You are working as a Firefighter on a dayshift. Your watch is responding to a house fire. There are multiple resources on scene. As you arrive, one casualty has been rescued from the property with no one else reported inside. You are called over as the casualty first aider on scene, there are no Ambulance resources present. You meet the casualty, a 32-year-old man who was in the house at the time of the fire. You can see there are burns on the left side of his body and he is coughing profusely.
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You start to assess the patient, you note no haemorrhage. What is next on the primary survey
You try and calm the patient, looking into his airway. You see some signs of soot within the airway and around the mouth, but no obvious obstruction. What can soot in the airway indicate the potential for
You note the risk of potential airway obstruction through swelling, however, you can’t do anything for it now. You place your SPO2 monitor on the patient and the reading comes back as 98%. Given the normal reading, but exposure to a smoke-filled environment, should oxygen be given via face mask
What poisoning can give a false SPO2 reading
You administer oxygen via face mask and continue to assess the patient. On circulation you note they have a rapid heart rate of 105 beats per minute. On disability, you see they are dizzy and acting unusual. You record a temperature of 39.6°c, this along with the other symptoms, you feel the patient may be suffering from heat illness. What level of heat illness would you class this
You note the condition of the patient and the burns covering the left arm and torso. They are a mixture of superficial to partial thickness burns. You explain to the patient what you are doing and start to cut off clothing. You note patches where the clothing has melted and is stuck to the skin. You have cut as much clothing as you can, what should you do with the stuck patches
You call over your colleagues and explain you need to cool the burnt area. Doing so should also help reduce the patients’ temperature. They set up a system so you can cool the patient with clean water. When cooling a burn, what temperature should the water ideally be
You start to cool the patient with a continuous flow of water. How long should you look to cool a thermal burn for
Following 20 minutes of cooling and monitoring the patient, you are informed an ambulance is almost at scene. What can be used to help maintain the sterility of a thermal burn area
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