Ryanair - Revision Questions - Initial 5 Already Graded A

Ryanair - Revision Questions - Initial 5 Already Graded A When can we declare that a pax died? CC are not qualified to pronounce death and must continue to resuscitate a passenger for as long as they are physically able to do so. Only qualified medical personnel may pronounce a passenger as dead. What is the care for emotional trauma / panic attack? 1. Ensure that there is no other medical reasons for this behavior 2. Remove the passenger to the galley away from onlookers 3. Find out the cause of the problem and try to resolve 4. Always make promises that you can fulfill 5. Talk calmly but firmly to the passenger. Stay with casualty quietly until they have recovered 6. Remain calm and professional Advise the casualty to see a doctor so that the case of the attack can be treated What do you do if a choking infant or child becomes unconscious? If it happens open airways and check breathing. Be prepared to begin rescue breaths and chest compressions. In which First Aid Kit can you find a Thermometer and Antihistamine Tablets? White First Aid Kit What causes the condition called Shock? Shock - Causes - Heart attack - Severe bleeding - Severe burns - Severe fractures - Severe vomiting and diarrhoea What is involved in the care when a casualty is hyperventilating? 1. Explain what has happened and why 2. Call for another CC to try and sort out any problem that the casualty has. 3. Reassure (tranquilizar) and try to calm the casualty 4. It may take 5-10 minutes to reserve the symptoms 5. Monitor the casualty for the rest of the flight in case it happens again. What is involved in the care of a casualty who has fainted? - Lay casualty down and elevate the legs (On recovery usually within 60 seconds) - Encourage them to take deep breaths - Oxygen may be given if the casualty still feels unwell - Check if passenger is not hyperglycaemic IF NOT consider offering a sugary drink (3-4 sugars in warm water) If the casualty does not recover checks ABCs What is the treatment for a casualty affected by Gastro Intestinal Disturbance? - Encourage the casualty to lie down in the foetal position with their legs brought up to their chest - Keep nil by mouth - Administer oxygen (High flow) - Promote Recovery What is the care of a casualty with a fractured bone? Fracture - Treatment 1. Immobilise the affected area immediately with hands if necessary, then use bandages to immobilise 2. Immobilise the limb using a sling or by splinting the injured part to an uninjured part of the body with bandages. 3. Dress any wounds on the fracture (heridas) 4. Treat for shock 5. Remove tight clothing/jewellery 6. Elevate the injured part if possible 7. Check extremities for circulation, warmth and colour every 10 minutes 8. If unconscious check ABCs 9. Administer oxygen (High flow) 10. Promote recovery If Open Fracture Also: 1. Apply indirect pressure around the fractured bone to stop the bleeding 2. Place a sterile dressing over the wound 3. If the bone is protruding out the skin, build up pad of material or bandages around the protrusion. Secure with bandages. What are the three types of bleeding? Arterial Bleeding Venous Bleeding Capillary Bleeding What is the treatment for threatened or complete Miscarriage? 1. Assess the casualty's breathing and consider semi reclining position 2. Prop her knees up with cushions to ease the strain on the abdomen 3. Administer oxygen 4. Discourage casualty from going to the toilet 5. Keep any expelled products in a bag (medical inspection) 6. Write down the AMPLE history from casualty 7. NEVER elevate the legs even if the bleeding is quite heavy What are the contents of the Green First Aid Kit? bandage wound dressing burn ointment antiseptic wipes plasters latex gloves scissors paracetamol sickness tables pocket mask anti diarrhea tablets What are the contents of the White First Aid Kit? Thermometer, Antihistamine Tablet, Biohazard kit ... What is the treatment for bleeding? 1. Put gloves on 2. Sit the casualty down 3. Apply direct pressure over the wound 4. Remove jewellery or tight clothing 5. Elevate and support to reduce swelling What is the treatment for a minor exterior bleeding? Follow Bleeding - Treatment and: 1. Apply a plaster or dry sterile dressing 2. If the wound is dirty, clean by rising under lightly running water or by using sterile wipes before applying a plaster or dry sterile dressing. 3. If there is a risk of infection advise the casualty to see a doctor on arrival. What is the treatment for a major exterior bleeding? Follow Bleeding - Treatment and: 1. Apply a dry sterile dressing and bandage firmly 2. If the bleeding seeps through the dressing, apply another dressing firmly over the top. Do not remove stained bandages 3. Advise to see a doctor on arrival What is the procedure when a bleeding stops? 1. Put a clean bandage on top of the stained bandages 2. Treat for shock 3. Check circulation to the extremities i.e. fingers and toes 4. If the casualty becomes unconscious, check ABCs 5. If the major bleeding fails to stop after 10 minutes of direct pressure, apply indirect pressure. 6. Administer oxygen 7. Promote recovery What is the care for nose bleed? 