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Test Number : CFRN
Test Name : Certified Flight Registered Nurse
Vendor Name : Medical
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CFRN exam Format | CFRN Course Contents | CFRN Course Outline | CFRN exam Syllabus | CFRN exam Objectives

1. General principles of transport nursing practice
A. Transport physiology
1. Physiologic stressors of transport
2. Effects of altitude on patients
B. Scene operations
1. Secure landing zone
2. Incident Command System
C. Communications
1. Radio operations
2. Patient handoff (e.g., history from referring provider, updates for receiving provider, SBAR)
3. Crew resource management
D. Safety and survival
1. ELT
2. Navigation (e.g., maps, GPS, night-vision goggles)
3. Transponder codes
4. Survival principles (post-crash)
5. Transport vehicle emergencies
6. Pre-mission preparation (e.g., shift preparedness, risk assessment, crew briefings, weather limitations,AMRM)
E. Management of man-made disasters (e.g., terrorism, industrial accident, transportation accident, mass casualties)
F. Professional issues
1. Evidence-based practice and research
2. Legal issues
a. HIPAA
b. EMTALA
c. Consent
d. Mandatory reporting (e.g., abuse, neglect, diversion, non-accidental trauma)
e. Legal concepts in patient care (e.g., negligence, assault, battery, abandonment)
3. Ethical issues
4. Psychosocial issues in transport, including families
G. Management
1. Quality management and fair work environment
2. Outreach and community education
3. Stress management (e.g., self-care, post-traumatic critical incident)
2. Resuscitation principles 27 31
A. Principles of assessment and patient preparation
1. Physical assessment
2. Pain and comfort assessment
3. Preparing the patient for transport (i.e., packaging)
B. Airway management
1. Airway assessment
2. Airway management
3. Difficulties encountered with airway
4. Rapid Sequence Induction for Intubation (RSI), including pharmacology
C. Mechanical ventilation
1. Invasive ventilation
2. Non-invasive ventilation
D. Perfusion
1. Components of oxygen delivery
2. Shock pathophysiology
3. Trauma triad (hypothermia, acidosis, coagulopathies)
4. Acid base imbalances
3. Trauma 26 31
A. Principles of management
1. Mechanism of injury
2. Shock
a. Hypovolemic
b. Obstructive
c. Distributive (including neurogenic)
d. Cardiogenic
3. Immobilization
B. Neurologic
1. Traumatic brain injuries
2. Spinal cord injuries
3. Post-traumatic seizures
C. Thoracic
1. Chest wall injuries
2. Pulmonary injuries
3. Cardiac injuries
4. Great vessel injuries
D. Abdominal
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
5. Abdominal compartment syndrome
E. Orthopedic
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft-tissue injuries
F. Burn
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Radiological burns
5. Inhalation injuries
G. Maxillofacial and neck
1. Facial injuries, including fractures
2. Ocular injuries
3. Blunt and penetrating neck injuries
4. Medical emergencies 44 44
A. Neurologic
1. Seizure disorders
2. Stroke
3. Neuromuscular disorders
4. Space occupying lesions
a. Blood
b. Tumors
c. Abscesses
d. Hydrocephalus
e. Encephalopathies
B. Cardiovascular
1. Acute coronary syndrome
2. Congestive heart failure
3. Pulmonary edema
4. Dysrhythmias
5. Aortic abnormalities
6. Hypertension
7. Mechanical/circulatory support (e.g., IABP, VAD, pacing)
C. Pulmonary
1. COPD
2. Acute lung injury/ARDS
3. Pulmonary infections
4. Asthma
5. Pulmonary embolism
D. Abdominal
1. Abdominal compartment syndrome
2. GI bleed
3. Conditions of the hollow organs (e.g., obstruction,rupture)
4. Conditions of the solid organs (e.g., pancreatitis, hepatitis)
E. Electrolyte disturbances
F. Metabolic and endocrine
1. Diabetic emergencies
2. Neuroendocrine disorders (e.g., diabetes insipidus, SIADH, HHNK)
3. Thyroid conditions
4. Adrenal disorders
G. Hematology
1. Coagulopathies (including platelet disorders)
2. Anemias
H. Renal
1. Acute kidney injury (i.e., acute renal failure)
2. Chronic renal failure
I. Infectious and communicable diseases
1. SIRS and sepsis
2. Isolation precautions (e.g., MRSA, influenza-like illness, highly-infectious diseases)
J. Shock
1. Hypovolemic
2. Obstructive
3. Distributive (including neurogenic and anaphylaxis)
4. Cardiogenic
K. Environmental and toxicological emergencies
1. Environment
a. Allergic reactions
b. Cold related (e.g., hypothermia, frostbite)
c. Heat related (e.g., heatstroke, heat exhaustion)
d. Submersion injuries (i.e., diving injuries, drowning, near drowning)
e. Bites and envenomation
2. Toxicology
A. Obstetrical patients
1. Complications of pregnancy
2. Delivery and post-partum care of mother and infant
3. Trauma
B. Pediatric
1. Trauma
2. Medical (e.g., respiratory, cardiac, and neurological emergencies, metabolic disturbances)
C. Geriatric
1. Trauma (e.g., falls, immobilization)
2. Medical (e.g., drug interactions and comorbidities, dementia)
D. Bariatric (e.g., logistical issues, drug dosage, skin issues,airway management)

