Due on Session Stimulant Due on Session Hallucinogen Due on Session Depressant Due on Session Designer Drugs Due on Session Hypothermia Worksheets Due on Session Mild Hypothermia Due on Session Moderate Hypothermia Due on Session Severe Hypothermia Due on Session Frostbite Worksheets Due on Session Frost Nip Due on Session Frostbite Due on Session /12/ [email protected] Page 6 of 178

7 Hyperthermia Worksheets Due on Session Heat Cramps Due on Session Heat Exhaustion Due on Session Heat Stroke Due on Session High Altitude Sickness Worksheets Due on Session Acute Mountain Sickness Due on Session High Altitude Pulmonary Edema Due on Session High Altitude Cerebral Edema Due on Session Behavioural and Psychotic Emergencies Worksheets Due on Session Psychosis Due on Session Anxiety Due on Session Depression Due on Session Schizophrenia Due on Session Special Populations Worksheets Due on Session Infant Due on Session Child Due on Session Adolescent Due on Session Older Adult Due on Session Physically or Mentally Disabled Due on Session Crisis Intervention Worksheet Due on Session Communications Worksheets Due on Session Medical Director Due on Session Transportation Worksheets Due on Session Safe Vehicle Operations Due on Session Triage / Multiple Casualty Incidents Due on Session /12/ [email protected] Page 7 of 178

8 Session 1 Emergency Care Manual Revisions Due on Session 1 Answers found in: Emergency Care Manual 1. Find the following passage on page 137 of your Emergency Care Manual: After doing 5 cycles (2 minutes) of continuous CPR, recheck for signs of circulation and normal breathing. Tilt the patient s head to open the airway and take no more than 5 to 10 seconds to check for signs of circulation. If there are no signs of circulation, or you are unsure, continue CPR, beginning with compressions. Check circulation and breathing again every few minutes. Take a marker or pen and cross out that passage: After doing 5 cycles (2 minutes) of continuous CPR, recheck for signs of circulation and normal breathing. Tilt the patient s head to open the airway and take no more than 5 to 10 seconds to check for signs of circulation. If there are no signs of circulation, or you are unsure, continue CPR, beginning with compressions. Check circulation and breathing again every few minutes. 2. Find the following passage on page 142 of your Emergency Care Manual: Recheck for signs of circulation and breathing after about 5 cycles (two minutes) of continuous CPR. Check for signs of circulation for no more than 5-10 seconds with the hand that was giving compressions. If there are no signs of circulation or you are unsure, continue CPR, starting with compressions. Recheck circulation and breathing every few minutes. Take a marker or pen and cross out that passage: Recheck for signs of circulation and breathing after about 5 cycles (two minutes) of continuous CPR. Check for signs of circulation for no more than 5-10 seconds with the hand that was giving compressions. If there are no signs of circulation or you are unsure, continue CPR, starting with compressions. Recheck circulation and breathing every few minutes. These passages are out of date but were unintentionally overlooked in the last printing. The most current CPR guidelines indicate that you should continue CPR once started until you observe Obvious Signs of Life as you are performing CPR. Your EMR Instructor will review CPR protocols with you in greater depth during your course. 2015/12/ [email protected] Page 8 of 178

9 3. Find the following passage on page 94 of your Emergency Care Manual: During your primary survey, you may discover that an unconscious adult is not breathing. If this happens, begin the CPR sequence (30 compressions). Use a pen or marker to add the words and does not have a pulse after the words is not breathing : and does not have a pulse During your primary survey, you may discover that an unconscious adult is not breathing ^. If this happens, begin the CPR sequence (30 compressions). 2015/12/ [email protected] Page 9 of 178

10 EMR Roles and Responsibilities Due on Session 1 The Canadian Red Cross Due on Session 1 Answers found in: Emergency Care Manual What are the 7 Fundamental Principles of the Red Cross? (Emergency Care Manual pages vi - vii) How many Red Cross Volunteers give their time and energy every day? (Emergency Care Manual pages vi - vii) What are 7 ways the Red Cross Helps? (Emergency Care Manual pages vi - vii) Watch the Videos Click the link copy & paste or type the address into your browser: /12/ [email protected] Page 10 of 178

11 Paramedic Association of Canada Due on Session 1 Answers found in: Emergency Care Manual What is the mandate of the Paramedic Association of Canada? (Emergency Care Manual pages 3-4) What are the 4 Levels of EMS Provider Training regulated by the PAC? (Emergency Care Manual pages 3-4) What are the 6 main Patient Related Duties of a Medical Responder? (Emergency Care Manual pages 6-7) 2015/12/ [email protected] Page 11 of 178

12 Medical Control Due on Session 1 Answers found in: Emergency Care Manual What is the role of Medical Control? (Emergency Care Manual page 4) What is the difference between Offline/Indirect and Online/Direct Medical Control? (Emergency Care Manual page 4) What are the 7 components of an Emergency Response? (Emergency Care Manual page 5) /12/ [email protected] Page 12 of 178

13 Preventing Disease Transmission Due on Session 1 Methods of Transmission Due in Session 1 Answers found in: Emergency Care Manual Four Conditions which must exist for infection to occur: (Emergency Care Manual page 29) Four methods Pathogens enter the body (Emergency Care Manual pages 29-31) Example /12/ [email protected] Page 13 of 178

14 Viruses Due in Session 1 Answers found in: Emergency Care Manual page 28 Definition Conditions Caused by Viruses 2015/12/ [email protected] Page 14 of 178

15 Bacteria Due in Session 1 Answers found in: Emergency Care Manual page 28 Definition Conditions Caused by Bacteria 2015/12/ [email protected] Page 15 of 178

16 Fungi Due on Session 1 Answers found in: Emergency Care Manual page 28 Definition Conditions Caused by Fungi 2015/12/ [email protected] Page 16 of 178

