State 3 indications for insertion of a surgical airway, Right Ans - Swelling of
the upper airway.
Facial and airway trauma and burns.
Definitive airway required but no sedation available.
When all other methods of securing the airway have failed.
Demonstrate how to identify the landmarks for a surgical airway, Right Ans
- Cricoid cartilage.
Thyroid cartilage
Cricothyroid membrane.
State 3 potential complications from a surgical airway, Right Ans - Cuff
puncture.
Formation of a false passage into the tissues.
Other damage to surrounding tissues,
Bleeding (with risk of aspiration) or hematoma formation.
Surgical emphysema.
7 signs and symptoms of a tension pneumothorax: Right Ans - Increased
respiratory rate.
Splayed ribs.
Asymmetrical chest movement.
Emphysema.
Increased effort of breathing.
Tracheal deviation.
Distended neck veins.
Chest pain.
Hyper-resonance on percussion on affected side.
Absent/decreased breath sounds on affected side.
Low 02 saturation or cyanosis.
Demonstrate how to locate the two recommended sites for needle
decompression: Right Ans - 2nd intercostal space, mid-clavicular line, over
the 3rd rib.
5th intercostal space, slightly anterior to the mid-axillary line, over the 6th rib.
, State two ways to rectify ARS failures: Right Ans - Attempt to re-flush with
Normal Saline.
Re-confirm correct site and attempt insertion more laterally along the 2nd
intercostal space
Consider alternative recommended site moving to the 5' intercostal space.
State two reasons for EZ-IO insertion Right Ans - 2 failed attempts at IV
access.
No available IV insertion sites, e.g. extensive burns, fractures, amputations.
Immediate access required for cardiac arrest due to hypovolemia.
Contra-indications for EZ-IO insertion Right Ans - Not to be used on
fractured limbs
State the 3 sites and devices used for interosseous access Right Ans -
Anterior-medial aspect of the tibia using EZ-IO
Sternum, using fast
Proximal head of humerus, using EZ-IO
State the needle colour and location of placement Right Ans - Pink (15mm)
for Paediatrics
Blue (25mm) for adults antero-medial tibia
Yellow (45mm) for adults head off humerus
Red for training
State 2 reasons for IO device insertion Right Ans - 2 failed attempts at IV
access
No viable IV insertion sites
Immediate access for cardiac arrest due to hypovolemia
State 2 contra-indications for FAST insertion Right Ans - Surgical scarring
at insertion site
Possible fracture or significant trauma to sternum
Under 12 years old
State 3 indications of a pelvic fracture Right Ans - Mechanism of injury
suggestive of pelvic fracture.
Pain in the region of the pelvis.
Shortening of one leg or uneven greater trochanters.
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