Medical-Surgical Nursing, 11th Ed., Harding, Kwong, Roberts, Hagler & Reinisch | Registered Nurse (RN) School Study Aid
Stages of Hypothermia
- 32 to 35°C (90 to 95°F)
- Shivering
- 28 to 32°C (82 to 90°F)
- Obvious Motor Impairment
- Slowed Thinking
- < 28°C (< 82°F)
- Shivering Stops
- Paradoxical Undressing
- Arrhythmias
Hypothermia Interventions
- Remove From Environment
- Remove Wet Clothing
- Warm Clothing
- Heated Blankets
- Warm IV Solutions
- Heated Oxygen
- Warm Gastric Lavage
- Warm Trunk BEFORE Extremities
Phases of Disaster Management
- Mitigation
- Preparedness
- Response
- Recovery
FEMA Levels of Disaster
- Level I Disaster
- Level II Disaster
- Level III Disaster
- Personal and Professional Preparedness
Triage
- Simple Triage And Rapid Treatment (START)
- Red: Immediate (Critical)
- Yellow: Delayed (Urgent)
- Green: Minor (Ambulatory)
- Black: Deceased (Expired)
- Ability to Walk
- Spontaneous Breathing
- Respiratory Rate
- Check Circulation
- Mental Status
Fire - Environmental Emergencies
- R.A.C.E
- Rescue
- Alarm
- Confine
- Extinguish
- P.A.S.S.
- Fire Exits
- Do Not Use Elevators
- Manual Ventilation
R.I.C.E. (Treating Soft Tissue Injury)
- Rest
- Ice
- Compression
- Elevation
Airway, Breathing, Circulation (ABC's)
- Changed Sound of Voice
- "See-saw" Respirations
- Stridor
- Normal Respiratory Rate: 12–20 Breaths/Min
- Use of Accessory Muscles in Respiration
- Cyanosis
- Color of Hands and Digits
- Normal Capillary Refill Time (CRT): 2 Seconds
- Decreased LOC
- Initial ‘Look, Listen and Feel” Assessment
- Emergency Treatment
- Prioritization in Exam Questions
Guidelines for Prioritizing
- Airway, Breathing, Circulation (ABCs)
- MAA-U-AR
- Mental Status Change
- Acute Pain
- Acute Urinary Elimination Problems
- Untreated Medical Problems
- Abnormal Laboratory Values
- Risk of Infection, Safety or Security
- Long-Term Treatments
Cardiopulmonary Resuscitation (CPR) for Adults
- Scan Scene
- Activate Emergency Response System
- Check For Breathing (Max 10 Seconds)
- Open Airway
- Compressions: 2 Inches Deep (100-120 Compressions/Min)
- Airway: Ensure Airway is Still Open
- Breathing: Administer 2 Rescue Breaths
- Repeat C-A-B Sequence (30:2) Until Help Arrives