17 Protozoa Due on Session 1 Answers found in: Emergency Care Manual page 28 Definition Conditions Caused by Protozoa 2015/12/ [email protected] Page 17 of 178

18 Ricksettia Due on Session 1 Answers found in: Emergency Care Manual page 28 Definition Conditions Caused by Ricksettia 2015/12/ [email protected] Page 18 of 178

19 Parasitic Worms Due on Session 1 Answers found in: Emergency Care Manual page 28 Definition Conditions Caused by Parasitic Worms 2015/12/ [email protected] Page 19 of 178

20 Herpes Due in Session 1 Answers found in: Emergency Care Manual pages Definition Mode of Transmission Route of Entry Signs & Immunization/ Vaccine? 2015/12/ [email protected] Page 20 of 178

21 Meningitis Due on Session 1 Answers found in: Emergency Care Manual pages Definition Mode of Transmission Route of Entry Signs & Immunization/ Vaccine? 2015/12/ [email protected] Page 21 of 178

22 Tuberculosis Due on Session 1 Answers found in: Emergency Care Manual pages Definition Mode of Transmission Route of Entry Signs & Immunization/ Vaccine? 2015/12/ [email protected] Page 22 of 178

23 Hepatitis Due on Session 1 Answers found in: Emergency Care Manual pages Definition Mode of Transmission Route of Entry Signs & Immunization/ Vaccine? 2015/12/ [email protected] Page 23 of 178

24 HIV / AIDS Due on Session 1 Answers found in: Emergency Care Manual pages Definition Mode of Transmission Route of Entry Signs & Immunization/ Vaccine? 2015/12/ [email protected] Page 24 of 178

25 Influenza Due on Session 1 Answers found in: Emergency Care Manual pages Definition Mode of Transmission Route of Entry Signs & Immunization/ Vaccine? 2015/12/ [email protected] Page 25 of 178

26 Personal Protective Equipment (PPE) Due on Session 1 Answers found in: Emergency Care Manual page 36 Task PPE Required Bleeding control with spurting blood Bleeding control with minimal bleeding Childbirth Helping with an intravenous (IV) line Oral/nasal suctioning; manually clearing airway Handling and cleaning contaminated equipment and clothing if body fluids are present Transporting or caring for a patient with signs of a transmissible respiratory illness 2015/12/ [email protected] Page 26 of 178

27 Anatomy and Physiology Due on Session 1 Complete the Body System Chart Due on Session 1 Answers found in: Emergency Care Manual page 49 Body System Major Components Purpose Supplies the body with Oxygen through Breathing Bones, Muscles, Joins, Ligaments, Tendons Nervous Breaks down food and eliminates waste Integumentary Heart, Arteries, Veins, Capillaries, Blood Endocrine Uterus and gentialia Kidneys and bladder 2015/12/ [email protected] Page 27 of 178

28 Cavities of the Body Due on Session 1 Answers found in: Emergency Care Manual pages Body Cavity Major Structures in the Cavity 2015/12/ [email protected] Page 28 of 178

29 Label the Components of the Circulatory System Due on Session 1 Answers found in: Emergency Care Manual page /12/ [email protected] Page 29 of 178

30 Label the Circulatory Cycle Due on Session 1 Answers found in: Emergency Care Manual page 53 Watch the Videos Click the link copy & paste or type the address into your browser: /12/ [email protected] Page 30 of 178

31 Label the Anatomical References Due on Session 1 Answers found in: Emergency Care Manual pages /12/ [email protected] Page 31 of 178

32 Skeletal System Due on Session 1 Answers found in: Emergency Care Manual...page 59 Label the Bones as indicated on the diagram below: Bones are held together with: (Emergency Care Manual page 61) 2015/12/ [email protected] Page 32 of 178

33 Muscles are held to bones with: (Emergency Care Manual page 55) Respiratory System Due on Session 1 Answers found in: Emergency Care Manual pages The Bronchi eventually branch into millions of tiny air sacs called. Oxygen and pass into and out of the blood stream though the thin walls of the and tiny blood vessels called. Watch the Videos Click the link copy & paste or type the address into your browser: Equipment Familiarization Due on Session 1 Oxygen Equipment Due on Session 1 Answers found in: Emergency Care Manual page 123 To attach the pressure regulator to the cylinder: a) Insert the gasket into the b) Check to see that the corresponds to an oxygen tank c) Seat the of the regulator inside the cylinder d) Hand tighten the screw until the regulator is e) Turn on the oxygen and check how much pressure is in the 2015/12/ [email protected] Page 33 of 178

34 Oxygen Flow Rates Due on Session 1 Fill in the Blanks Answers found in: EMR Cheat Sheet Device BC EMALB Paramedic Association of Canada (Canadian Red Cross Emergency Care Manual) O2 % Simple / Standard Mask N/A Non-Rebreather Mask 8 15 lpm 90+ % Bag Valve Mask 10+ lpm Nasal Canula % Resuscitation Mask (Pocket Mask) N/A 6+ lpm Normal Room Air Exhaled Air Name the Equipment Due on Session 1 Answers found in: Equipment Familiarization Booklet 2015/12/ [email protected] Page 34 of 178

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39 Assessment Model Due on Session 1 Assessment Model: Fill in the steps Due on Session 1 Answers found in: EMR Cheat Sheet Scene Survey Primary Survey Secondary Survey Interview Vital Signs Head to Toe Ongoing Survey 2015/12/ [email protected] Page 39 of 178

40 Assessment Model: Scene Survey Due on Session 1 Answers found in: Emergency Care Manual pages 69-70, personal experience and observation Name at least 3 potential hazards and 1 additional resource potentially required in each scene Scene 1 3 Potential Hazards 1 Additional Resource Scene 2 3 Potential Hazards 1 Additional Resource 2015/12/ [email protected] Page 40 of 178