1. Put on gloves 2. Sit the casualty down with their head forward 3. Get the casualty to pinch the soft part of the noise 4. Encourage the casualty to spit the blood out 5. Give the casualty tissues and sick bags, damp cloths. 6. Tell the casualty to try not speak 7. After 10 minutes tell the casualty to release the pressure What is the treatment for a superficial burn? 1. Cool the burn with cold water immediately for at least 10 minutes 2. Remove any jewellery or constrictive clothing from the area before swelling occurs 3. If pain persists after cooling, use cooling gel 4. If necessary cover with a burns dressing (wear gloves) 5. Encourage the passengers to drink water 6. Promote recovery What is the treatment for a partial/full thickness burn? 1. Don't use "burns dressing" and "cooling gel" 2. Cover burns with dry sterile bandage (wear gloves) DO NOT Break blisters, Apply lotions, ointments or fats to the injury, Remove anything sticking to the burn What is the treatment for chocking for Adult-Child-Infant? 1. Encourage casualty to cough, In adult ask "Are you choking" 2. If casualty cannot cough or speak, bend her GIVE 5 BACK SLAPS between the shoulder blades. 3. Check airway 4. Give 5 ABDOMINAL THURST 5. Check airway 6. Repeat cycle of back slaps and abdominal thrusts, rechecking the mouth after step, until the item is dislodged IF THE CASUALTY BECOMES UNRESPONSIVE NOT BREATHING begin CPR If the casualty become unresponsive (open airways and check breathing) (INFANT) 1. If unable to cough, cry or breathe, place infant face DOWN, along your forearm and thigh. 2. Support the head and GIVE 5 BACK SLAPS between his shoulder blades 3. Check airway 4. Turn the baby FACE UP, along your forearm and thigh. Support the head 5 CHEST THRUSTS 6. Check airway 7. Repeat cycle of back slaps and chest thrusts, rechecking the mouth after each step, until the item is dislodged. IF THE INFANT BECOMES UNRESPONSIVE NOT BREATHING begin CPR Consider administering oxygen INFANT on low flow What is the FAST test? FAST test is a tool used in First Aid to help diagnose a STROKE - FACE can the casualty smile? - ARMS can the casualty raise both arms? - SPEECH Can the casualty speak clearly and understand - TIME time keep a record of when the signs and symptoms started What is the treatment for air sickness? - Make sure sick bags are available - If the passenger vomits, ensure it is removed quickly; - Instruct the casualty to breathe slowly and deeply through their mouth - Give sips of water Diabetes: the passenger has been given a sugary drink. There is an improvement in their condition. What do you do next? Give another sugary drink Advise to see a doctor What causes Hyperglycaemia? Too high sugar levels and Too low insulin levels What causes Hypoglycaemia? Too low blood sugar and Too high insulin levels Diabetes: the passenger has taken a sugary drink. There is no improvement in their condition. What do you do next? Nil by mouth Promote recovery Stroke, what is included in the treatment? - Lay the casualty down and raise their head and shoulders - Administer oxygen (HIGH FLOW) - Assess level of consciousness (AVPU), mind the casualty will be confused NOT GIVE FOOD OR DRINK, YOU MAY WET THE CASUALTY'S LIPS What is the White First Aid Kit used for? Emergency Use only - use only if the green first kit is not sufficient (may only be administered by a medically qualified person). What is the Green First Aid Kit used for? Everyday Use (may only be administered by a medically qualified person) UNLESS REQUIRED BY AIRCREW What are the PDIs on the First Aid Kits? 1. Seals intact 2. Stowage 3. Quantify How does Epilepsy present itself? Major fit and Minor fit When are CC allowed to give out medication? After showing an id, If the medically qualified person didn't have an id with him/her, after permission from the Captain What are some of the signs and symptoms of Stroke? Weakness or paralysis usually on one side of the body Slurred speech inability to talk Noisy breathing Skin flushed Confused mental state Loss of bladder or bowel control Loss of consciousness What are some of the Special Considerations when treating DVT or Pulmonary Embolism? First Aid treatment for DVT and Pulmonary Embolism is limited, patients exhibiting sign or symptoms with predisposing factors always suspected of having a PE until proven otherwise. Therefore a diversion should be considered and paramedics on arrival Febrile Convulsion, what should we ask the parents to do if the child has temperature? Ask parents to remove Childs/infants clothes to cool. What are some of the signs and symptoms of a Febrile Convulsion? Fever (temperature above 38'C Flushed skin Sweating There may be a rash What do you do if there is a foreign object in a wound? - Do not attempt to remove the foreign object - Apply pressure on either side of the embedded object - Build up padding around the object until you can bandage over it without pressing down on the foreign object - If it is a big object, bandage around it to secure it in place When do we apply indirect pressure around the fractured bone to stop bleeding? In an Open Fracture What are the 3 general types of fractures called? - Closed fractures - Complicated Fractures - Open Fractures How should someone be placed if they are suffering from Gastro Intestinal Disturbance? Foetal