State 2 reasons for applying a tourniquet. Right Ans - a. Uncontrolled
catastrophic haemorrhage from a limb.
b. Low visibility or insufficient time to assess an injured limb in a non-
permissive situation.
c. Bleeding reoccurs following the application of the initial tourniquet.
State immediate actions should bleeding re-occur after a tourniquet has been
applied? Right Ans - a. Reassess CAT already applied.
b. Apply second CAT immediately proximal to the initial CAT.
Demonstrate the application of a CAT. Right Ans - - Position CAT as close to
the wound as injury allows.
- Ensure there is no obstruction under the self-adhering band. - Use a two-
handed technique, ensuring the self-adhering band is fed through the buckle
loop.
- Pull self-adhering band tightly and secure using the Velcro.
- Tighten the windlass rod until bleeding stops.
- Lock and secure the windlass rod and the loose end of the strap under the
clip using the Velcro time strap.
- Document the date and time of application.
State 3 sites where Celox is NOT to be used. Right Ans - a. Suspected open
skull fractures.
b. Inside the chest cavity.
c. Inside the abdominal cavity
Demonstrate the application of Celox. Right Ans - - Apply direct pressure to
the wound using hands or ideally an ECB.
- Apply Celox using continuous digital pressure, filling the wound liberally
until the wound is fully and tightly packed.
- Apply a new ECB with firm pressure for 1 minute.
- Check for excessive strike through on the ECB indicating continued
haemorrhage, being careful not to disturb the Celox.
- If no significant strike through is observed, secure the ECB firmly using an
appropriate method.
, State the actions required should bleeding continue/reoccur. Right Ans - a.
Apply more Celox with an additional minute of pressure.
b. Apply direct pressure.
State 3 causes of an airway obstruction. Right Ans - a. Liquids, e.g. blood,
secretions, vomit.
b. Solids, e.g. foreign bodies, teeth, vomit.
c. Swelling, e.g. anaphylaxis, burns, haematoma (trauma).
d. Structural, e.g. tongue, deformity (trauma).
State 2 reasons for using an airway adjunct. Right Ans - a. To maintain an
airway by preventing the tongue from obstructing the throat.
b. When unable to continue manual manoeuvres.
State 3 indications for insertion of a surgical airway. Right Ans - a. Swelling
of the upper airway.
b. Facial and airway trauma and burns.
c. Definitive airway required but no sedation available.
d. When all other methods of securing the airway have failed.
Demonstrate surgical airway procedure. Right Ans - a. Obtain consent
where possible.
b. Open the surgical airway pack, check contents and functionality of balloon
by deflating only.
c. Identify the landmarks.
d. Clean and drape around the incision site.
e. Puncture the cricothyroyd membrane with a scalpel, then make a horizontal
incision.
f. Using the dissecting forceps, open the cricothyroid membrane and leave in
situ.
g. Correctly insert the tube, with the end pointing towards the feet using the
forceps as a guide.
h. Remove the forceps, seat tube correctly and inflate the cuff using a 5ml
syringe.
i. Holding the device in place remove the purple stylette.
j. Secure the surgical airway using the ties provided.
k. Reassess the airway.
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