41 Scene 3 3 Potential Hazards 1 Additional Resource Scene 4 3 Potential Hazards 1 Additional Resource 2015/12/ [email protected] Page 41 of 178

42 Transport Decision Due on Session 1 Answers found in: Emergency Care Manual pages List 12 Examples of Urgent / Code 3 Transport (Load-and-Go) Emergencies: 2015/12/ [email protected] Page 42 of 178

43 Assessment Due on Session 1 Glasgow Coma Scale Due on Session 1 Answers found in: Emergency Care Manual page 77 Eye Opening Best Verbal Response Best Motor Response 6 Obeys commands 5 Oriented 5 Localizes to pain 4 Spontaneously 4 Confused 4 Withdraws to pain 3 To voice 3 Inappropriate words 3 Flex to pain (Decorticate) 2 To pain 2 Incomprehensible sounds 2 Extend to pain (Decerebrate) 1 No response 1 No response 1 No response Eye + Verbal + Motor = GCS (3-15) GCS less than 13 is life threatening Calculate Glasgow Coma Scale (GCS): Patient 1 Eyes: Patient s eyes are open and follow you as you move; E = Verbal: Patient is speaking normally and can answer questions clearly; V = Motor: Patient complies with all requests; M = E + V + M = GCS Patient 2 Eyes: Patient s eyes open briefly, only when pinched; E = Verbal: Patient curses at you when pinched; V = Motor: Patient pulls hand away, only when pinched; M = E + V + M = GCS Patient 3 Eyes: Patient s eyes open only while you are speaking to them; E = Verbal: Patient tries to answer questions, but does not know where they are or how they got there; V = Motor: Patient grips your fingers when asked; M = E + V + M = GCS Patient 4 Eyes: Patient s eyes remain closed; E = Verbal: Patient moans when pinched; V = Motor: Patient pulls both arms into his chest when pinched; M = E + V + M = GCS 2015/12/ [email protected] Page 43 of 178

44 Pulse Oximetry: Fill in the blanks Due on Session 1 Answers found in: Emergency Care Manual page 80 Range Value Treatment Normal 91-94% Administer Emergency oxygen using a non-rebreather mask or a bag-valve-mask resuscitator Pulse Oximetry: 12 Limitations Due on Session 1 Answers found in: Emergency Care Manual page /12/ [email protected] Page 44 of 178

45 Blood Pressure - Due on Session 1 Answers found in: Emergency Care Manual pages a. Blood Pressure is measured in units of b. The first number reflects the pressure in the arteries when the heart is working, or contracting. This pressure is called the c. The second number reflects the pressure in the arteries when the heart is at rest and refilling. This is called the Blood Glucose Monitoring - Due on Session 1 Answers found in: Emergency Care Manual 84-85, EMR Cheat Sheet, BCAS Treatment Guidelines a. Blood glucose is measured in b. A normal BGL ranges from to c. Hypoglycemia is most often defined as a BGL of less than d. Hyperglycemia is defined as a BGL of greater than e. In BRITISH COLUMBIA the BCAS Treatment Guidelines define Hyperglycemia as BGL greater than (refer to Frontline EMR Cheat Sheet or BCAS Treatment Guidelines Booklet) Head to Toe Assessment Mnemonics - Due on Session 1 Fill in the Blanks Answers found in: EMR Cheat Sheet B C Contusions S O A C L Lacerations P R D I P T Tenderness S 2015/12/ [email protected] Page 45 of 178

46 Label the Pulse Points Due on Session 1 Answers found in: Emergency Care Manual page /12/ [email protected] Page 46 of 178

47 Shock Due on Session 1 Types and Causes of Shock Due on Session 1 Answers found in: Emergency Care Manual page 154 Type of Shock Cause Anaphylactic Cardiogenic Hypovolemic Neurogenic Psychogenic Respiratory Septic 2015/12/ [email protected] Page 47 of 178

48 Eight Signs and of Head or Spinal Injury Due on Session 1 Answers found in: Emergency Care Manual pages Label the Components of the Spinal Column Due on Session 1 Answers found in: Emergency Care Manual page Name of Region How many Vertebrae in each Region Watch the Videos Click the link copy & paste or type the address into your browser: /12/ [email protected] Page 48 of 178

49 Label the Components of the Spine Due on Session 1 Answers found in: Emergency Care Manual page /12/ [email protected] Page 49 of 178

50 KED Strapping Sequence - Due on Session 1 Answers found in: EMR Cheat Sheet, KED Manual Middle strap first Baby Black Hot Green Spinal Grips - Due on Session 1 Name the Grip Pictured Answers found in: Emergency Care Manual pages 72 and /12/ [email protected] Page 50 of 178

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52 Session 2 Drip Set Calculations - Due on Session 2 Answers found in: Emergency Care Manual page 169, EMR Cheat Sheet Drip Set Sizes Standard (Regular) 15 gtts / ml Macro (Adult) 10 gtts / ml Micro (Mini) 60 gtts / ml gtts = drips ml = milliliters gtts / ml = how many drips add up to one milliliter gtts / minute (drips per minute) = volume (expressed in milliliters) to be infused X gtts / ml Infusion time (expressed in minutes) Calculate gtts (Drips) per minute needed to meet the required infusion rate: Eg Calculate drips per minute required for a Macro (Adult) sized Drip Set to infuse 380 ml/hour 380 ml x 10 gtts/ml = 60 minutes 3,800 = drips per minute to infuse 380 ml over an hour* *(this would work out to roughly 1 drip every second) Calculate drips per minute required for a Micro (Mini) sized Drip Set to infuse 150 ml/hour Calculate drips per minute required for a Standard (Regular) sized Drip Set to infuse 200 ml/hour 2015/12/ [email protected] Page 52 of 178

