First Response Emergency Care – Component 1

QA Level 4 Certificate in First Response Emergency Care (RQF)

Workbook: Component 1

Question 1. As a First Responder, you are called to a responsive female at a noisy house party who is slumped over on a sofa outside in the garden. Bystanders are giving you disjointed and confusing information. In no more than 500 words, rationalise why a <C>ABCDE method is used for primary patient assessment and briefly explain each element of the assessment in the context of this patient, including airway stepwise approach.

Question 2. You attend a scene where there are four casualties to deal with. Using the triage sieve below, offer a classification for each of them: Please state which triage sieve used – (NARU or MPTT-24)

• a) Patient is alert and mobile, no catastrophic haemorrhage, clear airway, breathing rate of 12 respirations per minute, pulse rate of 94 beats per minute.
• b) Patient is found lying on the floor but is able to walk, is confused, no catastrophic haemorrhage, clear airway, breathing rate of 18 respirations per minute, pulse rate of 100 beats per minute.
• c) Patient is unconscious, no catastrophic bleeding from a cut arm and leg, noisy breathing with a breathing rate of 10 respirations per minute, pulse of 110 beats per minute.
• d) Patient is alert but immobile, catastrophic haemorrhage from an amputated hand, clear airway, breathing at 18 respirations per minute, pulse of 144 beats per minute.

Question 3. List the components of the heart on the diagram below:

Question 4: In no more than 500 words, explain the electrical conduction system of the heart, its nervous control and the effect of conduction on the cardiac cycle.

Question 5: Short answer question: Define the following terms: atheroma; arteriosclerosis; myocardial infarction and then explain their connection as part of the development of Coronary Artery Disease (CAD):  Atheroma, Arteriosclerosis, Myocardial Infarction.

Question 6: Explain in no more than 200 words, how the function of the heart is affected by: Arrhythmias and Heart failure.

Question 7: Label the following 3 lead electrocardiogram (ECG) diagram and in no more than 200 words describe what an ECG is and what it measures.

Question 8: You are dealing with an unconscious casualty following a collapse in the workplace. You are considering managing their airway as it has become ‘noisy’. You decide to use a Supraglottic Airway Device (SAD). List five contraindications or cautions in relation to its use.

Question 9: In relation to managing a patient using medical gases, complete the table below (Patient, medical gas, administration method/dosage, cautions, contraindications:

• Pregnant, having regular contractions, pain score of 8
• COPD, oxygen saturations of 72%, difficulty breathing
• Traumatised patient, bleeding heavily, oxygen saturations of 95%
• Football injury, pain score of 10
• Cardiac arrest, oxygen saturations of 52%

List the health and safety principles for medical gases:

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