Medical Studies > FISDAP > FISDAP Operations Study Guide | well answered questions | 12 pages (All)

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FISDAP Operations Study Guide | well answered questions | 12 pages

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1. Immunizations to prevent communicable disease (such as, but not limited to, meningitis)  MMR (Measles, Mumps, Rubella)  DPT (Diphtheria, Pertussis (Whooping Cough), Tetanus)  Meningitis, Hepatitis A + B ONLY, Polio, Varicella (Chickenpox)  VACCINE: Bacterial Meningitis = “Haemophilus” H.influenza type B  Majority viral vaccines  Bacterial vaccines: tetanus toxoid (causes trismus/lockjaw), meningitis, typhoid  Influenza virus (flu; provided annually) 2. Evaluation criteria for rapid extrication  1) Unsafe scene: fuel leaking, fire, etc  2) Unstable patient condition  3) One patient blocking a more critical (airway compromised, AMS, hypoperfusion) patient  Maintain c-spine stabilization, prepare for move to longboard/spinal board  Remember; environmental hazards relate to time of day, weather, temp, and ambient lighting  Technical Rescue: high angle, vehicle extrication, trench, ice/swiftwater, hazardous materials  If appear critical (bleeding to airway, AMS, hypoperfusion), apply cervical collar, rotate patient as a unit, place backboard on seat, and remove from car by sliding on backboard = RAPID EXTRICATION. Following removal, then do rapid head-to-toe. IV and other skills should be performed en route to hospital. Vest device takes too long to apply! 3. Commonly prescribed diabetic medications  TYPE I (Insulin): Levemir, Lantus, Byetta, Humalog  TYPE II (Enhances insulin production): Glucophage, metformin, glipizide, glyburide, glimepiride  EMS: 25g of Dextrose (D50) – hypertonic, can cause tissue necrosis, IV Push 1mg Glucagon – Causes glycogen to be released from liver/muscles, IM  Hypoglycemic patient given D50, now alert but confused; asks same question over and over. RESPOND = Repeat the truth/tell them what happened each time. Keeps patient aware of surroundings. REMEMBER, patient who is hypoglycemic (ie 40 mg/dL) and denies IV/dextrose MUST BE INFORMED of risks! Thus, explain they can go into a coma and die; make sure they are aware of this 4. Types of extrication devices and tools  Scoop stretcher = Great for hip/pelvic fractures; excellent support; metal frame; NO log roll needed; SPINAL SUPPORT  Stokes basket/litters = Great for moving over rough terrain; use SIX people  Folding stretcher = LESS support than scoop; better for 2nd patient to be strapped to bench seat  Stair chair = move patient in tight spaces, down stairs safely, good for stroke, nausea, cardiac; NO spine support!  Rescue = “figure eight on a bight/bite” = secure loop at the working end of a rope, can attach to a person, fixed object, or piece of equipment. More secure than a standard figure 8. Half hitch NOT secure. Hitch knot only to ROUND object

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