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First Aid Test 3
Part 2
71
Other
Undergraduate 3
07/05/2011

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Term
4 Ways to lose heat
Definition
Radiation, Conduction, Evaporation, Convection
Term
What % of head is lost through radiation?
Definition
65%
Term
Risk factors for cold/heat injuries?
Definition
Age, Illness/Injury, Mental impairment, dehydration, body type, activities (work or recreation), Drugs/medication (alcohol)
Term
2 Misconceptions about alcohol?

What is alcohol?
Definition
Alcohol is a stimulant (depressant)
Makes body warm (actually burns esophagus)

Vasodialator: Opens blood vessels, More heat will leave the body
Term
How much is heat loss accelerated when wet?
Definition
25%
Term
How does temp decrease with altitude?
Definition
5 degrees for every 1000ft
Term
Define conduction
Definition
Heat goes to Cold (bleachers)
Term
Cold Problems
Definition
Chill Blains
Trench Foot
Hypothermia
Acute hypothermia
Term
Chill Blaines
Definition
Hands are red and puffy
Term
Trench Foot
Definition
During war, feet constantly in cold and wet, skin would rot and fall off
Term
Hypothermia
Definition
Lose heat faster then body can produce
Term
Types of Hypothermia
Definition
1. Acute (immersion)wet, water 6hrs
2. Subacute (Mountain) 6-24 hours
3. Chronic (urban) >24 hours homeless, elderly
Term
Signs going into hypothermia (umbles)
Definition
Grumble
Mumble (shivering, jaw wont work, cant talk)
Fumble (fingers wont work...)
Stumble (tripping)
Term
What is superficial frostbite?
Deep frostbite?
Definition
Hard on surface, inside is soft
Term
Best way to reverse cold problems?
Definition
wet, rapid, rewarming
ie. hot water, hot shower, whirlpool @ 100-105 degrees

WRR is 4x more effective than dry rewarming
Term
Levels of frostbite
Definition
1st degree: 1st degree tender, red, swollen

2nd: BIG blisters, w/clear fluid

3rd: small blisters, w/o clear fluid (blood vessels have burst)
4th: no feeling even after thaw, not pink, still cold
Term
Mild Heat Problems
Fainting
Rash
Swelling
Definition
Fainting: heat syncopy
Rash: Prickly heat
Swelling: Heat Adema
Term
Hyponitremia
Definition
To much H20 and exertion without enough nutrients
-problem with runners
-more prevalence in women b/c smaller
Term
Heat exhaustion
Definition
Flu like symptoms
Bad headaches
Sweating, cool skin
*treat with food, shade, water, aspirin
Term
Heat stroke
Definition
50% of people not rescued will die
Body loses all ability to cool
Core temp rises continually
Skin is hot, dry, and flushed
*Wet rapid cooling
Term
How should you treat someone with heat stroke?
What precautions should you take?
Definition
Wet, rapid, cooling
-do not submerge immediately b/c heart could go into V. Fib, heart attack, or hypothermia
-stay with the person
Term
How many people in America die each year from heat stroke?
Definition
400 people
Term
What are the 2 types of heat stroke?
Definition
Slow Cooker - classical: couple days
ie. NFL football
Exertional/fast cooker: w/in 1 day
ie. Marathon runner
Term
Signs of general illness?
Definition
ill, dizzy, confused, weak, skin color changes, sweat, breathing changes, nausea, vomiting
Term
What can you do for a sudden illness?
Definition
call 911
rest, control temperature
stay calm
no food/drink
watch and prepare for BLS
Term
2 main signs illness is an emergency
Definition
sudden and unexplained
Term
What is the name of reduced blood flow to the heart?
Definition
Acute myocardial infarction?
women: shortness of breath, jaw or back pain, nausea & vomiting
-death usually 1-2 hours after symptom
Term
What is the name of pain in the chest?
Definition
Angina pectoris
Nitroglycerin is prescribed for this can help with a heart attack also
-if pain persists greater than 10 min or returns or if victim as H.A. symptoms do 1st aid for H.A.
Term
Name for stroke
Definition
Cerebrovascular accident
Term
how many CVA's in the US each year? Deaths?
Definition
700,000 in US
162,000 deaths
Term
Top 6 causes of death (not 5)
Definition
1. Heart attack
2. Cancer
3. Stroke
4. COPD
5.
6. Diabetes
Term
Stroke position
Definition
For responsive victims
On back with shoulders raised
Term
What is the proper position for an unresponsive victim?
Definition
recovery position
Term
TIA
Definition
Mini stroke
Transient Ischemic attack
Temporary interruption of blood flow in an artery to the brain
-call 911 increased risks for strokes
Term
LA stroke screen
Definition
1. Ask to smile
2. Ask w/o eyes closed to raise both arms out in front of the body
3. Have them squeeze 2 fingers with both hands at the same time