Procedures
PA catheter
Point-of-care testing
Video laryngoscopy
Chest radiographs
Transvenous pacing
Capnography for non-intubated patients
Surgical cricothyrotomy
Therapeutic hypothermia
Central venous pressure measurement
Arterial line
Needle cricothyrotomy
Needle thoracostomy
Tourniquet application
Central line
Chest tube
Pelvic stabilization
Non-invasive mechanical ventilation
Traction splint
12-lead ECG
Invasive mechanical ventilation
Transcutaneous pacing
Blood product administration
Capnography for intubated patients
Endotrachael intubation
Initiate/titrate medications
Intraosseous catheter
IABP operation
Escharotomy
CT scans
Medical circulatory devices (VAD, Impella�)
Fracture/dislocation reduction
ICP monitoring
Pericardiocentesis
Neck radiographs
Ventriculostomy monitoring

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Medical information source

the rise of Wikipedia as a supply of scientific counsel | CFRN exam Questions and Study Guide

It changed into only a decade ago when americans talked about the site Wikipedia as, let's be blunt, a spot for lies and nonsense. As Dunder Mifflin's Michael Scott noted in "The workplace," "Wikipedia is the best thing ever. any person on the earth can write the rest they desire about any field. So, you understand you have become the very best assistance."

however, given that then, the web site has changed. today, Wikipedia is regularly the first region many people verify for suggestions about every thing. definitely, Wikipedia's pages on COVID-19 and the pandemic are viewed greater than a million instances a day, and edited almost every hour of the day.

And chances are decent that if you seek advice from the web page, Dr. James Heilman might also have just entire editing it.

"We should not have a vaccine, however they do understand that this disease may also be stopped," pointed out Heilman, or "Doc James" as he's widely used. he's one of the most hundred or so editors with WikiProject medicine, which edits and studies the entire clinical content on Wikipedia.

Dr. James Heilman is likely one of the editors of clinical suggestions on Wikipedia. CBS information

His view? The best confirmed technique to cease COVID-19 is through social distancing.

Wired journal editor-in-chief Nicholas Thompson asked Heilman, "Do you suppose that social distancing is working?"

"yes, basically. You comprehend, they now have a good knowing of the transmission of ailment. You recognize, if all and sundry become to cling fully still for 4 weeks, this disorder could be eradicated," he responded.

In his different life, Heilman is an ER medical professional at a small health facility in Canada. "I do not suggest people have confidence Wikipedia blindly," he mentioned. "I think doing so can be silly. Yet, you know, people shouldn't have confidence different sources of counsel blindly, both."

Wikipedia runs entirely on the good will of volunteers like Dr. Heilman. Some are your regular denizens of the cyber web. Others are academics and retirees, like Rosie Stephenson-Goodknight: "We, the editors of Wikipedia, are really like a learning desktop," she stated. "We collaborate. they have networks of individuals who work in a lot of areas."

She wrote English Wikipedia's six millionth article final year.