53 IV Complications Worksheets Due on Session 2 Circulatory Overload Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Interventions 2015/12/ [email protected] Page 53 of 178

54 Catheter Embolism Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Interventions 2015/12/ [email protected] Page 54 of 178

55 Allergic Reaction Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Interventions 2015/12/ [email protected] Page 55 of 178

56 Interstitial Swelling Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Interventions 2015/12/ [email protected] Page 56 of 178

57 Thrombosis and Thrombophlebitis Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Interventions 2015/12/ [email protected] Page 57 of 178

58 Site Infection Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Interventions 2015/12/ [email protected] Page 58 of 178

59 Pharmacology Worksheets Due on Session 6 Bromide Due on Session 2 Answers found in: Emergency Care Manual page 162 Trade Name: Ipratropium Bromide Generic Name(s): Classification Mechanism Indications Contraindications Precautions Adverse Effects Doses Routes of Administration Onset Peak Effects Duration DosageForms / Packaging Notes 2015/12/ [email protected] Page 59 of 178

60 Adrenaline - Due on Session 2 Answers found in: Emergency Care Manual pages Trade Name: Epinephrine Hydrochloride Generic Name(s): Classification Mechanism Alpha Effects Beta Effects Indications Contraindications Precautions Adverse Effects Doses Routes of Administration Onset Peak Effects Duration Notes 2015/12/ [email protected] Page 60 of 178

61 Nitrous Oxide - Due on Session 2 Answers found in: Emergency Care Manual pages , EMR Cheat Sheet Trade Name(s): Generic Name(s): Classification Mechanism Indications Contraindications Precautions Adverse Effects Doses Notes 2015/12/ [email protected] Page 61 of 178

62 Salbutamol - Due on Session 2 Answers found in: Emergency Care Manual page 166 Trade Name(s): Generic Name(s): Classification Mechanism Indications Contraindications Precautions Adverse Effects Doses Routes of Administration Onset Duration Metabolism Notes 2015/12/ [email protected] Page 62 of 178

63 Routes of Drug Administration - Due on Session 2 Fill in the blanks Answers found in: Emergency Care Manual page 167 Enteral administration of drugs includes the following routes 2015/12/ [email protected] Page 63 of 178

64 Parenteral administration of drugs includes the following routes: Entonox Administration - Due on Session 2 Fill in the blanks Answers found in: Emergency Care Manual page 164, EMR Cheat Sheet Entonox Contraindications - Acronym D I V I N E 2015/12/ [email protected] Page 64 of 178

65 Entonox Protocol (EMR Cheat Sheet) Indications Rule out Contraindications Cautions Completed before administration Proper Storage Instructions to Patient o o o o 2015/12/ [email protected] Page 65 of 178

66 CPR Techniques - Due on Session 2 Complete the Chart Answers found in: Emergency Care Manual page 141 Age Adult (over 8 years old) Child (1-8 years old) Infant (under 1 year old) Hand Position Compression Depth Breathe Cycle Compression Rate 1 Rescuer 2 Rescuers Treatable CPR - Due on Session 2 Complete the Chart Answers found in: EMR Cheat Sheet Tension Pneumothorax Consult Medical Control 2015/12/ [email protected] Page 66 of 178

67 Changing CPR Positions - Due on Session 2 Answers found in: Emergency Care Manual page 144 It is recommended that responders change every ( ) to maintain quality CPR. Hypothermic CPR Patients - Due on Session 2 Answers found in: Emergency Care Manual pages 139 and 310, EMR Cheat Sheet, BCAS Treatment Guidelines According to the Emergency Care Manual how long should you check a pulse before starting CPR if you suspect Hypothermia? According to the BCAS Treatment Guidelines how long should you check a pulse before starting CPR if you suspect Hypothermia? When to Stop CPR - Due on Session 2 Answers found in: Emergency Care Manual page Definitions - Due on Session 2 Answers found in: Emergency Care Manual page 138 Asystole Ventricular Tachycardia Ventricular Fibrillation In over 80% of all sudden cardiac arrests, the initial rhythm is or, which are the only two rhythms an AED will shock. 2015/12/ [email protected] Page 67 of 178

68 Do Not Resuscitate / No CPR forms - Due on Session 2 Answers found in: Do Not Resuscitate form, Emergency Care Manual page 10 What does the acronym ASDM stand for? A S D M What is the phone number for HealthLink BC? What information is included in the Patient Identification section of the No CPR Form? Fill in the blanks: Ensure that a copy of this form is easily available in. If you and your dying relative / friend are for any reason, take the form so it s 2015/12/ [email protected] Page 68 of 178

69 The 6 Rights - Due on Session 2 Fill in the Blanks Answers found in: Emergency Care Manual page 161, EMR Cheat Sheet, BCAS Treatment Guidelines EMR s in BC can ADMINISTER & and ASSIST with other Medications 1 Person 2 Have they had it before no Contraindications 3 Time 4 How much should they take 5 Route 6 Documentation Medications - Emergency Medical Responders in British Columbia Administer Assist 2015/12/ [email protected] Page 69 of 178

70 Nitroglycerin - Due on Session 2 Answers found in: Emergency Care Manual pages , EMR Cheat Sheet Trade Name(s): Generic Name(s): Classification Mechanism Indications Contraindications Precautions Adverse Effects Doses Routes of Administration Onset Metabolism Notes 2015/12/ [email protected] Page 70 of 178

71 Oral Glucose - Due on Session 2 Answers found in: Emergency Care Manual page 165, EMR Cheat Sheet Trade Name(s): Generic Name(s): Classification Mechanism Indications Contraindications Precautions Adverse Effects Doses Onset Routes of Administration Notes 2015/12/ [email protected] Page 71 of 178

