Critical Care & EM Flashcards
Hypoxia in pediatric ARDS is defined as
OI (oxygen index)
Mild: 4-8
Mod: 8-16
Severe >16
[FiO2 x mean airway pressurex100]/ paO2
Hypoxia in pediatric ARDS is defined as
OI (oxygen index)
Mild: 4-8
Mod: 8-16
Severe >16
[FiO2 x mean airway pressurex100]/ paO2
Acute Liver Failure diagnosis
elevated AST, ALT
hyperbili
coagulopathy (INR, PT, PTT)
encephalopathy
How long do you wait to place IO if IV is not possible during code? And where?
2 min
Proximal tibial tuberosity (medial)
Treatment of malignant hyperthermia from anesthesia, cause, and pathophys
Tx: Dantrolene (binds to RYR-1)
Cause: halothane/sevoflurane or isoflurane, OR neuromuscular blockade with succinylcholine
issue: ryanodine receptor type 1 mutation (RYR-1), King-Denborough syndrome
Dog bite antibiotic for those allergic to penicillin
clinda and bactrim
Epinephrine dosing for anaphylaxis
0.01mg/kg 1:1000 IM
OR Epi pen:
<30kg child 0.15 mg
>30kg child 0.3 mg
Fever without a source vs Fever of unknown Origin
FWS <14 days
FUO >14 d
Head trauma requiring head CT
GCS low
basilar skull signs
LOC
emesis
severe headache
fall <5 fr
In child you suspect splenic bleeding, how do you choose between CTAP and US?
stable: CTAP
Unstable: US (FAST)
Scorpion sting S&S
numbness, swelling without sig erythema to site or elsewhere
Intense pain to area
Systemic symptoms (tachycardia, hyperthermia, drooling, wheezing)
NM sx: restlessness, muscular fasciculations, ataxia, CN issues
Tx of scorpion stings
benzos
Tetanus vaccine if appropriate
Antivenom
How do you fix a nursemaid’s elbow?
Hyperpronation
Preferred method of checking temp in a neutropenic patient
oral
Though axillary is fine, it is not preferred
Indication for rectal temp
children <3 yo who are not neutropenic
