FA4 Examination/Diagnosis 25 0 The report of an illness, accident or incident by the patient or bystanders is knownas what? the history signs and symptoms a diagnosis a prognosis The details provided by a conscious casualty regarding his injuries and feelings are known as what? symptoms signs history diagnosis The observations made by the First Aider during a routine examination of a casualty are known as what? signs symptoms history prognosis During the initial approach toa casualty the First Aider should check that there is no ............? danger to himself or casualty other First Aider around better qualified person around risk of "catching" something How should a First Aider talk to a casualty? calmly and reassuringly in a very loud voice in a whisper in a curt authoritative manner What if possible should you take with you when going to examine an injured person? First Aid materials only a thermometer initially only a notebook and pencil nothing initially Why should you ask a casualty to describe his symptoms IMMEDIATELY on arrival at the scene of an accident? he may become unconscious he may be drunk to avoid a full examination to avoid nervous pauses Apart from general assistance,what should bystanders at an accident be asked if they can provide? History and information Nothing. Ask them to leave Help whilst you find a phone Drugs or medicines When examining an unconscious patient you should look in hisor her mouth to check what? No obstructions/foreign bodies Tongue is the correct colour Jaw is not broken Saliva is present The eyes of a casualty with head injuries may appear unnatural. What should you observe when examining these? Pupil size & reaction to light Colour of iris Appearance of eyelids Whether open or closed A patient's face can sometimesprovide a sign of poisoning bycorrosive substances. What mayyou see? Burns on the lips or mouth Bloodshot appearance of eyes Cheeks excessively red Unequal size of the pupils Which condition causes the breath to smell of acetone in diabetics? insufficient insulin excess insulin When examining a patient how much of his or her clothing should you remove? Sufficient to treat injuries Everything Everything but not all at once None whatsoever Straw coloured fluid or blood issuing from the nose or ear can indicate which condition? Fractured skull Acute abdominal emergency Fractured spine Congestive heart failure With what should you compare each of a casualty's limbs when checking for swelling or irregularities? The limb on the other side Those of a bystander A recent photo of the casualty A First Aid manual Swelling, irregularity or deformity observed during a routine examination may be an indication of what? A fracture Shock Hypothermia Blood poisoning A large damp patch noticed on a patient's clothing should beassumed to be an indication ofwhat until proved otherwise? Haemorrhage (serious bleeding) Incontinence Excessive perspiration If during an examination your patient suddenly stops breathing, what should you do? Commence resuscitation at once Get help quickly Finish the examination quickly Wait to see if it starts again If a person's heart has stopped beating, how would youexpect the pupils of the eyes to appear? widely dilated very small of unequal size normal Whilst examining a patient suffering from asphyxia you may observe "cyanosis". How would you recognise it? blue nail beds, lips & eyelids skin would be hot and flushed signs of cyanide poisoning pupils would be widely dilated During an examination why should you remove rings from the fingers of a hand which has been scalded or burnt? swelling will quickly develop for safe keeping to expose and cool the tissues to reduce risk of infection A high temperature in infants caused by infectious disease, throat/ear infection etc. can cause what alarming condition? convulsions asthma asphyxia nose-bleeding If you suspect a patient is suffering from poisoning, one of the most important tasks ofthe First Aider is to ......? identify the poison keep the patient warm make the patient sick decide if it was an accident An electrician has collapsed over the machine he was tryingto repair. What is the first thing you must check? electricity supply turned off carotid pulse is present patient is breathing history of the accident What is the most important reason for looking in pockets or handbag of an unconscious casualty. To check for ......? treatment cards or medicine small change for telephoning BUPA membership card his passport