72 Oxygen - Due on Session 2 Answers found in: Emergency Care Manual pages Trade Name(s): Generic Name(s): Classification Description Indications Contraindications Precautions Doses Routes of Administration Notes 2015/12/ [email protected] Page 72 of 178

73 Angina Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 73 of 178

74 Heart Attack Due on Session 2 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 74 of 178

75 ASA - Due on Session 2 Answers found in: Emergency Care Manual page 164, EMR Cheat Sheet Trade Name(s): Generic Name(s): Classification Mechanism Indications Contraindications Precautions Doses Routes of Administration Notes 2015/12/ [email protected] Page 75 of 178

76 Chest Pain Protocol - Due on Session 2 Fill in the blanks Answers found in: Emergency Care Manual, EMR Cheat Sheet, BCAS Treatment Guidelines Chest Pain Protocol Contraindications Nitro and/or ASA Procedure: Nitro Contraindications ASA Contraindications If pain persists recheck contraindications and administer 2 nd and 3 rd Nitro doses waiting 3-5 minutes between doses 2015/12/ [email protected] Page 76 of 178

77 Diabetic Protocols - Due on Session 2 Fill in the Blanks Answers found in: Emergency Care Manual pages , BCAS Treatment Guidelines, EMR Cheat Sheet Guideline BCAS Treatment Guidelines (BC EMALB) PAC NOSCP (Red Cross Emergency Care Manual) Minimum Systolic B.P. to give Nitro 90 mmhg 100 mmhg Nitro Dose Frequency Every 3-5 minutes (Q3-5) Every 5 minutes (Q5) Hyperglycaemia Burn Percentage Calculations Lund & Browder Chart Rule of Nines Burn Cooling On Scene 1-2 minutes Varies with extent of burns CPR with Hypothermia Check Pulse for 30 seconds Check pulse for 45 seconds 2015/12/ [email protected] Page 77 of 178

78 Diabetes Due on Session 2 Answers found in: Emergency Care Manual pages and 281 Causes Signs and Treatment 2015/12/ [email protected] Page 78 of 178

79 Seizures Due on Session 2 Answers found in: Emergency Care Manual pages and 284 Causes Signs and Treatment 2015/12/ [email protected] Page 79 of 178

80 Session 3 Musculoskeletal Worksheets Due on Session 3 Strain - Due on Session 3 Answers found in: Emergency Care Manual pages Tissues Involved Signs and Treatment 2015/12/ [email protected] Page 80 of 178

81 Sprain - Due on Session 3 Answers found in: Emergency Care Manual pages Tissues Involved Signs and Treatment 2015/12/ [email protected] Page 81 of 178

82 Fracture - Due on Session 3 Answers found in: Emergency Care Manual pages Tissues Involved Signs and Treatment 2015/12/ [email protected] Page 82 of 178

83 Dislocation - Due on Session 3 Answers found in: Emergency Care Manual pages 209 Tissues Involved Signs and Treatment 2015/12/ [email protected] Page 83 of 178

84 Musculoskeletal Injuries Due on Session 3 Principles of Splinting Due on Session 3 Fill in the Blanks Answers found in: Emergency Care Manual pages R I C E To effectively immobilize an injured part, a splint must extend and the injury site. 2015/12/ [email protected] Page 84 of 178

85 Transient Ischemic Attack Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 85 of 178

86 Stroke Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 86 of 178

87 Soft Tissue Injury Worksheets Due on Session 3 Internal Bleeding Due on Session 3 Answers found in: Emergency Care Manual Causes Signs and Treatment 2015/12/ [email protected] Page 87 of 178

88 Laceration Due on Session 3 Answers found in: Emergency Care Manual pages Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 88 of 178

89 Abrasion Due on Session 3 Answers found in: Emergency Care Manual pages Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 89 of 178

90 Avulsion Due on Session 3 Answers found in: Emergency Care Manual pages Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 90 of 178

91 Puncture - Due on Session 3 Answers found in: Emergency Care Manual pages Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 91 of 178

92 Scalp Injury - Due on Session 3 Answers found in: Emergency Care Manual page 243 Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 92 of 178

93 Cheek Injury - Due on Session 3 Answers found in: Emergency Care Manual pages Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 93 of 178

94 Eye Injury - Due on Session 3 Answers found in: Emergency Care Manual page 250 Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 94 of 178

95 Extruded Eyeball - Due on Session 3 Answers found in: Emergency Care Manual page 249 Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 95 of 178

96 Ear Injury - Due on Session 3 Answers found in: Emergency Care Manual page 250 Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 96 of 178

97 Mouth and Jaw Injuries - Due on Session 3 Answers found in: Emergency Care Manual pages Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 97 of 178

98 Infection - Due on Session 3 Answers found in: Emergency Care Manual pages Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 98 of 178

99 Pulmonary Edema Due on Session 3 Answers found in: Emergency Care Manual page Causes Signs and Treatment 2015/12/ [email protected] Page 99 of 178

100 Pulmonary Embolism Due on Session 3 Answers found in: Emergency Care Manual page Causes Signs and Treatment 2015/12/ [email protected] Page 100 of 178

101 Asthma Due on Session 3 Answers found in: Emergency Care Manual page Causes Signs and Treatment 2015/12/ [email protected] Page 101 of 178

102 Pneumonia Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 102 of 178

103 Chronic Obstructive Pulmonary Disease Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 103 of 178

104 Hypoxic Drive - Due on Session 3 Fill in the blanks Answers found in: Emergency Care Manual pages People with and / or may eventually develop a to breathe. In healthy individuals, the drive to breathe is from the amount of in the blood. People with and / or build up high levels of in the blood. Due to the consistently high levels, the body looks to the to determine the need to breathe. If levels are low, the breathing rate increases. In a person with who has a true, increased levels of could signal the body to slow down or stop breathing entirely. However this is rarely encountered in the field because EMS is usually called for a person who is. In this case you should administer high-flow oxygen to the patient. 2015/12/ [email protected] Page 104 of 178

