1 / 37

Chapter 10 Medical Emergencies

Chapter 10 Medical Emergencies. EMR 10- 1. Introduction. The medical patient verbalizes or appears to have a disease, an illness, or a reaction Most often an EMR will not be able to determine the specific medical condition and may only have a general idea

felicia
Télécharger la présentation

Chapter 10 Medical Emergencies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 10Medical Emergencies EMR 10-1

  2. Introduction • The medical patient verbalizes or appears to have a disease, an illness, or a reaction • Most often an EMR will not be able to determine the specific medical condition and may only have a general idea • This chapter will provide an overview of various medical conditions; however, the main role of the EMR is to provide critical interventions, trend vital signs, and reassess for any change in the patient’s status EMR 10-2

  3. Learning Objective 1 Define Focused Assessment FOCUSED ASSESSMENT • Perform all the components of an initial assessment • Provide critical interventions if indicated • Baseline vitals • Secondary or rapid survey • Subjectiveinformation, objective information, critical thinking skills EMR 10-3

  4. Learning Objective 2 Describe Respiratory Emergency Care • RESPIRATORY EMERGENCIES • Overview • Assessment tools • SAMPLE, OPQRST, and pulse oximeter if available • Signs and symptoms • Progression EMR 10-4

  5. Learning Objective 2 Describe Respiratory Emergency Care • PULMONARY EMBOLISM • Overview • Blood clot travels to lungs • Signs and symptoms • Management • Critical interventions • Reassess every 5 minutes EMR 10-5

  6. Learning Objective 2 Describe Respiratory Emergency Care • ASTHMA • Overview • Chronic condition • Narrowing of the airway • Signs and symptoms • Management • Critical interventions EMR 10-6

  7. Learning Objective 2 Describe Respiratory Emergency Care • CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) • Overview • Two main types of COPD • Signs and symptoms of chronic bronchitis • Signs and symptoms of emphysema • Management • Critical interventions EMR 10-7

  8. Learning Objective 2 Describe Respiratory Emergency Care • RESPIRATORY INFECTIONS • Overview • Can be caused by virus or bacteria • Signs and symptoms • Management • Critical interventions • Allow for position of comfort EMR 10-8

  9. Learning Objective 2 Describe Respiratory Emergency Care • HYPERVENTILATION • Overbreathing • Breathing faster than normal • Signs and symptoms • Management • Critical interventions • Do not have patient breathe into bag EMR 10-9

  10. Learning Objective 3 Cardiovascular Medical Emergencies • CARDIOVASCULAR MEDICAL EMERGENCIES • Involves heart and blood vessels • Causes • Cardiovascular and respiratory complications coexist • Early recognition and transport are critical EMR 10-10

  11. Learning Objective 3 Cardiovascular Medical Emergencies • MYOCARDIAL INFARCTION • Overview • Chest pain, or angina pectoris • Assessment tools • Signs and symptoms • Management EMR 10-11

  12. Learning Objective 3 Cardiovascular Medical Emergencies • CARDIAC ARREST • Overview • Heart stops beating • Signs and symptoms • Management • Critical interventions • Ventilations with BVM at 100 percent oxygen EMR 10-12

  13. Learning Objective 3 Cardiovascular Medical Emergencies • HEART FAILURE • Overview • Inability to pump enough oxygenated amounts of blood • Assessment tools • Signs and symptoms • Management • Critical interventions EMR 10-13

  14. Learning Objective 4 Stroke Assessment and Emergency Care • STROKE • Overview • Assessment tools • Cincinnati Prehospital Stroke Scale (FAST) • Signs and symptoms • Management • Critical interventions EMR 10-14

  15. Learning Objective 5 Assessment and Management of Allergic Reactions • ALLERGIC REACTIONS • Overview • Assessment tools • Mild reaction signs and symptoms • Mild reaction management • Moderate to severe reaction signs and symptoms • Moderate to severe reaction management EMR 10-15

  16. Learning Objective 6 Diabetes and Two Kinds of Complications • DIABETES • Overview • Pancreas function • Diabetes mellitus • Insulin injections • Controlling diabetes • Assessment tools EMR 10-16

  17. Learning Objective 6 Diabetes and Two Kinds of Complications • HYPOGLYCEMIA • Overview • Lower than normal blood sugar level • Signs and symptoms • Management • Give sugar if agency allows • Do not give diet drinks EMR 10-17

  18. Learning Objective 6 Diabetes and Two Kinds of Complications • HYPERGLYCEMIA • Overview • Higher than normal glucose level • Signs and symptoms • Management • Critical interventions • Sugar, sugar drinks, or oral glucose EMR 10-18