Position What are some of the signs and symptoms of Gastro Intestinal Disturbance? Pain Swollen abdomen Nausea and vomiting Shock if pain is severe What is involved in treatment of someone who feels faint? Sit and bend head down between the knees What is involved in treatment of someone who is recovering from fainting? Lay casualty down and elevate the legs Encourage them to take deep breaths Oxygen may be given if the casualty still feels unwell Check if passenger is not hyperglycaemic if not consider offering a sugary drink (dissolve 3-4 sugars in warm water). How long does it take to reverse symptoms of Hyperventilation? It may take 5 - 10 minutes to reserve the symptoms of Hyperventilation What are some of the signs and symptoms of Hyperventilation? Anxiety Over-breathing Flushed skin A feeling of light headedness and the casualty may eventually faint Tingling and spams in the hands and feet. The hands and feet may eventually assume a claw like or over extended position The casualty may collapse Asthma, what is included in the treatment? - Sit casualty up with their elbows on the tray table in front - Encourage to breathe slowly and deeply. It is helpful to advise them to breathe against their lips - to purse their lips and exhale against the pressure - Administer oxygen if necessary (therapeutic) What are some of the signs and symptoms of Asthma? Difficulty in breathing especially breathing out Wheezing The casualty may speak with difficulty Blueness of the skin (cyanosis) especially the lips and fingernails What are some of the signs and symptoms of an Allergic reaction? Swelling of lips, face, neck tongue Difficulty types of foods Difficulty in swallowing Rash Pulse may be rapid, weak and/or irregular What medication is used if a passenger has Asthma? Inhaler What medication is used if a passenger has Diabetes? Insulin What medication is used if a passenger has an Allergic reaction? EpiPen (adrenaline auto-injector) Epilepsy-Minor fit, what is included in the treatment? They may be used confused or disorientated ADVISE them to see a DOCTOR An Allergic reaction can kill due to the airway becoming very swollen and inflamed, this condition is known as? Anaphylactic Shock Epilepsy-Major fit, what is included in the treatment? Attempt to maintain the airway open and clear DO NOT FORCE HOLDING THE HEAD OR PUT ANYTHING IN CASUALTYS MOUTH How can a major fit present itself? full body convulsions, the sufferer may have a brief warning period (aura) and may sit or lie down to prevent injury How does a minor fit present itself? Switching off or staring blankly Twitching or jerking or lips,eyelids, heads or limbs Automatic repetitive movements such as lip smacking Chewing or making noises What are some of the signs and symptoms of Panic Attack? Headaches pressure in the chest Palpitations Trembling Sweating Hyperventilation Diabetes: the passenger has taken a sugary drink. There is no improvement in their condition. What do you do next? nil by mouth give oxygen promote recovery What part of the body is affected by a stroke? The brain. The blood supply to the part of the brain is suddenly reduced or completely blocked by a blood clot or a rupted artery. What are some signs and symptoms associated with a passenger suffering from a Head Injury? Brief or partial loss of consciousness following a blow to the head Dizziness Nausea Loss of memory A mild generalised headache Eyes will react to light How would arterial bleeding present itself? It spryrts out a jet of blood several feet into air. It can quickly empty the circulating blood. Bright red What is the purpose of a bio-hazard kit? Used to safely collect hazardous bodily fluids and sanitise effected areas. Where are the indirect pressure points on the body? In each groin each upper arm What are your priorities when treating bleeding? Protect yourself Control the blood loss by applying pressure Cover open would to prevent infection Allergic reaction, what is included in the treatment? Airway swelling may progress to the extent of complete closure of their air passage Consider casualtys position if necessary Administer oxygen Be prepared to resuscitate Casualty may be in possession on an EpiPen (medication) Are CC permitted to administer medication? No What is the purpose of Public Health Authorities (PHA)? Every international airport in the world has Public Health Authority, which function is the health control - the prevention of importation of communicable diseases and medical surveillance of all immigrants and as well as any death on board What are some of the signs and symptoms of Deep Vein Thrombosis? Pain swelling and tenderness in one of your legs A heavy ache in the affected area Warm skin in the area of the clot Red skin, particularly at the back of your leg below the knee What are some of the signs and symptoms of Pulmonary Embolism? Chest pain Shortness of breath Coughing Feeling faint, dizzy or passing out What are some of the Special Considerations when treating DVT or Pulmonary Embolism? Diversion should be considered and paramedics on arrival What are some of the Signs and symptoms of a Communicable disease? Fever Appearing obviously unwell Persistent coughing Impaired breathing Persistent diarrhoea/vomiting Skin rash or spots