105 Anaphylaxis Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 105 of 178

106 Hyperventilation Due on Session 3 Answers found in: Emergency Care Manual page 105 Causes Signs and Treatment 2015/12/ [email protected] Page 106 of 178

107 Assisted Ventilations and Rescue Breathing - Due on Session 3 Fill in the blanks Answers found in: Emergency Care Manual pages and 120, EMR Cheat Sheet Assisted Ventilations Problem Breathing too Fast greater than breaths per minute Adult Ventilation Rate Child / Infant Breathing too Slow less than breaths per minute Signs of 1 breath every seconds 1 breath every seconds Timed between or with patient s own breaths Signs of Rescue Breathing Problem Respiratory Arrest but PULSE Ventilation Rate Adult Child / Infant 1 breath 1 breath every every seconds seconds 2015/12/ [email protected] Page 107 of 178

108 Trauma Worksheets Due on Session 3 Amputation - Due on Session 3 Answers found in: Emergency Care Manual page 196 Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 108 of 178

109 Impaled Object - Due on Session 3 Answers found in: Emergency Care Manual page 196 Description Signs and Possible Complications Treatment 2015/12/ [email protected] Page 109 of 178

110 Pneumothorax/Hemothorax Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 110 of 178

111 Flail Chest Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 111 of 178

112 Crush Syndrome Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 112 of 178

113 Compartment Syndrome Due on Session 3 Answers found in: Emergency Care Manual page 185 Causes Signs and Treatment 2015/12/ [email protected] Page 113 of 178

114 Blast Injuries Due on Session 3 Answers found in: Emergency Care Manual page 185 Causes Signs and Treatment 2015/12/ [email protected] Page 114 of 178

115 Abdominal Aortic Aneurysm Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 115 of 178

116 Burns Worksheets Due on Session 3 Superficial Burns Due on Session 3 Answers found in: Emergency Care Manual pages Areas Commonly Affected Depth of Tissues Affected Signs and Treatment 2015/12/ [email protected] Page 116 of 178

117 Partial Thickness Burns Due on Session 3 Answers found in: Emergency Care Manual pages Areas Commonly Affected Depth of Tissues Affected Signs and Treatment 2015/12/ [email protected] Page 117 of 178

118 Full Thickness Burns Due on Session 3 Answers found in: Emergency Care Manual pages Areas Commonly Affected Depth of Tissues Affected Signs and Treatment 2015/12/ [email protected] Page 118 of 178

119 Lund & Browder Burn Estimation Chart Due on Session 3 Calculate Total Percentage Burned Answers found in: EMR Cheat Sheet; Lund and Browder Burn Chart Full Thickness Partial Thickness Full Thickness Full Thickness Partial Thickness Partial Thickness Full Thickness Area Fill in the Age Percentages 0 (infant) 1 year 5 years 10 years 15 years Adult A = half of head 6.5 % B = half of one thigh 2.75% 4.5% C = half of one lower leg Record the burn percentages indicated for the 15 YEAR OLD patient in the Diagram above Region Partial Thickness % Full Thickness % Head Neck Anterior Trunk Posterior Trunk Right Arm Left Arm Buttocks Genitalia Right Leg Left Leg Total Burn % 2015/12/ [email protected] Page 119 of 178

120 Rule of Nines Burn Estimation Due on Session 3 Calculate Total Percentage Burned Answers found in: Emergency Care Manual pages Total Percentage Burned Adult Shown Child Shown 2015/12/ [email protected] Page 120 of 178

121 Burn Protocols Due on Session 3 Fill in the Blanks Answers found in: Emergency Care Manual pages , BCAS Treatment Guidelines, EMR Cheat Sheet Guideline BCAS Treatment Guidelines (BC EMALB) PAC NOSCP (Red Cross Emergency Care Manual) Minimum Systolic B.P. to give Nitro 90 mmhg 100 mmhg Nitro Dose Frequency Every 3-5 minutes (Q3-5) Every 5 minutes (Q5) Hyperglycaemia 11 mmol or higher 8 mmol or higher Burn Percentage Calculations Burn Cooling On Scene CPR with Hypothermia Check Pulse for 30 seconds Check pulse for 45 seconds 2015/12/ [email protected] Page 121 of 178

122 Congestive Heart Failure Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment Right-sided heart failure usually occurs due to 2015/12/ [email protected] Page 122 of 178

123 Childbirth Complications Worksheets Due on Session 3 Miscarriage Due on Session 3 Answers found in: Emergency Care Manual page 338 Causes Signs and Treatment 2015/12/ [email protected] Page 123 of 178

124 Third Trimester Bleeding Due on Session 3 Answers found in: Emergency Care Manual page 339 Causes Signs and Treatment 2015/12/ [email protected] Page 124 of 178

125 Multiple Births Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 125 of 178

126 Breech Birth Due on Session 3 Answers found in: Emergency Care Manual page 340 Causes Signs and Treatment 2015/12/ [email protected] Page 126 of 178

127 Prolapsed Cord Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 127 of 178

128 Ectopic Pregnancy Due on Session 3 Answers found in: Emergency Care Manual page 339 Causes Signs and Treatment 2015/12/ [email protected] Page 128 of 178

129 Limb Presentation Due on Session 3 Answers found in: Emergency Care Manual page 341 Causes Signs and Treatment 2015/12/ [email protected] Page 129 of 178

130 Premature Labour Due on Session 3 Answers found in: Emergency Care Manual pages Causes Signs and Treatment 2015/12/ [email protected] Page 130 of 178