4. can also ask to repeat a phrase
Term
Signs of stroke victim
Definition
1. only 1 side smiles
2. One arm drifts lower
3. Slurs, wrong words, cannot speak
Term
Difficulty breathing
Definition
respiratory distress
S&S gasping, panting, irregular breathing, wheezing, pale, bluish nail beds

leads to respiratory arrest in children/infants
Term
COPD
Definition
Chronic Obstructive Pulmonary Disease
ie. emphysema & chronic bronchitis
12 million in US over 124,000 deaths
Term
Tripod position
Definition
sitting and leaning forward on knees
Term
Asthma Attacks
Definition
Resp. infection, allergic rxn, exercise, foods, emotional stress, medications, pollution, temperature extremes

*dust, vacuum, avoid fluffiness, plastic covers, no air freshners, purifiers
Term
4 steps to use an inhaler?
Definition
1. shake
2. position spacer
3. breathout fully
4. breathe in deeply & spray
5. Holy breath 10 sec and exhale slowly
Term
What is emphysema?
Definition
Affects alveoli of the lungs
Lose elasticity and decrease in #, reduces oxygen absorption
Term
Chronic Bronchitis
Definition
Bronchial tubes of lungs are inflammed and build up in mucous
Term
Hyperventalation
Definition
Fast, deep breathign caused by anxiety or stress
Imbalance in oxygen and carbon dioxide
Do not breath into a bad
Keep Calm
Term
Fainting
Definition
Reduced blood flow to brain
-Hot weather, inactivity, fright, shock, lack of food
Term
Seizures
Definition
Normal electrical activity is out of balance
-altered mental status, uncontrolled muscle contractions
Term
#1 cause of seizures?
Definition
Epilepsy
Term
What can happen before a seizure occurs?
Definition
Aura
Term
Diabetes
Most common
How many deaths?
Definition
Type 2 is 90%
70,000 deaths yearly
Term
Hypoglycemia
Definition
Low blood sugar
Too much insulin, not right foods, uses blood sugar to quickly
Term
Hyperglycemia
Definition
High blood sugar, to little insulin, to much or wrong foods, no blood sugar with activity
Term
What are precursors to worse conditions?
Definition
Angina, TIA's, and Gestational Diabetes (type III)
Term
Stable vs Unstable angina
Definition
Stable - When exercising
Unstable- Can happen at any time/when resting
Term
2 questions to ask after a seizure?
Definition
Did you know you had a seizure?
Have you had one before?
Term
What percentage of strokes are hemorragic (blowout strokes)
Definition
20%
Term
What medicine is given for angina?
Definition
Nitroglycerin
Term
What is the sweet smell on the breath of someone with type 1 diabetes?
Definition
Build up of keotones
Term
3 signs of diabetes?
Definition
Poly urea (excessive urine), Poly phagia (excessive hunger), and poly depsia (excessive thirst)
Term
When should you call 911 w/o intervening?
Definition
case of domestic violence, or chemicals
Term
How does a person with anxiety or panic attacks behave?
Definition
Shortness of breath
Term
What is the most common emotion?
Definition
Depression
Term
2 "H" words with depression?
Definition
Helpless and hopless
Term
Age groups prone to suicide attempts?
Definition
16-24 & Elderly (higher death rate)
Term
What are suicidal sayings/signs?

What should you do first?
Definition
Emotional, giving away items.

Confront person about issue
Term
What should you do for violent behavior?
Definition
Be a good listener, refer to help, call 911 if necessary
Term
Saying that goes with abuse?
Definition
"Pray to hear you will have the ears to hear and eyes to see the truth"
Term
Why is there more elder abuse then before?
Definition
More elders then before
Term
What % of college girls are raped?
2 types of rape?
what % know the rapist?
Definition
15%
-acquaintance rape
-Date rape
85% of them know the rapist
Term
What should you NOT do with a rape victim?
Definition
Do not clean up, need the DNA
Term
What is remote location first aid?
Definition
1 hour or more from medical help
Term
What can you do to signal help?
Definition
Make X in clearing
Make a green fire with lots of smoke
Wave with BOTH arms
Shoot
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