  19. Learning Objective 7 Assessment, Types, and Management of Seizures • SEIZURES • Overview • Assessment tools • Seizure types and phases • Management during a seizure • Management after a seizure EMR 10-19

  20. Learning Objective 8 Abdominal Emergency Conditions • ABDOMINAL EMERGENCIES • Overview • Classifications • Visceral, parietal, and referred pain • Assessment tools • Management EMR 10-20

  21. Learning Objective 8 Abdominal Emergency Conditions • ABDOMINAL AORTIC ANEURYSM • Overview • Weakness in wall of aorta • Signs and symptoms • Abdominal or back pain • Radiates to pelvic area EMR 10-21

  22. Learning Objective 8 Abdominal Emergency Conditions • PEPTIC ULCER DISEASE • Overview • Open sore in lining of stomach, duodenum, or esophagus • Bleeding ulcer • Signs and symptoms EMR 10-22

  23. Learning Objective 8 Abdominal Emergency Conditions • ESOPHAGEAL VARICES • Overview • Dilated veins in lower esophagus • Common cause, severe liver disease • Vessels become distended and rupture • Signs and symptoms EMR 10-23

  24. Learning Objective 8 Abdominal Emergency Conditions • GASTROENTERITIS • Overview • Inflammation of lining of stomach and intestine • Causes • Illnesses causing dehydration • Signs and symptoms EMR 10-24

  25. Learning Objective 8 Abdominal Emergency Conditions • BOWEL OBSTRUCTION • Overview • Narrowing or completely blocked bowel • Rupture • Causes of bowel obstruction • Signs and symptoms EMR 10-25

  26. Learning Objective 8 Abdominal Emergency Conditions • GALLBLADDER DISEASE • Overview • Causes • Gallstones • Signs and symptoms • Sometimes mistaken • for heart attack EMR 10-26

  27. Learning Objective 8 Abdominal Emergency Conditions • APPENDICITIS • Overview • Appendix is a pouch attached to large intestine • Appendix becomes inflamed, distends, or ruptures • Signs and symptoms • Dull pain that becomes sharp EMR 10-27

  28. Learning Objective 8 Abdominal Emergency Conditions • DIVERTICULITIS • Overview • Inflammation of diverticulum • Pouch in area of large intestine wall • Signs and symptoms • Sudden severe abdominal pain EMR 10-28

  29. Learning Objective 8 Abdominal Emergency Conditions • PACREATITIS • Overview • Gland behind the stomach • Role in insulin production • Signs and symptoms • Persistent, severe upper abdominal pain EMR 10-29

  30. Learning Objective 8 Abdominal Emergency Conditions • KIDNEY STONES • Overview • Minerals crystallize in the urine • Cause blockage to bladder • Signs and symptoms • Severe flank pain radiating to groin EMR 10-30

  31. Learning Objective 9 Four Different Types of Poison Exposures • POISONING • Overview • Assessment tools • Management • Critical interventions • Proper response teams • Poison control center EMR 10-31

  32. Learning Objective 9 Four Different Types of Poison Exposure • INGESTED POISONS • Overview • Substance absorbed through stomach and intestines • Most common poisoning • Symptoms may not appear for hours • Signs and symptoms EMR 10-32

  33. Learning Objective 9 Four Different Types of Poison Exposure • INHALED POISONS • Overview • Gases, vapors, powders, or aerosols • Rapidly absorb into the body • Damage or destroy respiratory tract • Signs and symptoms EMR 10-33

  34. Learning Objective 9 Four Different Types of Poison Exposure • INJECTED POISONS • Overview • Into bloodstream by puncture of the skin • Reaction can be • local or general • Stings and bites • Signs and symptoms EMR 10-34

  35. Learning Objective 9 Four Different Types of Poison Exposure • ABSORBED POISONS • Overview • Absorption through skin or mucous membrane • Liquids and dry powders • Examples • Signs and symptoms EMR 10-35

  36. Learning Objective 9 Four Different Types of Poison Exposure • NERVE AGENT ANTIDOTE AUTOINJECTOR KIT • Types • Mark I • DuoDote • Signs and symptoms • Administration EMR 10-36

  37. Summary • An EMR will routinely respond to medical emergencies and must perform critical interventions, obtaining vital information, performing a secondary survey or rapid secondary survey incorporating objective and subjective information, and then focusing on specific interventions • Using critical thinking skills and a basic knowledge of common medical conditions, an EMR can provide necessary care and determine if rapid transport is necessary EMR 10-37

More Related