131 Post-Partum Bleeding Due on Session 3 Answers found in: Emergency Care Manual page 341 Causes Signs and Treatment 2015/12/ [email protected] Page 131 of 178

132 APGAR - Due on Session 3 Fill in the Blanks Answers found in: Emergency Care Manual page 342, EMR Cheat Sheet APGAR Activity 100 bpm or higher Grimace Body/Extremities Blue/Pale is Normal is Fairly Low is Critically Low 2015/12/ [email protected] Page 132 of 178

133 Session 4 Sudden Illness Worksheets Due on Session 4 Appendicitis Due on Session 4 Answers found in: Emergency Care Manual pages and 280 Causes Signs and Treatment 2015/12/ [email protected] Page 133 of 178

134 Peptic Ulcers Due on Session 4 Answers found in: Emergency Care Manual pages 278 and 284 Causes Signs and Treatment 2015/12/ [email protected] Page 134 of 178

135 Gastroenteritis Due on Session 4 Answers found in: Emergency Care Manual pages 277 and 282 Causes Signs and Treatment 2015/12/ [email protected] Page 135 of 178

136 Bowel Obstruction Due on Session 4 Answers found in: Emergency Care Manual pages 277 and 280 Causes Signs and Treatment 2015/12/ [email protected] Page 136 of 178

137 Kidney Stones Due on Session 4 Answers found in: Emergency Care Manual pages 278 and 283 Causes Signs and Treatment 2015/12/ [email protected] Page 137 of 178

138 Urinary Tract Infection Due on Session 4 Answers found in: Emergency Care Manual pages 278 and 285 Causes Signs and Treatment 2015/12/ [email protected] Page 138 of 178

139 Fainting (Syncope) Due on Session 4 Answers found in: Emergency Care Manual pages 270 and 281 Causes Signs and Treatment 2015/12/ [email protected] Page 139 of 178

140 Peritonitis Due on Session 4 Answers found in: Emergency Care Manual pages 278 and 284 Causes Signs and Treatment 2015/12/ [email protected] Page 140 of 178

141 Sager Traction Splint Due on Session 4 Fill in the Blanks Answers found in: EMR Cheat Sheet, Sager Instruction Manual Sager Traction Splint Suspected Fracture of Femur, Tibia or Fibula Assess injured leg Apply Traction o o o o Secure Splint Reassess Injury 2015/12/ [email protected] Page 141 of 178

142 Poisons Worksheets Due on Session 4 How Poisons Enter the Body Due on Session 4 List 3 examples of each method Answers found in: Emergency Care Manual page 288 Ingestion Inhalation Absorption Injection 2015/12/ [email protected] Page 142 of 178

143 Commonly Misused and Abused Substances Due on Session 4 Fill in the blanks Answers found in: Emergency Care Manual pages List 4 types of commonly Misused and Abused Substances Potential Signs and of Substance Abuse or Misuse 2015/12/ [email protected] Page 143 of 178

144 Spider Bites Due on Session 4 Answers found in: Emergency Care Manual page 292 Examples Signs and Treatment More Advanced Care If: 2015/12/ [email protected] Page 144 of 178

145 Marine Life Due on Session 4 Answers found in: Emergency Care Manual pages Examples Signs and Treatment More Advanced Care If: 2015/12/ [email protected] Page 145 of 178

146 Ticks Due on Session 4 Answers found in: Emergency Care Manual pages Description Signs and Treatment More Advanced Care If: 2015/12/ [email protected] Page 146 of 178

147 Snakes Due on Session 4 Answers found in: Emergency Care Manual page 293 Examples Signs and Treatment More Advanced Care If: 2015/12/ [email protected] Page 147 of 178

148 Hanta Virus Due on Session 4 Answers found in: Emergency Care Manual page 291 Sources Signs and Treatment 2015/12/ [email protected] Page 148 of 178

149 More Advanced Care If: Misused and Abused Substances Worksheets Due on Session 4 Stimulant Due on Session 4 Answers found in: Emergency Care Manual pages Examples Mechanism and Routes Effects 2015/12/ [email protected] Page 149 of 178

150 Signs and Treatment and Approach Options Hallucinogen Due on Session 4 Answers found in: Emergency Care Manual pages Examples Mechanism and Routes Effects Signs and 2015/12/ [email protected] Page 150 of 178

151 Treatment and Approach Options Depressant Due on Session 4 Answers found in: Emergency Care Manual pages Examples Mechanism and Routes Effects 2015/12/ [email protected] Page 151 of 178

152 Signs and Treatment and Approach Options Designer Drugs Due on Session 4 Answers found in: Emergency Care Manual pages Examples Mechanism and Routes Effects 2015/12/ [email protected] Page 152 of 178

153 Signs and Treatment and Approach Options Hypothermia Worksheets Due on Session 4 Mild Hypothermia Due on Session 4 Answers found in: Emergency Care Manual pages Causes 2015/12/ [email protected] Page 153 of 178

154 Signs and Interventions Moderate Hypothermia Due on Session 4 Answers found in: Emergency Care Manual pages Causes Signs and 2015/12/ [email protected] Page 154 of 178

155 Treatment Severe Hypothermia Due on Session 4 Answers found in: Emergency Care Manual pages Causes 2015/12/ [email protected] Page 155 of 178

156 Signs and Treatment Frostbite Worksheets Due on Session 4 Frost Nip Due on Session 4 Answers found in: Emergency Care Manual page 308 Areas Commonly Affected Depth of 2015/12/ [email protected] Page 156 of 178

157 Tissues Affected Signs and Treatment Frostbite Due on Session 4 Answers found in: Emergency Care Manual pages Areas Commonly Affected Depth of Tissues Affected 2015/12/ [email protected] Page 157 of 178

