EMR BC Provincial Licensing Exam
3 considerations for RTC mechanism of injury
anatomy of injury
findings in primary
APGAR scale (0-2, 2 being good) Activity (muscle tone)
Pulse
Grimace (reflex irritability)
Appearance (skin colour)
Respiration
ASA cautions Pregnant
Anti-coagulants?
Internal bleeding? (recent, last 3 months)
Disease effecting?
Surgery recently?
ASA contraindications Dose ability (162 mg MAX in last 12 hours)
Asthma inducing?
Acute bleed? (peptic ulcer? GI bleed? stroke <3yrs?)
Allergy?
Pediatric
, EMR BC Provincial Licensing Exam
cautions for entonox COPD
Facial trauma
Abdominal distention (must palpate)
Depressants?
Shock
Chemical burn intervention flush/cool with saline for 20 minutes
considerations of SMR <16 years old
>65 years old
degenerative bone disease
pre-existing spinal conditions
contraindications for entonox Decompression illness
Inhalation injury
Ventilated space?
Inability to comply?
Nitro in the last 5 minutes?
Embolism (must auscultate to rule out)
, EMR BC Provincial Licensing Exam
CVA/TIA pnemonic Face: right or left droop?
Arm: right or left weak?
Speech: slurred?
Time: less than 6 hours or woke up with symptoms
Vision: right or left gaze?
Aphasia: naming difficulties?
Neglect: ignoring left body?
do you leave the AED attached to the patient during yes
transport
Drug Rights right route
right medication
right dose
right patient
right expiry
right time
right documentation
3 considerations for RTC mechanism of injury
anatomy of injury
findings in primary
APGAR scale (0-2, 2 being good) Activity (muscle tone)
Pulse
Grimace (reflex irritability)
Appearance (skin colour)
Respiration
ASA cautions Pregnant
Anti-coagulants?
Internal bleeding? (recent, last 3 months)
Disease effecting?
Surgery recently?
ASA contraindications Dose ability (162 mg MAX in last 12 hours)
Asthma inducing?
Acute bleed? (peptic ulcer? GI bleed? stroke <3yrs?)
Allergy?
Pediatric
, EMR BC Provincial Licensing Exam
cautions for entonox COPD
Facial trauma
Abdominal distention (must palpate)
Depressants?
Shock
Chemical burn intervention flush/cool with saline for 20 minutes
considerations of SMR <16 years old
>65 years old
degenerative bone disease
pre-existing spinal conditions
contraindications for entonox Decompression illness
Inhalation injury
Ventilated space?
Inability to comply?
Nitro in the last 5 minutes?
Embolism (must auscultate to rule out)
, EMR BC Provincial Licensing Exam
CVA/TIA pnemonic Face: right or left droop?
Arm: right or left weak?
Speech: slurred?
Time: less than 6 hours or woke up with symptoms
Vision: right or left gaze?
Aphasia: naming difficulties?
Neglect: ignoring left body?
do you leave the AED attached to the patient during yes
transport
Drug Rights right route
right medication
right dose
right patient
right expiry
right time
right documentation