"we now have realized that what they did in the beginning – write articles that might be failed to have any reference, or ample references – that wasn't the most suitable option for an encyclopedic article," Stephenson-Goodknight noted.

CBS news

She referred to references and transparency are vital to Wikipedia's success.

Katherine Maher, the CEO of the Wikimedia groundwork (the non-profit that runs Wikipedia), mentioned, "which you could determine every edit. If whatever is wrong, which you could go ahead and repair it. It depends on authentic sources."

Maher mentioned that, in comparison to the news they get off of social media, Wikipedia almost always wins.

"It turns obtainable's lots of challenges with social networks when it involves counsel distribution, a lot of questions about whether they can also be relied on, [and] who's monitoring for that," she stated.

Maher mentioned having your own inner most newsfeed can truly divide us, which is a problem Wikipedia doesn't have.

"there is only one front page of Wikipedia," she referred to. "It would not be counted if you're in Iran or in Italy or in Japan or sitting here in big apple metropolis. you are all looking on the equal guidance."

nevertheless, notwithstanding medical pages are strictly monitored by way of the WikiProject crew, and scorching issues that get a lot of web page views are cautiously edited, inaccurate suggestions persists on a few of Wikipedia's much less-read pages.

When Thompson all started working on this story, he appeared himself up on Wikipedia, and a person had edited his entry to explain him as "a Martian expertise journalist."

So, how do you preserve suggestions accurate on Wikipedia? Wikipedia feels the answer is to recruit greater, and extra distinct, editors.

a technique that Wikipedia has tried to expand its pool of editors is thru "Edit-a-thons," like one held in Hong Kong in March, geared up by way of Asia art Archive and M+, of the West Kowloon Cultural District. "Wikipedia becomes greater essential on account of people the usage of the web more and more extensively," stated one volunteer. "distinct companies with their own political goals and desires will try influencing Wikipedia."

A Wikipedia "Edit-a-thon" held in Hong Kong, prepared by using Asia artwork Archive and M+, West Kowloon Cultural District. CBS news

businesses, governments and politicians all have tried to edit Wikipedia's entries for his or her personal advantage. but Wikipedia editors are the use of desktop programming to combat back.

Now every time someone makes an edit from the White residence, a pc algorithm notes the edits, and sends out a tweet about them:

but, it's no secret why somebody would need to have an effect on Wikipedia.

"talents is power," talked about Maher. "And that means that it is essentially disruptive, commonly to these in energy. if you believe about the background of what Wikipedia is, it's basically relatively radical. and that i do not suggest that in, like, a political kind of left/right method. I suggest, that it is an inversion of energy structures, this thought that information can and should be purchasable to all."

nevertheless it's no secret why a person would wish to have an effect on Wikipedia, which explains why lowly Wikipedia, which changed into founded in 2001 by way of Larry Sanger and Jimmy Wales practically as a kind of scan, has grown to be one of the most-visited web sites on earth. It additionally explains why it's banned in China.

definitely, one in three americans now get their scientific information from the web.

this is simply high-quality with Dr. Heilman: "I do not mind having an educated affected person," he referred to.

Thompson asked, "And do you consider that having accurate suggestions about COVID-19 on Wikipedia can save lives?"

"well, you comprehend, presently the only tool we've at their disposal to combat this virus is training around the way it spreads," Heilman answered. "You know, this ailment will also be stopped with the aid of potential."

Maher referred to, "I in truth think that Wikipedia runs on generosity and care. come what may, this encyclopedia on the internet has given an outlet to tens of millions of individuals to display that good."

Oh, and if you have been questioning, on March 30, an nameless information superhighway consumer based in Hillsboro, Oregon, the use of their cellular telephone, determined to make two changes to Wikipedia. One changed into a aspect about baseball's opening day, and the different become about Thompson, who isn't any longer a Martian technology journalist, but an American know-how journalist.

Wikipedia

So, thank you, anonymous cyber web person!

for more info:

Story produced by means of Anthony Laudato. Editor: Chad Cardin.

Correction: in the fashioned posting of this report, Rosie Stephenson-Goodknight changed into referenced as Rosie Goodknight-Stephenson. They feel sorry about the error.

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