First Response Emergency Care – Component 2

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

Workbook: Component 2

Question 1: Using the table below, explain the functions of each component of respiratory system and then explain the ‘cycle of breathing’.

Lung, Diaphragm, Intercostal muscles, Accessory muscles, Visceral pleura, Parietal pleura, Pleural cavity, The cycle of breathing.

Functions of components of the respiratory system

Question 2: Short answer question: Explain the following terms and the effects they have on the lungs when reduced. Elasticity, Compliance, Airway resistance.

Question 3: You are called to a male patient who has been struck by a car. He appears to be unconscious and breathing with a weak radial pulse. You note that the left side of his chest is not rising and falling equally; no sign of catastrophic haemorrhage; snoring sound coming from his airway; breathing is fast and shallow; circulation is compromised. Develop a treatment plan for this patient incorporating:

  • Scene consideration and additional resources
  • Patient assessment
  • Patient management
  • Transport to definitive care

Question 4: Label the bones on the diagram (human skeleton):

Describe the functions of the following: Bone, muscle, Tendon, joints, Ligament

Question 5: On the diagram identify the components of the nervous system (central nervous system diagram). Describe the functions of the: a) Central nervous system and b) Peripheral nervous system

Question 6: You are called to a patient who has been assaulted and alleges to have been sexually assaulted too. Define sexual assault.

Question 7: If a patient has been sexually assaulted, it may be noted that they suffer from the following signs, symptoms and issues: flashbacks; depression; bruising around their genitals; substance misuse; body memories; bite marks; bleeding; disassociation; discharge from orifices; anxiety; pain; insomnia; self-harm. Which would be classed as psychological and which would be physiological?

Question 8: You are dealing with a female patient who appears to have been sexually assaulted. Highlight the considerations needed in order to care for the patient including:

  • Assessing for time critical injuries
  • Approach and communications with the patient
  • Forensic considerations
  • Patient’s wishes on contacting the police
  • Care pathways – Sexual Assault Referral Centre (SARC)

Question 9: You are working at an event where there are 2,500 people in attendance. There is an explosion in a refreshment zone and the Senior Officer on scene declares a major incident. Define a ‘major incident’ and explain its 4 stages.

Question 10: As part of a major incident identify the roles of:

  • First responder on scene
  • First crew on scene
  • Driver
  • Attendant

Explain triage, including:

  • Treatment of patients
  • Recording findings
  • Special consideration for children

Question 11: Chemical, Biological, Radiological, Nuclear and Explosive (CBRNE) incidents can result in a multitude of effects. Using the table below, describe the routes of entry and a number of possible effects that need to be considered: Chemical, biological, radiological, nuclear, explosive.

Question 12. You are called to a heavily populated public area where a member of the public informs you that a rucksack has been left unattended for about an hour. Summarise your initial actions dealing with the package and your actions when this is defined as a terrorist incident. Then detail your ‘METHANE’ report in the table below (including what METHANE stands for):

  • Initial actions (package)
  • Initial actions (terrorist incident)

Question 13: In no more than two paragraphs, describe the management of a patient with traumatic chest injuries, including:
• Open chest wound
• Pneumothorax
• Tension pneumothorax
• Haemothorax
• Flail chest

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