158 Signs and Treatment Hyperthermia Worksheets Due on Session 4 Heat Cramps Due on Session 4 Answers found in: Emergency Care Manual pages Causes 2015/12/ [email protected] Page 158 of 178

159 Signs and Treatment Heat Exhaustion Due on Session 4 Answers found in: Emergency Care Manual pages Causes 2015/12/ [email protected] Page 159 of 178

160 Signs and Treatment Heat Stroke Due on Session 4 Answers found in: Emergency Care Manual pages Causes 2015/12/ [email protected] Page 160 of 178

161 Signs and Treatment High Altitude Sickness Worksheets Due on Session 4 Acute Mountain Sickness Due on Session 4 Answers found in: Emergency Care Manual pages and Causes 2015/12/ [email protected] Page 161 of 178

162 Signs and Treatment High Altitude Pulmonary Edema Due on Session 4 Answers found in: Emergency Care Manual pages and Causes 2015/12/ [email protected] Page 162 of 178

163 Signs and Treatment 2015/12/ Page 163 of 178

164 High Altitude Cerebral Edema Due on Session 4 Answers found in: Emergency Care Manual pages and Causes Signs and Treatment 2015/12/ [email protected] Page 164 of 178

165 Behavioural and Psychotic Emergencies Worksheets Due on Session 4 Psychosis Due on Session 4 Answers found in: Emergency Care Manual pages Category Causes Typical Behaviours Signs and Treatment / Approach Options 2015/12/ [email protected] Page 165 of 178

166 Anxiety Due on Session 4 Answers found in: Emergency Care Manual pages Category Causes Typical Behaviours Signs and Treatment / Approach Options 2015/12/ [email protected] Page 166 of 178

167 Depression Due on Session 4 Answers found in: Emergency Care Manual pages Category Causes Typical Behaviours Signs and Treatment / Approach Options 2015/12/ [email protected] Page 167 of 178

168 Schizophrenia Due on Session 4 Answers found in: Emergency Care Manual pages Category Causes Typical Behaviours Signs and Treatment / Approach Options 2015/12/ [email protected] Page 168 of 178

169 Special Populations Worksheets Due on Session 4 Infant Due on Session 4 Answers found in: Emergency Care Manual pages and Significant Differences from Adults Vulnerabilities On Scene Challenges On Scene Solutions 2015/12/ [email protected] Page 169 of 178

170 Child Due on Session 4 Answers found in: Emergency Care Manual pages Significant Differences from Adults Vulnerabilities On Scene Challenges On Scene Solutions 2015/12/ [email protected] Page 170 of 178

171 Adolescent Due on Session 4 Answers found in: Emergency Care Manual pages Significant Differences from Adults Vulnerabilities On Scene Challenges On Scene Solutions 2015/12/ [email protected] Page 171 of 178

172 Older Adult Due on Session 4 Answers found in: Emergency Care Manual pages Significant Differences from Adults Vulnerabilities On Scene Challenges On Scene Solutions 2015/12/ [email protected] Page 172 of 178

173 Physically or Mentally Disabled Due on Session 4 Answers found in: Emergency Care Manual pages Significant Differences from Average Population Vulnerabilities On Scene Challenges On Scene Solutions 2015/12/ [email protected] Page 173 of 178

174 Crisis Intervention Worksheet Due on Session 4 Answers found in: Emergency Care Manual pages Possible Causes of Emotional Distress Possible Effects of Emotional Distress Pre-Incident Management Strategies Ongoing Incident Management Strategies Post-Incident Management Strategies Personal and Professional Coping Resources Video /12/ [email protected] Page 174 of 178

175 Communications Worksheets Due on Session 4 Medical Director Due on Session 4 Answers found in: Emergency Care Manual pages key pieces of information to relay to Medical Director 2015/12/ [email protected] Page 175 of 178

176 Transportation Worksheets Due on Session 4 Safe Vehicle Operations Due on Session 4 Answers found in: Emergency Care Manual page Factors that influence safe driving operation 2015/12/ [email protected] Page 176 of 178

177 Triage / Multiple Casualty Incidents Due on Session 4 Answers found in: Emergency Care Manual Patient appearance. Injuries or circumstances apparent upon approach Primary Survey Findings Triage Decision Immediate Delayed Minor Dead / Non Salvageable All patients listed below are found at the same bus crash scene Adult male with a 1.5 foot piece of rebar sticking out of their chest. 3 year old female with their right foot amputated below the malleolus. Bleeding controlled. 12 year old male. No apparent injuries. Adult male with deadly bleeding from a deep laceration on the left leg. Adult female. No apparent injuries Adult male with severe deformity at the right elbow. Bone protruding from right forearm Elderly male. No apparent injuries Adult female. Pale and sweaty with severe chest pain radiating into the left jaw and arm. LOC Alert Radial Pulse Present Respirations Normal and Adequate LOC Alert Radial Pulse Present Respirations Normal and Adequate LOC Unresponsive Radial Pulse Present Respirations Normal and Adequate LOC Alert Radial Pulse Absent Respirations Normal and Adequate LOC Alert Radial Pulse Absent Respirations Normal and Adequate LOC Alert Radial Pulse Present Respirations Normal and Adequate LOC Verbal Responsiveness Radial Pulse Present Respirations Normal and Adequate LOC Alert Radial Pulse Present. Respirations Normal and Adequate 2015/12/ [email protected] Page 177 of 178

178 Adolescent male. No apparent injuries. Complaining of asthma. 8.5 month pregnant female. No apparent injuries. LOC Alert Radial Pulse Present Respirations Rapid and ineffective LOC Unresponsive Radial Pulse Absent Respirations Absent 2015/12/ Page 178 of 178