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Terms in this set (28)

Spider bite (black widow) a. Localized swelling initially b. Chest or abdominal pain depending on bite site c. Dangerous in children, may be fatal
CARE- a. Ice pack to area of bite b. Clean wound with soap and water c. Transport immediately with supportive care
bites and stings- a. Pain at site b. Swelling c. Signs of allergic reaction d. Signs of anaphylaxis assess the patient find where he was bit be prepared to rapidly transport since some patients' will have a allergic reaction to the bits. SECONDARY- follow the care if there is no allergic reaction if there is a allergic reaction which there is signs which are hives, flushing, upper airway obstruction, faintness, dizziness generalized itching generalized swelling including eyelids lips and tongue difficulty swallowing, shortness of breath, labored breathing
CARE- 1. if the stinger is still present remove it by gently scraping against it. 2. wash the area around the bite or sting. 3. remove any jewelry or other constricting objects. 4. lower the injection site below the heart. 5. apply a cold pack to an insect bite or sting. 6. some experts advise the use of a constricting band in the treatment of a snakebite, proximal to the bite. 7. observe the patient carefully for the signs and symptoms of an allergic reaction. 8. keep the patient calm to limit heart rate so the blood that was injected with position does spread even faster threw the body.
Altitude sickness: At high altitudes the pressure of the ambient atmosphere decreases therefore the pressure of oxygen also decreases. High altitude is considered to be above 5000 feet Signs and symptoms of high-altitude sickness: A feeling of illness (malaise) Loss of appetite Headache Sleep disturbances Respiratory distress

Acute mountain sickness (AMS) This condition typically occurs in people who rapidly ascend to 6600 feet or greater. Signs and symptoms: Weakness, fatigue, or lightheadedness Nausea and vomiting Headache Shortness of breath Difficulty sleeping Decreased urine output Altered mental status

High altitude pulmonary edema (HAPE) This condition affects the lungs and gas exchange. Changes in the pressure in the pulmonary vessels cause fluid to be forced out of the capillaries and to collect in and around the alveoli. It can occur above 8000 feet; however, it is more common above 14,500 feet. Signs and symptoms: Shortness of breath at rest Cough Tachypnea and tachycardia Cyanosis Crackles or wheezing in at least one lobe of the long

High altitude cerebral edema (HACE): This condition occurs when an excessive amount of fluid collects in the brain tissue. This increases the pressure within the skull and puts pressure on the brain. Most cases occur at altitudes above 12,000 feet; however, cases have been reported at 8200 feet. Emergency care focuses on immediately moving the patient to a lower altitude and administering oxygen. In some cases, PPV was supplemental oxygen may be required. Signs and symptoms: Severe headache Ataxia (inability to coordinate voluntary muscular movement) Altered mental status Seizure Coma
During the scene size up an EMT should decide if they need additional assistance, such as a dry team to work on shore and a wet team to immobilize the patient in the water. Be aware that rescues in swift water require specialized techniques and training. If an EMT is not qualified to undertake a rescue, that EMT must contact rescue teams trained in swift water rescue.
SECONDARY- LOOK FOR INJURYS AND SIGNS OF DROWNING. signs are airway absent or inadequate breathing, pulseless, spinal injury or head injury, soft tissues injuries, musculoskeletal injuries, external or internal bleeding, shock, hypothermia, alcohol or drug abuse, drowning or submersion. Asymptomatic: patient displays no signs or symptoms of the drowning event Symptomatic: the patient exhibits signs and symptoms as a result of the drowning Cardiac arrest: the patient is unresponsive, pulseless, and apneic Obviously dead: the patient exhibits rigor mortis or depended lividity

CARE- Remove the patient from the waters safely as possible If a spine injury is suspected, maintain in-line stabilization and then secure the patient to a backboard before removing that patient from the water. If spine injury is not suspected, place the patient on the left side Suction often as these patients have water in the airways and have a tendency to vomit because of the water that has been swallowed Establish an open airway and begin PPV with supplemental oxygen If the patient is pulseless and apneic and is older than one year of age, begin CPR, apply the AED, and proceed with AED protocol. AHA standards allow for AED use on patients less than one year of age. Apply pressure only if gastric distention interferes with your ability to ventilate the patient Always transport a drowning patient. During reassessment, be especially alert for signs that the patient is deteriorating into respiratory or cardiac arrest, especially if you have previously resuscitated the patient.